Development and efficiency of an acute knee trauma list

Chandratreya, AP; Spalding, Tim; Correa, R.

doi:10.1016/j.injury.2005.09.012

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…Several previously published studies have shown that a day surgery unit model for trauma is efficacious and safe (Chandratreya et al 2006, Colegate-Stone et al 2011. Our study shows that a wide variety of trauma procedures can be carried out as a day case.…”

Section: Types Of Cases Which Benefit From Day Surgerysupporting

confidence: 53%

Does a Dedicated Orthopaedic Day Surgery List Improve Delivery of Trauma Services?

Bhamra

Dhinsa

Patel

et al. 2017

Journal of Perioperative Practice

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Our aim was to implement a 23-hour pathway for uncomplicated trauma to overcome delays and improve efficiency. A retrospective review of a single surgeon series of 105 consecutive patients operated on between July 2010 and July 2011 was performed. With recently revised trauma tariffs, we believe an efficient day surgery trauma list improves theatre utilisation, reduces inpatient bed demands, prioritises major and sub-specialist trauma and delivers patient satisfaction.

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Section: Types Of Cases Which Benefit From Day Surgerysupporting

confidence: 53%

Does a Dedicated Orthopaedic Day Surgery List Improve Delivery of Trauma Services?

Bhamra

Dhinsa

Patel

et al. 2017

Journal of Perioperative Practice

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“…Screening referrals also allows referrals be triaged based on urgency. Triaging may be conducted through various means, from reviewing clinical findings and diagnostic test results to the development of specific scoring systems [77–80, 81, 82]. Previous reviews of triaging systems concluded that further evidence is required regarding the effectiveness and reliability of triaging [83], and whether triaging improves patient outcomes [84] and waiting times [83, 85].…”

Section: Resultsmentioning

confidence: 99%

A categorisation of problems and solutions to improve patient referrals from primary to specialty care

Greenwood-Lee

Jewett

Woodhouse

et al. 2018

BMC Health Serv Res

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BackgroundImproving access to specialty care has been identified as a critical issue in the delivery of health services, especially given an increasing burden of chronic disease. Identifying and addressing problems that impact access to specialty care for patients referred to speciality care for non-emergent procedures and how these deficiencies can be managed via health system delivery interventions is important to improve care for patients with chronic conditions. However, the primary-specialty care interface is complex and may be impacted by a variety of potential health services delivery deficiencies; with an equal range of interventions developed to correct them. Consequently, the literature is also diverse and difficult to navigate. We present a narrative review to identify existing literature, and provide a conceptual map that categorizes problems at the primary-specialty care interface with linkages to corresponding interventions aimed at ensuring that patient transitions across the primary-specialty care interface are necessary, appropriate, timely and well communicated.MethodsWe searched MEDLINE and EMBASE databases from January 1, 2005 until Dec 31, 2014, grey literature and reference lists to identify articles that report on interventions implemented to improve the primary-specialty care interface. Selected articles were categorized to describe: 1) the intervention context, including the deficiency addressed, and the objective of the intervention 2) intervention activities, and 3) intervention outcomes.ResultsWe identified 106 articles, producing four categories of health services delivery deficiencies based in: 1) clinical decision making; 2) information management; 3) the system level management of patient flows between primary and secondary care; and 4) quality-of-care monitoring. Interventions were divided into seven categories and fourteen sub-categories based on the deficiencies addressed and the intervention strategies used. Potential synergies and trade-offs among interventions are discussed. Little evidence exists regarding the synergistic and antagonistic interactions of alternative intervention strategies.ConclusionThe categorization acts as an aid in identifying why the primary-specialty care interface may be failing and which interventions may produce improvements. Overlap and interconnectedness between interventions creates potential synergies and conflicts among co-implemented interventions.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3745-y) contains supplementary material, which is available to authorized users.

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“…For instance, The British orthopaedic association standards for trauma care (BOAST) indicate that timely surgery for ankle fractures within 24 to 48 hours and intra articular wrist fractures 72 hours (BOAST standard 12 and 13) improves outcome. 10,11 Achieving these targets can be challenging within the resources currently available to hospitals as the population grows and practice evolves. 12,13 It is not clear how widespread the practice of day case trauma surgery is within orthopaedics in the United Kingdom, nor the pathways adopted to facilitate treatment, or the list of operations performed although surgery appears confined to the appendicular skeleton more distally.…”

Section: Introductionmentioning

confidence: 99%

Day case orthopaedic trauma surgery effectiveness: a systematic review

Buchanan,

Sarhan,

Hind

et al. 2023

Int J Res Orthop

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Day case surgery facilitates effective orthopaedic care for ambulatory trauma cases and can act as an effective pathway in times of reduced resource availability within acute hospitals. A systematic review of the available literature was performed using a narrative synthesis to look for themes underpinning day case trauma practice. A 25 papers were selected from a total of 9956 papers screened to identify those papers that considered day case trauma surgery and its impact on clinical outcome, patient satisfaction and feasibility of delivery within the UK. 9014 patients had day case trauma operations within the 25 papers identified, 86% had general anaesthesia and 14% either regional or local anaesthesia. The mean reported age was 37.5 years with a wide age range (2-83) years treating roughly similar proportions of men and women with a high satisfaction rate when recorded. All areas of the upper limb were operated on apart from the scapula the commonest being the wrist. In the lower limb surgery was undertaken in the knee, ankle or foot with removal of foreign body or ankle fixation being the commonest procedures undertaken. Prevalence of complications at 0.0156% of cases undergoing day case surgery was seen to be lower than in a similar group of inpatient cases. resources are stretched. Day case surgery for trauma procedures within orthopaedics is safe, cost effective and well tolerated by patients. It frees up resources to facilitate treatment and should be utilised within each hospital to enable timely care.

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Development and efficiency of an acute knee trauma list

Cited by 6 publications

References 7 publications

Does a Dedicated Orthopaedic Day Surgery List Improve Delivery of Trauma Services?

Does a Dedicated Orthopaedic Day Surgery List Improve Delivery of Trauma Services?

A categorisation of problems and solutions to improve patient referrals from primary to specialty care

Day case orthopaedic trauma surgery effectiveness: a systematic review

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