Performance and learning curve of a surgical care practitioner in completing hip aspirations
| Autor: | I Carluke, PF Partington, Reed, A Marriott, SJ Tingle |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine Health care medicine media_common.cataloged_instance Humans 030212 general & internal medicine Competence (human resources) Trauma and Orthopaedic Surgery media_common Surgeons Operating room technician business.industry Surgical care Arthrocentesis General Medicine Surgery Learning curve Orthopedic surgery Physical therapy Hip Joint Clinical Competence Clinical competence business Learning Curve |
| Zdroj: | Annals of the Royal College of Surgeons of England. 98(8) |
| ISSN: | 1478-7083 |
| Popis: | INTRODUCTION The roles of non-medically trained practitioners within the NHS are expanding; they are now being employed by many specialties, including surgery, to relieve pressures on healthcare teams. AIMS To investigate the learning curve and competence of an orthopaedic surgical care practitioner (SCP) in performing hip aspirations. METHODS Data were retrospectively collected on 510 orthopaedic hip aspirations, of which 360 were completed by a single SCP and 150 were completed by surgeons before the SCP took over routine aspiration. The 360 aspirations completed by an SCP were separated into groups of 30 by date, so any trend in failure rate could be analysed. Ordinal χ2 analysis was used to analyse this trend and Pearson χ2 analysis was used to analyse differences in failure rates between professionals. RESULTS The hip aspiration failure rate for the SCP was significantly lower than for the surgeons; 8.6% vs 20.7% (PDISCUSSION SCPs who complete hip aspirations on a regular basis have significantly lower failure rates than surgeons, probably as a result of the learning curve, which this study demonstrated. Other trusts should consider delegating routine hip aspiration work to a designated SCP to lower failure rates. |
| Databáze: | OpenAIRE |
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