Study to Determine the Best Method of Caring for Certain Short-Stay Surgical Patients at Reynolds Army Community Hospital. (Final Report, July 1986-July 1987).

摘要

Quality assurance concerns and limited resources prompted this study to determine if some surgical patients at Reynolds Army Community Hospital, Fort Sill, Oklahoma, could be better cared for, while providing more resources for the hospital. Based around the concept of same-day surgery, the study determined that an ambulatory surgery program could be instituted within existing resources. An extensive list of ambulatory surgical procedures was developed, reflecting the emphasis on reducing hospital stays in the civilian community. Patient selection criteria are included, describing the procedures for selecting patients appropriate for same-day surgery. An analysis of facility and personnel resources was done, along with an economic analysis. The most serious concern was the large number of minor surgical procedures being done in hospital and outlying clinics. These procedures were done in rooms that were less than adequate and with minimal monitoring. Keywords: Ambulatory surgery; Medical services; Same-day surgery; Hospital administration; Patient care. (kt)