Reduction of Anesthetic Induction Time for Service Development in Anesthetic Department, Surin Hospital

Abstract

Background: Anesthetic service is a medical service in which required knowledge, skill and preparation of practitioners to prevent complications. Moreover limitation of operation rooms where all of the ten rooms were assigned for 25 to 30 cases per day shift has increased risk of complication and difficulty of operations. Thus to provide the effective anesthetic service and optimize operation room utilization, the reduction of anesthetic induction time procedure was therefore applied to the practice to reduce patient waiting time of anesthetic department.
Objective: To reduce anesthetic induction time by developed clinical practice of anesthetic process.
Study design: Action research
Patient: Population was a group of 7,242 patients in anesthetic department, Surin hospital.
Methods: Research tool was collected sheet which comprised of three parts; patient demographic data, anesthetic induction record of each patient in operation room and customer satisfaction questionnaire. The questionnaire was approved for content validity from experts. Process of this research were; 1. planning and preparation 2. applied the developed procedure to practice and 3. review and evaluation. Data was collected from patient service chart during February 2008 to January 2009. Data was analyzed and presented by mean and percentage.
Result: After the developed operating procedure was adopted for ’ anesthetic induction to patient; average anesthetic induction time was 6.45 minutes which complied with goal indicator. Anesthetic induction cycle was reduced to 71.33% while over 80% of customer satisfied with this Anesthetic service.
Conclusion: According to the result; this developed procedure might be an effective guideline for quality assurance of anesthesia process. The new procedure required participation of all practitioners to develop the procedure through sharing opinion in all aspects of anesthesia process which is consequently convenient and explicit procedure. The practitioners felt as part of the developed procedure therefore co-operate for goal achievement.
Key words: reduction of anesthetic induction time, anesthetic induction