Examining Efficiency Indicators within the Surgical Service Line at Evans Army Community Hospital.

Abstract

This study examined efficiency indicators common within surgical service management domain. Areas of focus included: the surgical service process, procedural time variations, delays, cancellations and patient satisfaction. Several results involving procedure times were significant. Variation of room turnover time was significant across the services (p = .000). Physician start times also varied -significantly (p=.000). Delays occurring in the operating room were examined through a direct observation method. Of the sample (n=779),l7.5 percent df the surgical cases resulted in delays. A chi square analysis examining rates of delays was significant (p less than .05). The majority of root causes for case cancellations were attributed to the patient and surgeon. A sample of 164 surgical patients responded to a patient satisfaction instrument. Significant variation existed across all services (p less han .0001). Similar significance existed when examining variation among the following constructs of the instrument: caring, competence, continuity of care and patient education.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 1996
Accession Number
ADA324245

Entities

People

  • Matthew D. Kinser

Organizations

  • Academy of Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Computer Programming
  • Databases
  • Employment
  • General Surgery
  • Health Services
  • Medical Personnel
  • Oral Surgery
  • Patient Care
  • Personnel Management
  • Physicians
  • Spreadsheet Software
  • Surgery
  • Surveys
  • Therapy

Fields of Study

  • Medicine

Readers

  • Organizational Psychology.
  • Phased Array Antenna Design.
  • Trauma or Military Medicine