Morning emergency operating list: effects of implementation.
The effect of the introduction of a regular morning emergency list for general surgery was assessed immediately on its inception and after 1 year. The main effect was a reduction of the surgical caseload after midnight. The number of surgical procedures carried out between midnight and 0800 dropped from 32% of all emergency procedures in 1989 to 11% in 1991. The number of nights during which emergency surgery took place after midnight dropped from 56% to 30% over the same period. After the adoption of a regular morning emergency list there was no surgery carried out after midnight on 70% of 'duty' nights.
Corner
N B
NB
Department of Surgery, University Hospital, Queen's Medical Centre, Nottingham.
Nicholson
M L
ML
Doran
J
J
D004630:Emergencies; D004739:England; D006801:Humans; D009551:Night Care; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*; D013996:Time and Motion Studies; D014600:Utilization Review; D016526:Workload