Accession Number : ADA324245

Title :   Examining Efficiency Indicators within the Surgical Service Line at Evans Army Community Hospital.

Descriptive Note : Final rept. Jul 95-Jun 96,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Kinser, Matthew D.

PDF Url : ADA324245

Report Date : JUN 1996

Pagination or Media Count : 173

Abstract : This study examined efficiency indicators common within surgical service management domain. Areas of focus included: the surgical service process, procedural time variations, delays, cancellations and patient satisfaction. Several results involving procedure times were significant. Variation of room turnover time was significant across the services (p = .000). Physician start times also varied -significantly (p=.000). Delays occurring in the operating room were examined through a direct observation method. Of the sample (n=779),l7.5 percent df the surgical cases resulted in delays. A chi square analysis examining rates of delays was significant (p less than .05). The majority of root causes for case cancellations were attributed to the patient and surgeon. A sample of 164 surgical patients responded to a patient satisfaction instrument. Significant variation existed across all services (p less han .0001). Similar significance existed when examining variation among the following constructs of the instrument: caring, competence, continuity of care and patient education.

Descriptors :   *CLINICAL MEDICINE, *MILITARY MEDICINE, *MEDICAL SERVICES, *HOSPITALS, *MEDICAL EXAMINATION, EDUCATION, OBSERVATION, ARMY FACILITIES, EFFICIENCY, VARIATIONS, DELAY, PATIENTS, CONTINUITY, PHYSICIANS, CANCELLATION, INDICATORS, CHI SQUARE TEST.

Subject Categories : Medicine and Medical Research
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE