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Transition to total one-stop wide-awake hand surgery service-audit: a retrospective review.

Bismil M, Bismil Q, Harding D, Harris P, Lamyman E, Sansby L - JRSM Short Rep (2012)

Bottom Line: Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.The OSWA model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the NHS of 50-75% of the national tariff.A totally one-stop wide-awake hand surgery service is a practicable and feasible alternative to the conventional treatment pathway with benefits in terms of efficiency and cost-effectiveness.

View Article: PubMed Central - PubMed

Affiliation: Parkside Surgery, Boston, Lincolnshire PE21 6PF , UK.

ABSTRACT

Objectives: To document the transition to a totally one-stop (patient seen and treated in one appointment) wide-awake (local anaesthesia only) hand surgery service.

Design: Retrospective review of 10 year service with detailed analysis of last 1000 cases including process and cost-effectiveness and efficiency analysis.

Setting: Purpose-built CQC-certified day-case surgical facility where we have pioneered the UK's first totally one-stop wide-awake orthopaedic service.

Participants: Approximately five thousand orthopaedic patients treated in the last ten years.

Main outcome measures: Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.

Results: The OSWA model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the NHS of 50-75% of the national tariff. The service saved the NHS approximately £750,000 for the 1000 cases presented; and over £2 million since the inception of the service.

Conclusions: A totally one-stop wide-awake hand surgery service is a practicable and feasible alternative to the conventional treatment pathway with benefits in terms of efficiency and cost-effectiveness.

No MeSH data available.


Time and cost savings with OSWA approach. (a) Traditional versus OSWA Specialist's time. (b) Traditional versus OSWA pathway. (c) OSWA reduced theatre surgical time. (d) Breakdown of £2500 Dupuytren's cost saving per case. (e) OSWA service, efficiency and cost-effectiveness interlinkage
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SHORTS-12-019F1: Time and cost savings with OSWA approach. (a) Traditional versus OSWA Specialist's time. (b) Traditional versus OSWA pathway. (c) OSWA reduced theatre surgical time. (d) Breakdown of £2500 Dupuytren's cost saving per case. (e) OSWA service, efficiency and cost-effectiveness interlinkage

Mentions: 3 Trigger Finger.


Transition to total one-stop wide-awake hand surgery service-audit: a retrospective review.

Bismil M, Bismil Q, Harding D, Harris P, Lamyman E, Sansby L - JRSM Short Rep (2012)

Time and cost savings with OSWA approach. (a) Traditional versus OSWA Specialist's time. (b) Traditional versus OSWA pathway. (c) OSWA reduced theatre surgical time. (d) Breakdown of £2500 Dupuytren's cost saving per case. (e) OSWA service, efficiency and cost-effectiveness interlinkage
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3375846&req=5

SHORTS-12-019F1: Time and cost savings with OSWA approach. (a) Traditional versus OSWA Specialist's time. (b) Traditional versus OSWA pathway. (c) OSWA reduced theatre surgical time. (d) Breakdown of £2500 Dupuytren's cost saving per case. (e) OSWA service, efficiency and cost-effectiveness interlinkage
Mentions: 3 Trigger Finger.

Bottom Line: Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.The OSWA model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the NHS of 50-75% of the national tariff.A totally one-stop wide-awake hand surgery service is a practicable and feasible alternative to the conventional treatment pathway with benefits in terms of efficiency and cost-effectiveness.

View Article: PubMed Central - PubMed

Affiliation: Parkside Surgery, Boston, Lincolnshire PE21 6PF , UK.

ABSTRACT

Objectives: To document the transition to a totally one-stop (patient seen and treated in one appointment) wide-awake (local anaesthesia only) hand surgery service.

Design: Retrospective review of 10 year service with detailed analysis of last 1000 cases including process and cost-effectiveness and efficiency analysis.

Setting: Purpose-built CQC-certified day-case surgical facility where we have pioneered the UK's first totally one-stop wide-awake orthopaedic service.

Participants: Approximately five thousand orthopaedic patients treated in the last ten years.

Main outcome measures: Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.

Results: The OSWA model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the NHS of 50-75% of the national tariff. The service saved the NHS approximately £750,000 for the 1000 cases presented; and over £2 million since the inception of the service.

Conclusions: A totally one-stop wide-awake hand surgery service is a practicable and feasible alternative to the conventional treatment pathway with benefits in terms of efficiency and cost-effectiveness.

No MeSH data available.