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The impact of a dedicated Acute Care Surgical Service on the delivery of care for patients with general surgical emergencies

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dc.contributor.supervisor Hardy, Krista (Surgery) en_US
dc.contributor.author Metcalfe, Jennifer
dc.date.accessioned 2015-08-10T19:41:09Z
dc.date.available 2015-08-10T19:41:09Z
dc.date.issued 2015
dc.identifier.uri http://hdl.handle.net/1993/30660
dc.description.abstract Introduction: Acute Care Surgery (ACS) is a new model of emergency general surgery care developed to provide prompt, comprehensive, and evidence-based care to acutely ill non-trauma surgical patients. Our objective was to determine the impact of implementing ACS on efficiency of care (EOC) and patient outcomes. Methods: A retrospective review was performed for patients with acute appendicitis (AA) and biliary tract disease (BTD). EOC measures and patient outcomes were compared over two time periods: pre-ACS (2007) and ACS (2011). Results: n=1,229 patients were included in this study; n=507 (pre-ACS), and n=722 (ACS). Surgical response times and acquisition of imaging were significantly faster with ACS. Time to OR and total LOS were similar between cohorts. Similar rates of daytime operating were present. With ACS and AA, there were more perforations, more ORs were performed at night and patients were readmitted more frequently. Conclusions: Increased volumes of patients were seen with ACS, but surgical assessments and imaging were significantly faster. Inpatient EOC measures were unchanged with ACS; outcomes for AA were worse. en_US
dc.rights info:eu-repo/semantics/openAccess
dc.subject Surgery, Acute Care Surgery, Efficiency of care, Patient outcomes en_US
dc.title The impact of a dedicated Acute Care Surgical Service on the delivery of care for patients with general surgical emergencies en_US
dc.type info:eu-repo/semantics/masterThesis
dc.degree.discipline Surgery en_US
dc.contributor.examiningcommittee Keijzer, Richard (Surgery) Park, Jason (Surgery) Snider, Carolyn (Emergency Medicine) en_US
dc.degree.level Master of Science (M.Sc.) en_US
dc.description.note October 2015 en_US


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