The trauma theatre had a challenge of late first case start times, which affected flow, efficiency and productivity.
How did they make improvements
Medway NHS Foundation Trust implemented a newly formulated trauma policy (SOP), which included an improvement to the first patient start time. This involved identifying and preparing the first patient the day before (‘golden patient’). This in turn had a positive effect on flow and productivity of the trauma theatre.
- The initial audit cycle October 2014 to March 2015 showed identification of golden
patient in 67% of cases
- The trust saw significant improvement to the first patient start
times when golden patient was identified
- When comparing
first patient start times before and after implementation of the trauma theatre
policy, it showed significant improvement in start times
- The improvement is more
so when a golden patient was identified and reviewed beforehand
- An improved collaboration
between anaesthetic and orthopaedic/trauma teams
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