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Article in Journal ()

The deferrable elective patient: a means of reducing waiting-lists in orthopaedics

Citation
Bowers J & Mould G (2002) The deferrable elective patient: a means of reducing waiting-lists in orthopaedics, Journal of Management in Medicine, 16 (2/3), pp. 150-158.

Abstract
The orthopaedic trauma session is almost universally adopted as a means of coping with non-elective orthopaedic demand. Here patients who can be stabilised are treated in a weekday planned theatre session. It allows for greater consultant involvement and a reduction in out-of-hours operating. The utilisation of trauma theatre time is typically low. However, there is an opportunity to make better use of this time by including some "deferrable elective patients" in the session. These are elective patients who have been offered earlier treatment in return for accepting the possibility of postponement, if the trauma demand on the day of the appointment is high. Simulation of patient demand was used to explore the balance between maximising the utilisation of the theatre sessions, avoiding too many overruns and ensuring a reasonable quality of care in a typical hospital in the UK.

Keywords
Emergency services; Health care; Simulation; Time management

StatusPublished
AuthorsBowers John, Mould Gillian
Publication date2002
PublisherEmerald
ISSN 0268-9235
LanguageEnglish

Journal
Journal of Management in Medicine: Volume 16, Issue 2/3 (2002)

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