Kartläggning av & förbättringsförslag för preoperativ planering inom sjukvården
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Typ
Examensarbete på grundnivå
Program
Publicerad
2022
Författare
Ohlson, Felicia
Törnbrink, Felicia
Modellbyggare
Tidskriftstitel
ISSN
Volymtitel
Utgivare
Sammanfattning
The purpose of the Swedish healthcare system is to provide good care on equal terms for all
residents. With an ageing population and thereby an increasing need to provide different
treatments, great pressure is being put on the healthcare systems in Europe. In Sweden, there
is a care guarantee stating that a patient should wait no more than three days to get an initial
contact with healthcare staff and a maximum of 90 days for the treatment to begin. Despite
this, patients often have to wait much longer than that for planned surgical care and the
Covid-19 pandemic has made the queues even longer. At Skaraborg Hospital, they are
continuously striving to be able to provide surgical care as quickly as possible.
This report aims to identify which factors in the surgery planning process that are critical for
achieving high quality in the process and thus create as much value for the patient as possible.
Furthermore, the study aims to identify the root causes that contribute to the unwanted
variations in the surgery planning and how these can be reduced to better utilize the limited
resources of the healthcare system. This was investigated through a longitudinal case study
where, among other things, semi-structured interviews and observations were conducted to
collect relevant data. A review of several surgery forms has also been carried out to
understand how frequently the identified problems arise.
The result of the study shows that many of the critical factors of the surgery planning process
are often missing, but also that the understanding of which factors that are critical somewhat
differs among the employees. One identified root cause for the missing critical factors is the
employees lack of understanding of the surgery planning process as a whole and how their
actions affect the rest of the process. This, in combination with a complicated system, is
resulting in the employees working in different ways, which in turn creates more variation.
The conclusion of the work is that there are good conditions for minimizing the causes of the
variations, thus creating a more efficient process that adds more value for the patient. The
identified critical factors are a good starting point for continuous improvements towards the
common goals. Finally, the most important suggestions for improvement are to introduce a
standardized way of working, create a system for feedback and develop the possibilities for
communication between employees.
Note that the work is presented in Swedish