title: Acute Surgical Unit at Auckland City Hospital: a descriptive analysis.
abstract: Lack of timely assessment and access to acute operating rooms is a worldwide problem and also exists in New Zealand hospitals. To address these issues, an Acute Surgical Unit (ASU) was set up at Auckland City Hospital (ACH) in January 2009. This service has evolved and been modified to address the specific needs of acute surgical patients of ACH. Despite initial challenges inherent to setting up a new service, the Unit has been in steady operation and enhanced its performance over time. This paper is a descriptive analysis of the design of the ACH ASU and discusses some of the indications for streamlining acute surgical services at a large tertiary metropolitan hospital in New Zealand. Performance of the ASU has shown benefits for acute patients and the Hospital. The acute surgical rotation has also been beneficial for surgical training.
authors.affiliation: Acute Surgical Unit, Auckland City Hospital, Auckland, New Zealand. lih@adhb.govt.nz
authors.forename: Li
authors.initials: L
authors.lastname: Hsee
authors.forename: Marcelo
authors.initials: M
authors.lastname: Devaud
authors.forename: Lisa
authors.initials: L
authors.lastname: Middelberg
authors.forename: Wayne
authors.initials: W
authors.lastname: Jones
authors.forename: Ian
authors.initials: I
authors.lastname: Civil
mesh_terms: D004503:Education, Medical, Graduate; D006297:Health Services Accessibility; D006785:Hospitals, University / Q000458:organization & administration* / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000458:organization & administration* / Q000706:statistics & numerical data; D009520:New Zealand; D009873:Operating Rooms / Q000458:organization & administration* / Q000706:statistics & numerical data; D013503:Surgery Department, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D014193:Trauma Centers / Q000458:organization & administration* / Q000706:statistics & numerical data; D014194:Traumatology / Q000193:education