Higher trainee led deanery core surgical trainee (CST) teaching: Is satisfaction maintained into the second year?

作者：Andrew James Beamish, Alexandra Karran, Katheryn Foster, Paul A. Blake, Geoffrey W.B. Clark, Wyn Griffith Lewis · 发表于：International Journal of Surgery · 年份：2013 · DOI：10.1016/j.ijsu.2013.06.567 · 研究领域：Dental Education, Practice, Research、Innovations in Medical Education、Global Health Workforce Issues

Methods: Baseline data was collected for 2 groups of 25 consecutive urological inpatients (intervention and control groups).FY1 surgical doctors were asked for 5 reasons timely discharge was difficult.Two interventions were identified from Pareto analysis 1; Typed operation records including care pathway and criteria for discharge 2; Commencing discharge summaries at operation.Outcome measures were median discharge time and discharge time for 95% of patients.Process measure; that the 2 interventions were undertaken.Balancing measure; length of stay and re-admissions.The same data was collected following the interventions.Results: Discharge time variability improved in the intervention group.95% of patients were discharge by 15:38 (pre-intervention 16:58) versus 18:53 (pre-intervention 15:27) in the control group.The balancing measures were unaffected.Conclusions: By adopting a typed operation record including care pathway and criteria for discharge and commencing discharge summaries at operation variability in discharge times was reduced with 95% of discharges occurring before 3:40 pm.This improved patient flow and facilitates maximal utilisation of limited inpatient bed resources. 0637