1. Is it possible to predict list overruns in a NHS day surgery unit?
- Author
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Faiz, O., Mcguire, A. J., Tekkis, P., Rennie, J. A., Baskerville, P., and Leather, A. J. M.
- Subjects
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AMBULATORY surgery , *OPERATIVE surgery , *PUBLIC health , *MEDICAL care - Abstract
Aim: To investigate the factors that predict list overruns in a National Health Service (NHS) day surgery unit. Methods:Multivariate logistic regression was used to investigate the independent influence of operating list size, late starts, individual personnel and session factors on general surgical list overruns. Results:30%(627/2092) of all ambulatory general surgical lists performed over a 7 year period overran. Regression modelling revealed that operating list size was the main predictor of overruns in this context(p<0.001). Individual surgeons(p<0.001) and late-starting lists(p<0.001) also influenced whether overruns occurred but to a lesser degree. Discussion:Reducing overruns in NHS ambulatory centres is desirable. Achieving this through reduced list size requires local prioritisation between opposing operational targets. [ABSTRACT FROM AUTHOR]
- Published
- 2007