The Development of One-day Surgery Model, Kalasin Hospital

Abstract

Objective : To develop the one-day surgery model, Kalasin Hospital, and evaluate its efficiency and effectiveness.

Methodology : This study was a research and development. The participants were 30 physicians and nurses and 39 patients in the fiscal year 2020 recruited by purposive sampling. The instruments were a guideline for focus group discussion, a questionnaire for evaluating model, patient satisfaction evaluation form, and KPI record form. The data were analyzed by descriptive statistics, t-test, and F-test.

Results : The developed model included eight operations: committee, co-ordination unit/ coordinator, pre-operation preparation, operation day preparation, communication, follow-up and evaluation, workforce, and location. The finding was the following: 1) The mean of model effectiveness overall was at the highest level. 2) The outcomes met the KPI criteria except for the percentage of patients receiving one-day surgery. 3) The mean patient satisfaction overall was at the highest level.          4) Gender affected the difference of satisfaction with no statistical significance, whereas age and surgery type affected the difference of satisfaction with statistical significance at .05