Aim: This study sought to identify the perceived acceptable waiting times for gynaecological cancer surgery and to audit actual waiting times for gynaecological cancer patients in a tertiary referral service.
Methods: Women attending Gynaecological Outpatients and staff at Christchurch Women's Hospital were surveyed to determine their opinion regarding the acceptable waiting times from referral to diagnosis, diagnosis to treatment plan, and treatment plan to surgery for women with gynaecological cancer. The actual waiting times for patients who had surgery for gynaecological cancer over two 6-month periods at Christchurch Women's Hospital were audited. The waiting times obtained from the audit and the survey were then compared.
Results: Eighty-one patients were approached, and 71 surveys were completed (88%), while 97 surveys were sent to staff with a response rate of 63% (61 returns). There were similar perceptions of maximum acceptable waiting times between patients and staff. The audit reviewed notes of 82 patients. The median waiting time for referral from primary care to diagnosis was longer than the perceived maximum acceptable. However, the median waiting time from diagnosis to treatment plan and from treatment plan to surgery was less than the perceived acceptable maximum.
Conclusions: This study documents perceived acceptable waiting times and actual waiting times for surgery of women with gynaecological cancer within a regional service. This study offers preliminary information towards the development of benchmarks for this service.
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Am J Emerg Med
December 2024
Department of Internal Medicine (Section of General Internal Medicine, Program for Hospital Medicine), Yale University School of Medicine, New Haven, CT, USA; Department of Pediatrics (Section of Hospital Medicine), Yale University School of Medicine, New Haven, CT, USA.
Boarding of admitted patients in the Emergency Department (ED) changes both the setting and teams providing care during the initial phase of admissions. We measured the waiting time from ED door arrival to inpatient floor arrival for 17,944 admissions to internal medicine services over a 5-year period from 2018 to 2023 and propose this as a metric for the total delay in care associated with ED boarding, termed "Door to Floor" (DTF) time. We find a sustained increase as well as significant seasonal and day-of-the-week variation in DTF times.
View Article and Find Full Text PDFJ Cardiothorac Surg
December 2024
Department of Pulmonary Surgery, Hangzhou Institute of Medicine (HIM), Zhejiang Cancer Hospital, Chinese Academy of Sciences, Hangzhou, Zhejiang, 310022, China.
Background: The Modified Inflation-Deflation Method (MIDM) is widely used in China in pulmonary segmentectomies. We optimized the procedure, which was named as Blood Flow Blocking Method (BFBM), also known as "No-Waiting Segmentectomy". This method has produced commendable clinical outcomes in segmentectomies.
View Article and Find Full Text PDFBMC Nurs
December 2024
Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, 4507, Spain.
Background: The satisfaction of patients with sedation by nursing staff is an issue of interest for the quality of health care, influencing the recovery and well-being of patients as well as their confidence in and adherence to treatment. One of the most frequently performed diagnostic and therapeutic tests requiring sedation are digestive endoscopies, so it would be interesting to study satisfaction in these services.
Aim: To determine the level of patient satisfaction and safety with sedation via digestive endoscopies by nurses.
Dermatol Surg
October 2024
All authors are affiliated with the Department of Dermatology, Oregon Health and Science University, Portland, Oregon.
Background: The melolabial interpolation flap is an effective surgical technique for reconstructing defects in the nasal ala and tip regions. Traditionally, this technique involves waiting for the standard 3-week period before pedicle division.
Objective: To evaluate whether accelerated takedown at 1- or 2-week postflap creation is possible while maintaining the flap's viability and functionality.
Recent healthcare staff industrial action disrupted operating theatres activity, delaying procedures, and increasing waiting lists due to cancellations. Strike days have also led to inadvertent idling of theatre practitioners during decreased activity. To maximise paid staff working time during down-times, the Theatres Education Team devised the Education Café for self-directed online specialist continuing professional development activities compiled into menus of QR codes.
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