1. Acute patient prioritisation
We developed a tool to guide prioritisation of patients for acute surgery for time to theatre from booking based on their clinical presentations, eg E0 = within 15 minutes, E4 = within 4 hours, up to E24 = within 24 hours.
For patients who require more specialist input (eg spine) or whose clinical condition means that they are not fit for surgery (eg reduced swelling required for a fractured ankle) are categorised as ‘Acute Arranged’ patients and are scheduled for surgery after 24 hours.
2. Electronic booking form for theatre
We developed and introduced an electronic booking form for theatre which included our prioritisation tool.
Initial results following implementation of the electronic form show that (excluding ‘Acute Arranged’):
- average time from booking for theatre to arrival in theatre is 14.18 hours
- percentage of operations meeting clinically appropriate timeframe is 59.37%