title: National survey of the provision of day surgery across public and private hospitals in Ireland.
abstract: BACKGROUND
  Day surgery (DS) is viewed as the optimal environment for many surgical procedures. Yet, Irish DS rates are low compared to international figures.
  
  
  OBJECTIVE
  To describe the current provision of DS in Ireland and to identify barriers to its expansion.
  
  
  METHODS
  Thirty-seven public hospitals and 17 private hospitals providing DS were surveyed during July/August 2009.
  
  
  RESULTS
  Thirty-seven hospitals replied (67%) (30 public, 7 private). DS beds ranged from 3 to 39. Fourteen (38%) had dedicated DS units, and no unit had a consultant in charge. Twenty-one (57%) provided pre-assessment with 36 (96%) providing patient information leaflets both pre- and post-operatively. Stay-in rate was less than 5%. Eight units had reviewed the adverse event rates following DS. Seven barriers to optimizing DS were identified, the main one being lack of dedicated DS theatres.
authors.affiliation: Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.
authors.forename: S
authors.initials: S
authors.lastname: Cowman
authors.forename: G
authors.initials: G
authors.lastname: Gethin
authors.forename: E
authors.initials: E
authors.lastname: Mulligan
authors.forename: K
authors.initials: K
authors.lastname: Ryan
authors.forename: B
authors.initials: B
authors.lastname: Meshkat
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006742:Hospital Bed Capacity; D016304:Hospitals, Private / Q000706:statistics & numerical data*; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D007494:Ireland; D017060:Patient Satisfaction; D018579:Patient Selection; D013531:Surgicenters / Q000458:organization & administration
references.citation: Ann Surg. 2001 May;233(5):704-15
references.pmid: 11323509
references.citation: Singapore Med J. 2002 Oct;43(10):522-6
references.pmid: 12587707
references.citation: Acta Anaesthesiol Scand. 2006 Sep;50(8):911-9
references.pmid: 16923084
references.citation: Anaesthesia. 2006 Dec;61(12):1191-9
references.pmid: 17090241