Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities

The Canadian Paediatric Surgical Wait Times Project conducted an analysis of the alignment between capacity (supply) and demand for pediatric surgery at nine participating hospitals in five provinces. Demand for surgery was modelled using wait list data by assigning patients into monthly buckets of...

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Main Authors: Fixler, T, Menaker, R, Blair, G, Wright, J
Format: Journal article
Language:English
Published: Longwoods Publishing 2011
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author Fixler, T
Menaker, R
Blair, G
Wright, J
author_facet Fixler, T
Menaker, R
Blair, G
Wright, J
author_sort Fixler, T
collection OXFORD
description The Canadian Paediatric Surgical Wait Times Project conducted an analysis of the alignment between capacity (supply) and demand for pediatric surgery at nine participating hospitals in five provinces. Demand for surgery was modelled using wait list data by assigning patients into monthly buckets of demand ("demand windows") based on the date on which a decision was made to proceed with their surgery plus their surgical wait time access target. Demand was then related to available capacity for various key resources (e.g., operating room availability, intensive care unit [ICU] and in-patient beds). The results indicate a small and not insurmountable gap of 8.5-11% in pediatric surgical capacity at these hospitals. A further capacity issue at many hospitals was ICU occupancy. In addition, an examination of several key performance indicators related to the management of peri-operative resources indicated that opportunities exist for deploying existing resources more efficiently, such as increasing on-time starts and reducing cancellation rates for elective surgery.
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spelling oxford-uuid:0718ab43-c326-4862-bc2a-19f1df266b892022-03-26T09:05:56ZPediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency OpportunitiesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0718ab43-c326-4862-bc2a-19f1df266b89EnglishSymplectic Elements at OxfordLongwoods Publishing2011Fixler, TMenaker, RBlair, GWright, JThe Canadian Paediatric Surgical Wait Times Project conducted an analysis of the alignment between capacity (supply) and demand for pediatric surgery at nine participating hospitals in five provinces. Demand for surgery was modelled using wait list data by assigning patients into monthly buckets of demand ("demand windows") based on the date on which a decision was made to proceed with their surgery plus their surgical wait time access target. Demand was then related to available capacity for various key resources (e.g., operating room availability, intensive care unit [ICU] and in-patient beds). The results indicate a small and not insurmountable gap of 8.5-11% in pediatric surgical capacity at these hospitals. A further capacity issue at many hospitals was ICU occupancy. In addition, an examination of several key performance indicators related to the management of peri-operative resources indicated that opportunities exist for deploying existing resources more efficiently, such as increasing on-time starts and reducing cancellation rates for elective surgery.
spellingShingle Fixler, T
Menaker, R
Blair, G
Wright, J
Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities
title Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities
title_full Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities
title_fullStr Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities
title_full_unstemmed Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities
title_short Pediatric Surgical Capacity and Demand: Analysis Reveals a Modest Gap in Capacity and Additional Efficiency Opportunities
title_sort pediatric surgical capacity and demand analysis reveals a modest gap in capacity and additional efficiency opportunities
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AT menakerr pediatricsurgicalcapacityanddemandanalysisrevealsamodestgapincapacityandadditionalefficiencyopportunities
AT blairg pediatricsurgicalcapacityanddemandanalysisrevealsamodestgapincapacityandadditionalefficiencyopportunities
AT wrightj pediatricsurgicalcapacityanddemandanalysisrevealsamodestgapincapacityandadditionalefficiencyopportunities