Showing posts with label Surgical procedures. Show all posts
Showing posts with label Surgical procedures. Show all posts

Tuesday, 29 September 2015

Unnecessary and Harmful Tests

Internationally, there is a groundswell of activity seeking to identify and reduce the use of health care interventions that deliver marginal benefit, be it through overuse, misuse or waste. A special ABC Four Corners investigation reveals many of the treatments and tests we get are unnecessary, sometimes harmful and needlessly expensive, costing the health system billions of dollars every year.
Figures from the Australian Institute of Health and Welfare show Australia spends just under $155 billion on health each year, and it is estimated that one-third of that amount — about $46 billion — is being squandered. This is total spending by federal and state governments, private health insurance and in hard cash from patients in gap fees.

"Adam Elshaug, Associate Professor of Healthcare Policy at Sydney University, is an authority on what is called low-value care and has identified at least 150 unsafe, inappropriate or ineffective medical services that receive Medicare and health insurance rebates." You can read more on this story by  from ABC Radio.

Click here to read the full ABC story. You can also read the recent article in the Medical Journal of Australia on the same topic: 
Adam G Elshaug, Amber M Watt, Linda Mundy and Cameron D Willis. (2015), Over 150 potentially low-value health care practices: an Australian studyMed J Aust, 197(10), 556-560.

Wednesday, 15 July 2015

Systematic review of surgical never events

Systematic review of surgical never events

Wrong-site surgery, retained surgical items, and surgical fires : A systematic review of surgical never events is a paper published in JAMA Surgery examining 138 studies which looked at these events since 2004.  The median rates were about 1.32 per 10,000 for retained surgical items and 0.9% per 100,000 procedures involving wrong-site surgery.  There were many different causes for specific events, but miscommunication was a common theme in many.

Hempel S, Maggard-Gibbons M, Nguyen DK, Dawes AJ, Miake-Lye IM, Beroes JM, et al
JAMA Surgery. 2015 [epub]. http://dx.doi.org/10.1001/jamasurg.2015.0301.  Contact your health library for the full text of the article.

Tuesday, 22 October 2013

Elective surgery waiting times 2012-13

In 2012-13 about 673,000 patients were admitted to Australian public hospitals from elective surgery Australian Hospital Statistics 2012-13: elective surgery waiting times also gives a breakdown of types of surgery, with one in four patients undergoing general surgery and one in seven orthopaedic surgery. Compared to the previous year, admissions for elective surgery increased by 1.8% across Australia.

Tuesday, 30 July 2013

National Definitions for Elective Surgery Urgency Categories

National Definitions for Elective Surgery Urgency Categories

A new report, National definitions for elective surgery urgency categories: proposal for the Standing Council on Health  was released today, 31st July, 2013, by the Australian Institute of Health and Welfare. In 2012, the Australian Institute of Health and Welfare and the Royal Australasian College of Surgeons worked together to develop national definitions for elective surgery urgency categories, at the request of the Standing Council on Health. The development of the national definitions resulted in a package of six integrated components proposed for adoption. This report presents the proposed definitions and components.

Wednesday, 24 July 2013

Operating theatre efficiency report

Operating theatre efficiency report

In 2011-12, approximately 210,000 patients had elective surgery in over 270 public hospital operating theatres in New South Wales. The cost of elective surgery within hospitals is estimated to be $1.3 billion each year or about 17 per cent of NSW Health’s inpatient hospital services budget.  Managing operating theatre efficiency for elective surgery is a report from the NSW Auditor General released this month which gives all such statistics, as well as the fact that 45% of all admissions to operating theatres are for elective surgery. 

The report concludes that there is room for operating theatres to be managed more efficiently and that there is potential for more elective surgery at current funding and resourcing levels.  It was acknowledged that  despite elective surgery numbers growing by 6% over the last three years, public hospitals are now treating patients from waiting lists substantially within national clinical timeframes.  However, the audit showed that NSW Health is not meeting its three key elective surgery efficiency targets: theatre utilisation, cancellations on the day of surgery and first case starting on time.  One problem identified was that local management needs access to more information, particularly financial information, in order to manage operating theatres more efficiently.  Various other recommendations were made.