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Urgent surgery: a forgotten wait time?
Topic Started: Dec 10 2013, 09:39 AM (1,327 Views)
Berton
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Those are some interesting links ImaHeadaU but still do not answer the question about why aren't emergency or unplanned surgical procedure wait times never measured in Canada?


Edited by Berton, Dec 13 2013, 09:27 PM.
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Brewster
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Berton
Dec 13 2013, 09:26 PM
Those are some interesting links ImaHeadaU but still do not answer the question about why aren't emergency or unplanned surgical procedure wait times never measured in Canada?
Apart from the terrible grammar, nobody will answer your question because it's silly.

How in H*ll do you measure wait times for unplanned surgeries? Since no-one even knew there was going to BE a surgery, at what point do you start the clock? When the doctor decides to operate? When the patient enters the hospital, probably with some completely different complaint? When the patient was born? Has the US invented a time machine they haven't told us about?

As for emergency procedures, that depends upon your definition of "emergency". Emergency admissions ARE measured. And unlike the US, in-hospital emergency procedures are done right away. That's because they're emergencies. And they're not subject to credit checks.

But of course, those answers don't suit your Right Wing Ideology, so now you're going to have to ask the same stupid question over again. Sorry to make your life so difficult, Bertie.

Oh, and now you're going to have to post that I'm being childish because I pointed out your stupidity by a name change, as I told you I would do long ago..

Stop asking childish questions, and maybe I'll start showing you some respect...
Edited by Brewster, Dec 14 2013, 12:18 AM.
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Neutral
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If someone needs an appendectomy for example it is easy to measure wait times. Brew makes another very stupid post.
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campingken
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My personal experience in the California ER system (we took injured arrestees to ER for treatment) is if you go there on a Friday or Sat night expect to wait, often for more than several hours, for treatment. Life threatening conditions moved to the front of the line.
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ImaHeadaU
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Berton
Dec 13 2013, 09:26 PM
Those are some interesting links ImaHeadaU but still do not answer the question about why aren't emergency or unplanned surgical procedure wait times never measured in Canada?


Please forgive me if I have missed it. Have you established it as fact that "emergency or unplanned surgical procedure wait times" are "never measured in Canada?"

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Berton
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Yes: http://healthydebate.ca/2013/09/topic/wait-times-access-to-care/wait-times-for-urgent-surgery
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ImaHeadaU
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Berton
Dec 14 2013, 02:11 AM
While your link appears to say that "Urgent surgery wait times are not being measured," as stated in one of its headings, the actual text of the document states something a bit different. It would appear that in the Canadian hospitals mentioned, the data is collected by many layers off departments within the hospital but is not presently being collated to establish a particular urgent surgery wait time list. The article explains that the establishment of wait lists for elective surgery which have been shortening such wait periods may have an impact upon urgent surgery wait times but no one knows for sure.

This establishment of the elective surgery wait list came about due to the acknowledgement that there was a problem with those wait times. It would appear that some are now suggesting that there may be a problem with urgent surgery wait times. I suspect that this is being considered and if it should turn out to be a true problem, I imagine that some kind of a structure will be put into place to monitor and improve that process as well.

From your link;
Quote:
 
As there has been increasing attention focused on improving elective surgery wait-times, hospitals and surgeons tend to fiercely protect ‘elective surgical blocks’. In some cases, this may result in urgent cases being delayed until later in the day, when surgeons have completed their elective list of surgeries for the day.
...
We’ve made an assumption that patients with urgent needs are protected from waits, queues and backlogs” says Chris Simpson, cardiologist and incoming Canadian Medical Association President. However, evidence suggests that this assumption may not always hold true.


It would appear that some hospitals seem to be keeping some kind of a count re. urgent surgery wait times.

From your link;
Quote:
 
Emergency department overcrowding and concerns that patients are waiting too long for surgical consults in the emergency department is another motivator for acute care surgery programs. Sunnybrook developed an Acute Care Emergency Surgery Service (ACCESS) program with a dedicated surgeon and operating room for acute care surgery patients. A review of the data after ACCESS was implemented found that it reduced the time it took for surgeons to consult and book urgent patients for surgery, as well as improved emergency department overcrowding.


From your link;
Quote:
 
Alberta wait times are collected for emergency department waits, as well as waits once a patient has been booked into an operating room, but that this information is not put together to be able to measure the full wait for urgent surgery patients.

Doering describes trying to measure waits for urgent surgeries as “a nightmare” with multiple, disconnected data sources from different parts of the hospital.


So, it seems to me that some individuals have begun to focus on this issue, suggesting that it might be a problem. My guess is that it will soon be established, if it hasn`t already been, whether this is a significant problem. Should that be established, I would imagine that measures will be put into place to remedy the situation, if this hasn`t already happened.

Health care systems tend to be in a constant state of flux. Thank goodness there are individuals who are always striving to improve them.
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campingken
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How is it possible for you Canadians to comment on your own health care system? According to the US right you should all have been killed off by now from your sub-par treatment.
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Neutral
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One out of about five is a large percentage.
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wanderingjays
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It always amazes me how some one from this country knows more about Canadas health care system than a Canadian. Not one of my relatives canadian (and there are a bunch) have any complaints about their health care.
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