Global Journal of Surgery
ISSN (Print): 2379-8742 ISSN (Online): 2379-8750 Website: https://www.sciepub.com/journal/js Editor-in-chief: Baki Topal
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Global Journal of Surgery. 2021, 9(1), 16-22
DOI: 10.12691/js-9-1-3
Open AccessArticle

Factors Affecting Implementation of Day of Surgery Admission in King Abdullah Medical City, Makkah

Osama Abed Al-Sahfi1, and Talaat Al-Demerdash Ibrahim2

1Inpatient Services, Patient Affairs Administration, King Abdullah Medical City, Makkah, Saudi Arabia

2Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia

Pub. Date: October 26, 2021

Cite this paper:
Osama Abed Al-Sahfi and Talaat Al-Demerdash Ibrahim. Factors Affecting Implementation of Day of Surgery Admission in King Abdullah Medical City, Makkah. Global Journal of Surgery. 2021; 9(1):16-22. doi: 10.12691/js-9-1-3

Abstract

Background: Day of surgery admission, rather than inpatient surgery, is increasingly being considered the norm for all patients undergoing elective surgery, rather than simply an alternative form of treatment for a few. However, it is also important to recognize that the model of provision should be geared to the patient’s needs, since not all patients can be treated on a day-surgery basis. It is necessary to have a system in place for selecting patients carefully, considering surgical, medical (comorbidity) and social criteria. Objective: This study aims to identify the factors affecting implementation of day of surgery admission in hospital. Subjects and Methods: A descriptive cross-sectional design was used to achieve the aim of the study. The population included all the healthcare workers who involved in day of surgery admission process including surgeons, anesthetists, nurses, and administrative staffs in King Abdullah Medical City (KAMC). The researcher made a questionnaire for data collection which included five variables that affect the implementation of day of surgery admission procedures. Data was collected from the participants by using online survey questionnaires. Results: The result shows that all the factors have high mean score which indicate the participants positively agree the statements and when proving the hypothesis, the result appear that there's a solid relationship exist between consider factors and implementation of day of surgery admission. Finally, it was found that some dependent variables have positive correlation with others. Conclusion and Recommendations: it was concluded that the proper implementation of day of surgery admission with the organizational management support can contribute to reduce the waiting time of the patient, cancelation of procedures and all healthcare team will be satisfied. This study recommends the health care leaders to develop a strategic plan to implement day of surgery admission process However, further studies are needed to conduct by including patient’s opinions and as multicenter comparative study to find the effectiveness of day of surgery admission process.

Keywords:
surgery day of surgery admission admission day

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References:

[1]  Quemby, D. J. and Stocker, M. E. (2014). ‘Day surgery development and practice: key factors for a successful pathway’, Continuing Education in Anaesthesia Critical Care & Pain, 14(6), pp. 256-261.
 
[2]  Pearson, A., Richardson, M. and Cairns, M. (2004). Best practice? in day surgery units: a review of the evidence’, Ambulatory Surgery, 11(1-2), pp. 49-54.
 
[3]  van Klei, W. A. et al. (2002). ‘The effect of outpatient preoperative evaluation of hospital inpatients on cancellation of surgery and length of hospital stay’, Anesthesia and Analgesia, 94(3), pp. 644-649; table of contents.
 
[4]  Kulasegarah, J. et al. (2008). ‘Day of surgery admission--is this safe practise?’, Irish Medical Journal, 101(7), pp. 218-219.
 
[5]  Concannon, E. S. et al. (2013). ‘Day of surgery admission for the elective surgical in-patient: successful implementation of the Elective Surgery Programme’, Irish Journal of Medical Science, 182(1), pp. 127-133.
 
[6]  Coyle, D. et al. (2012). ‘Successful introduction of ring-fenced inpatient surgical beds in a general hospital setting’, Irish Medical Journal, 105(8), pp. 269-271.
 
[7]  Wales Audit Office Day Surgery Eng v0_7. (2006), Making better use of NHS day surgery in Wales p. 95.
 
[8]  Mitchell, M. (2000) ‘Anxiety management: a distinct nursing role in day surgery’, Ambulatory Surgery, 8(3), pp. 119-127.
 
[9]  Sawyer, R. B. (1995) ‘General surgeons in the world of gatekeepers’, The American Journal of Surgery, 170(6), pp. 528-531.
 
[10]  Zafar, A. et al. (2007). ‘Cancelled elective general surgical operations in Ayub Teaching Hospital’, Journal of Ayub Medical College, Abbottabad: JAMC, 19(3), pp. 64-66.
 
[11]  Dimitriadis, P. A., Iyer, S. and Evgeniou, E. (2013). ‘The challenge of cancellations on the day of surgery’, International Journal of Surgery (London, England), 11(10), pp. 1126-1130.
 
[12]  Haana, V. et al. (2009). ‘Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital’, ANZ Journal of Surgery, 79(9), pp. 636-640.
 
[13]  Nasr, A. et al. (2004). ‘Impact of emergency admissions on elective surgical workload’, Irish Journal of Medical Science, 173(3), p. 133.
 
[14]  Griffin, X. et al. (2006). ‘Cancellation of elective surgery any improvement after ten years?’, Ann R Coll Surg Engl, (88(1): 28e30).
 
[15]  O’Malley, N. et al. (2005). ‘Ring-fencing e bed protection for the patient.’, Ir J Med Sci, 174(1), p. 49e49.
 
[16]  Robb, W. B. et al. (2004). ‘Are elective surgical operations cancelled due to increasing medical admissions?’, Irish Journal of Medical Science, 173(3), pp. 129-132.
 
[17]  Schofield, W. N. et al. (2005). ‘Cancellation of operations on the day of intended surgery at a major Australian referral hospital’, The Medical Journal of Australia, 182(12), pp. 612-615.
 
[18]  Silvay, G. et al. (2016). ‘same day admission for elective cardiac surgery: how to improve outcome with satisfaction and decrease expenses’, Journal of Anesthesia, 30(3), pp. 444-448.
 
[19]  Castoro, C. et al. (2007). ‘Day Surgery: Making it Happen’, p. 32.
 
[20]  Lemos, P. et al. (2009). ‘Patient satisfaction following day surgery’, Journal of Clinical Anesthesia, 21(3), pp. 200-205.
 
[21]  Toftgaard C and Parmentier G (2006). ‘International terminology in ambulatory surgery and its worldwide practice. In: Lemos P, Jarrett PEM, Philip B (eds). Day surgery – development and practice. London’, International Association for Ambulatory Surgery, pp. 35-60.
 
[22]  Stephens, I. et al. (2019). ‘Implementation of day of surgery admission for rectal cancer surgery in Ireland following a national centralisation programme’, Irish Journal of Medical Science, 188(3), pp. 765-769.
 
[23]  Silvay, G. (2010). ‘Day admission for thoracic aortic surgery’, HSR Proceedings in Intensive Care & Cardiovascular Anesthesia, 2(1), pp. 40-42.
 
[24]  Renholm, M. et al. (2017). ‘Nurses’ Perceptions of Patient Care Continuity in Day Surgery’, Journal of Paranesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses, 32(6), pp. 609-618.
 
[25]  Brown, R. et al. (2019). ‘Using Lean Six Sigma to improve rates of day of surgery admission in a national thoracic surgery department’, International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 31(Supplement_1), pp. 14-21.
 
[26]  Calligaro, K. D. et al. (1997). ‘Same-day admissions and other cost-saving strategies for elective aortoiliac surgery’, Journal of Vascular Surgery, 25(1), pp. 141-144.