TY - JOUR
T1 - Elektivt sectio-team--en organisatorisk nyskabelse
AU - Bülow-Lehnsby, Anne Lene
AU - Grønbeck, Lene
AU - Krebs, Lone
AU - Langhoff-Roos, Jens
PY - 2006/11/20
Y1 - 2006/11/20
N2 - INTRODUCTION: The increasing rate of delivery by caesarean section demands more effective use of resources in obstetrical departments and anaesthesiological departments. At the Danish State Hospital, Rigshospitalet, in 2002, we decided to optimise the cooperation between the various professionals involved, by softening the professional boundaries, and by performing most planned caesarean sections on the same day, carried out by the same team, the "elective caesarean section team" (EST). In 2003 a similar structure was established at Hvidovre Hospital. This paper describes the process of establishing EST, the organisational implications, and the results of an evaluation of EST by the users.MATERIALS AND METHODS: The case records of all caesarean sections performed by the EST-team at Rigshospitalet and Hvidovre Hospital in 2004, were examined. All users in a two-month period evaluated the EST by questionnaires at planned discharge.RESULTS: Most users (60.5%) were discharged after two days. The user evaluation showed a high level of satisfaction.CONCLUSION: The introduction of EST has increased the efficiency within the organisation for carrying out planned caesarean sections. It has generated a high level of satisfaction among users, and a high educational value for the staff.
AB - INTRODUCTION: The increasing rate of delivery by caesarean section demands more effective use of resources in obstetrical departments and anaesthesiological departments. At the Danish State Hospital, Rigshospitalet, in 2002, we decided to optimise the cooperation between the various professionals involved, by softening the professional boundaries, and by performing most planned caesarean sections on the same day, carried out by the same team, the "elective caesarean section team" (EST). In 2003 a similar structure was established at Hvidovre Hospital. This paper describes the process of establishing EST, the organisational implications, and the results of an evaluation of EST by the users.MATERIALS AND METHODS: The case records of all caesarean sections performed by the EST-team at Rigshospitalet and Hvidovre Hospital in 2004, were examined. All users in a two-month period evaluated the EST by questionnaires at planned discharge.RESULTS: Most users (60.5%) were discharged after two days. The user evaluation showed a high level of satisfaction.CONCLUSION: The introduction of EST has increased the efficiency within the organisation for carrying out planned caesarean sections. It has generated a high level of satisfaction among users, and a high educational value for the staff.
KW - Anesthesia Department, Hospital
KW - Cesarean Section
KW - Denmark
KW - Elective Surgical Procedures
KW - Female
KW - Humans
KW - Obstetrics and Gynecology Department, Hospital
KW - Organizational Innovation
KW - Patient Care Team
KW - Patient Discharge
KW - Patient Satisfaction
KW - Pregnancy
KW - Surveys and Questionnaires
KW - English Abstract
KW - Journal Article
M3 - Tidsskriftartikel
C2 - 17134604
SN - 0041-5782
VL - 168
SP - 4085
EP - 4088
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
IS - 47
ER -