Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/11953
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: The deferrable elective patient: a means of reducing waiting-lists in orthopaedics
Authors: Bowers, John
Mould, Gillian
Contact Email: g.i.mould@stir.ac.uk
Keywords: Emergency services
Health care
Simulation
Time management
Issue Date: 2002
Publisher: Emerald
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.
Type: Journal Article
URI: http://hdl.handle.net/1893/11953
DOI Link: http://dx.doi.org/10.1108/02689230210434899
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: People Centred Healthcare Management
Management Work and Organisation

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