Kartläggning av & förbättringsförslag för preoperativ planering inom sjukvården

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Examensarbete på grundnivå
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2022
Författare
Ohlson, Felicia
Törnbrink, Felicia
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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
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