Examining Efficiency Indicators within the Surgical Service Line at Evans Army Community Hospital.
Final rept. Jul 95-Jun 96,
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON
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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 n779,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.
- Medicine and Medical Research
- Medical Facilities, Equipment and Supplies