Mohamed Emad Esmat
Theodor Bilharz Research Institute, Egypt
Title: Improvement of general surgery department performance after implementing quality hospital standards and policies: 2001- 2016
Biography
Biography: Mohamed Emad Esmat
Abstract
The aim of this study is to assess the pattern of change in utilization and performance in GSD after implementing the new policies and procedures.
Methodology: This is a retrospective observational study. Electronic data were collected from the medical record unit of TBRI from the year 2001 until 2016. Hospital utilization indices; admission, surgical operations, and bed utilization indices; average length of stay (ALOS), bed occupancy rate (BOR), bed turnover rate (BTR) and mortality rate (MR) were calculated before and after implementing the new policies and procedures as from 2007 onwards.
Results: the shift to more skilled and major surgical operations were doubled, the increase of elective surgeries >3 folds of emergency operations, the increased outpatient flow >3 folds, decreased mortality rate, and the improvement in hospital bed indices; decreased ALOS, increased BOR and increased BTR, are the indicators used to show the raise of performance in GSD. The year 2016 showed the optimization of all hospital indices: ALOS 5.5, BOR 74.2, BTR 48.9, and MR 0.1.
In conclusion: Although quality improvement may not appear in the initial years of a program, persistent implementation of hospital quality policies will ultimately lead to future better quality of patient care.