Factors Affecting Implementation of Day of Surgery Admission in King Abdullah Medical City, Makkah

Abstract

Background: Day of surgery admission, rather than inpatient surgery, is increasingly being considered the norm for all patients undergoing elective surgery, rather than simply an alternative form of treatment for a few. However, it is also important to recognize that the model of provision should be geared to the patient’s needs, since not all patients can be treated on a day-surgery basis. It is necessary to have a system in place for selecting patients carefully, considering surgical, medical (comorbidity) and social criteria. Objective: This study aims to identify the factors affecting implementation of day of surgery admission in hospital. Subjects and Methods: A descriptive cross-sectional design was used to achieve the aim of the study. The population included all the healthcare workers who involved in day of surgery admission process including surgeons, anesthetists, nurses, and administrative staffs in King Abdullah Medical City (KAMC). The researcher made a questionnaire for data collection which included five variables that affect the implementation of day of surgery admission procedures. Data was collected from the participants by using online survey questionnaires. Results: The result shows that all the factors have high mean score which indicate the participants positively agree the statements and when proving the hypothesis, the result appear that there's a solid relationship exist between consider factors and implementation of day of surgery admission. Finally, it was found that some dependent variables have positive correlation with others. Conclusion and Recommendations: it was concluded that the proper implementation of day of surgery admission with the organizational management support can contribute to reduce the waiting time of the patient, cancelation of procedures and all healthcare team will be satisfied. This study recommends the health care leaders to develop a strategic plan to implement day of surgery admission process However, further studies are needed to conduct by including patient’s opinions and as multicenter comparative study to find the effectiveness of day of surgery admission process.