A Dedicated Satellite Trauma Orthopaedic Program Operating Room Safely Increases Capacity

The Journal of Bone and Joint Surgery. American Volume
Peter M WatersWilliam Sparks

Abstract

Providing high-value care for urgent orthopaedic trauma patients requires effective and timely treatment. Herein, we describe the implementation of an innovative program utilizing the operating room (OR) capacity of a satellite campus to decrease stress on a pediatric tertiary care center without jeopardizing patient safety. In addition to the daily emergency surgical room on the main campus, a dedicated orthopaedic trauma surgery OR was established in a satellite hospital location for 3 days per week in the summer and for 2 days per week for the rest of the year. Nonemergency, non-multitrauma operative fracture cases presenting to our tertiary care facility emergency department or orthopaedic clinic were considered for satellite referral. Eligible patients required clearance for transfer via orthopaedic, emergency department, and anesthesia checklists. An opt-out policy was established for provider judgment or patient family concern to overrule transfer decisions. Selected patients were discharged home with satellite OR scheduling or approved for same-day satellite location admission. Short elective cases were performed when openings existed in the schedule. From June 1, 2016, through June 30, 2017, 480 cases (372 trauma, 108 ...Continue Reading

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Citations

Oct 1, 2019·The Journal of Bone and Joint Surgery. American Volume·Joseph Featherall, Timothy Bhattacharyya
Jul 18, 2019·Journal of Children's Orthopaedics·B W Yang, P M Waters
Aug 16, 2019·Journal of Pediatric Orthopedics·Christopher A MakarewichDavid L Rothberg
Apr 27, 2019·Journal of Graduate Medical Education·Brian W Yang, Peter M Waters
Nov 26, 2019·The Journal of Bone and Joint Surgery. American Volume·Joseph Featherall, Timothy Bhattacharyya

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