Operational Feasibility of Short Stay Surgical Unit in A Tertiary Care Teaching Hospital in South India

Richa Aggarwal ； Rajesh Kamath ； Brayal D'Souza ； Arun Mavaji ； Sagarika Kamath

《Journal of International Dental and Medical Research》 11卷2期 (2018/07) Pp. 728-731

摘要

The short stay unit (SSU) is a ward providing targeted care for patients requiring brief hospitalization and who are dischargeable as soon as their clinical condition is resolved. Therefore, SSU is an alternative to the ordinary ward (OW) for the treatment of select patients. Short - stay surgery enhances the opportunity for social support from the family. The recovery of the patient in his/her own family environment results in better psychological adjustment as a result of enhanced patient comfort, control, independence, and better interaction with family members. Short - stay surgery reduces the quantum of medications prescribed and also aids in judicious utilization of the doctor's time.A checklist with the list of surgeries performed in the Urology department in the tertiary care teaching hospital was given to Surgeons and Anesthetists of the Urology department. They were asked to select the surgeries for short- stay. The common surgeries selected were included in the study. After obtaining the list of short stay surgeries, the existing Average Length of Stay (ALOS) was calculated for patients who underwent those selected surgeries from January 2014 to December 2014. Convenience sampling was the technique used. The selected twenty procedures accounted for fifty four percent of the total bed occupancy of the Urology department over one year. The bed occupancy rate of urology wards by the patients of the selected procedures in the study setting was about 50%. The urology ward has a bed occupancy of eighty five percent. There is a waiting list of patients. A short stay surgical unit would reduce the length of stay of patients. The existing average length of stay for the selected procedures ranged from 2.2 days to 13 days. Three hundred procedures were performed in four Urology operation theatres. The Urology operation theatre utilization rate ranged from 65% - 75%. By the implementation of the short stay surgical unit, the utilization of the Urology operation theatre in the study setting can be increased to 80%. The Bed turnover rate was approximately 74 patients per bed per year. 6 patients more can be catered to per bed every year, keeping other factors constant.

關鍵字

Short stay surgical unit ； operational feasibility ； bed turnover rate ； urology ward