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Titolo:
Crisis in resources: a neurosurgical prospective
Autore:
Ashkan, K; Edwards, RJ; Bell, BA;
Indirizzi:
Atkinson Morleys Hosp, Dept Neurosurg, London SW19 4NP, England Atkinson Morleys Hosp London England SW19 4NP , London SW19 4NP, England
Titolo Testata:
BRITISH JOURNAL OF NEUROSURGERY
fascicolo: 4, volume: 15, anno: 2001,
pagine: 342 - 346
SICI:
0268-8697(200108)15:4<342:CIRANP>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Keywords:
audit; bed crisis; neurosurgery; safe practice;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Ashkan, K Atkinson Morleys Hosp, Dept Neurosurg, Copse Hill, London SW19 4NP, England Atkinson Morleys Hosp Copse Hill London England SW19 4NP ngland
Citazione:
K. Ashkan et al., "Crisis in resources: a neurosurgical prospective", BR J NEUROS, 15(4), 2001, pp. 342-346

Abstract

In the light of the recent recommendations of the Society of British Neurological Surgeons on safe neurosurgery, we prospectively audited the work load, availability and efficiency in the use of neurosurgical resources in our department over a 1-month period. There were a total of 130 admissions - 70 emergency and 60 elective cases. Twenty-three patients referred as emergencies were denied admission, directly or indirectly, because of shortage of beds. Other emergency cases had to wait unacceptablly long periods, up to17 days, prior to admission for the same reason. For elective cases, therewas a 33% cancellation rate due to lack of beds and competition with the emergency cases for the same resources. Overall bed occupancy rate exceeded 100%. We conclude that the current neurosurgical resources are inadequate and over-stretched leaving no safety margin. Neurosurgery as a core emergency service, therefore, should be given priority in NHS resource allocation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 12:52:21