Creating Novel Standards for Datapoints on an Elective Orthopaedic Theatre List Document
https://doi.org/10.5704/MOJ.2407.002
- Author:
Raad M
1
;
Virani S
1
;
Vinay S
1
;
Housden P
1
Author Information
1. Department of Trauma and Orthopaedics, William Harvey Hospital, Ashford, United Kingdom
- Publication Type:Journal Article
- Keywords:
orthopaedic theatres, new guidelines, efficiency, theatre team, theatre lists
- From:Malaysian Orthopaedic Journal
2024;18(No.2):10-17
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Orthopaedic theatre lists are an important tool
which must convey essential information to all staff to run an
effective and safe theatre list. However, there are no set
standards or guidelines on the components of an Orthopaedic
theatre list. The objective of this study is to formulate
guidelines for elective Orthopaedic theatre lists which
improve efficiency and reduce errors.
Materials and methods: We looked at 326 elective
Orthopaedic theatre lists from October to November 2018.
Various factors such as: theatre and patient demographics,
surgical team, type of anaesthesia, Surgery, acronyms and
finally extra information such as allergies. Additionally, a
survey was distributed to a variety of theatre staff to
understand their requirements from a theatre list. Thereafter,
we created a proforma for waiting list coordinators.
Subsequently, we re-audited six more weeks of theatre lists
(255) from November to December 2019.
Results: The orthopaedic consultant in charge was noted for
100% of patients compared to 85% previously. There was an
improvement in documenting the required anaesthesia such
as noting 14.5% required spinal compared to 0.3%
previously. Prosthesis/equipment was mentioned for 34% of
patients compared to 23%. Fluoroscopy was noted as being
required for 25% of patients compared to 11%.
Conclusion: We believe standards should be in place in
order for us to follow to ensure we carry out safe and
efficient Orthopaedic theatre lists, and these standards
should entail the parameters we have audited. The ‘William
Harvey theatre list standard’ should be used as a gold
standard for all elective Orthopaedic theatre lists.
- Full text:202408201226272769016.2024my1367.pdf
