Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres

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dc.contributor.advisorWallis, Lee
dc.contributor.advisorOosthuizen, Almero
dc.contributor.authorFurstenburg, Phillip Pieter
dc.date.accessioned2020-03-09T13:53:14Z
dc.date.available2020-03-09T13:53:14Z
dc.date.issued2019
dc.date.updated2020-03-09T08:44:11Z
dc.description.abstractBackground and aim Inefficient storage and sourcing of routinely required consumables located on procedure trolleys results in time wasted when preparing for common procedures in Emergency Centres, contributing to poor efficiency and quality of care. We designed a novel purpose-orientated procedure trolley, and evaluated its impact on time spent on procedure preparation and efficiency. Methods In an urban emergency centre, eight participants were measured each day over 24 days, once using the contemporary setup and once using the modified procedure setup. During each simulation, efficiency markers were assessed (time spent on procedure preparation, steps taken, stops made, and amount of time participants had to open a drawer to locate required items). Results The mean time required to collect the required items for IV cannulation and blood sampling from the purpose-orientated trolley was 22.7 seconds(s) (SD = 3.66) compared to 49.2 s (SD = 15.45) using the contemporary trolley. There was a significant difference in mean collection time between the two trolleys (p < 0.0005). There was a significant difference (p-value < 0.0005) in all the other categories: steps taken, stops made, and drawer opening. Conclusion In our setting, stocking procedure trolleys in a purpose-orientated manner has the potential to improve efficiency by reducing time spent on procedure preparation.
dc.identifier.apacitationFurstenburg, P. P. (2019). <i>Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres</i>. (). ,Faculty of Health Sciences ,Division of Emergency Medicine. Retrieved from http://hdl.handle.net/11427/31524en_ZA
dc.identifier.chicagocitationFurstenburg, Phillip Pieter. <i>"Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres."</i> ., ,Faculty of Health Sciences ,Division of Emergency Medicine, 2019. http://hdl.handle.net/11427/31524en_ZA
dc.identifier.citationFurstenburg, P.P. 2019. Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres. . ,Faculty of Health Sciences ,Division of Emergency Medicine. http://hdl.handle.net/11427/31524en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Furstenburg, Phillip Pieter AB - Background and aim Inefficient storage and sourcing of routinely required consumables located on procedure trolleys results in time wasted when preparing for common procedures in Emergency Centres, contributing to poor efficiency and quality of care. We designed a novel purpose-orientated procedure trolley, and evaluated its impact on time spent on procedure preparation and efficiency. Methods In an urban emergency centre, eight participants were measured each day over 24 days, once using the contemporary setup and once using the modified procedure setup. During each simulation, efficiency markers were assessed (time spent on procedure preparation, steps taken, stops made, and amount of time participants had to open a drawer to locate required items). Results The mean time required to collect the required items for IV cannulation and blood sampling from the purpose-orientated trolley was 22.7 seconds(s) (SD = 3.66) compared to 49.2 s (SD = 15.45) using the contemporary trolley. There was a significant difference in mean collection time between the two trolleys (p < 0.0005). There was a significant difference (p-value < 0.0005) in all the other categories: steps taken, stops made, and drawer opening. Conclusion In our setting, stocking procedure trolleys in a purpose-orientated manner has the potential to improve efficiency by reducing time spent on procedure preparation. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - Emergency Medicine LK - https://open.uct.ac.za PY - 2019 T1 - Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres TI - Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres UR - http://hdl.handle.net/11427/31524 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/31524
dc.identifier.vancouvercitationFurstenburg PP. Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres. []. ,Faculty of Health Sciences ,Division of Emergency Medicine, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/31524en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of Emergency Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.subjectEmergency Medicine
dc.titlePurpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMed
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