my role as a surgery services data analystdocs2.health.vic.gov.au/docs/doc... · contact hours per...
TRANSCRIPT
![Page 1: My Role as a Surgery Services Data Analystdocs2.health.vic.gov.au/docs/doc... · CONTACT HOURS PER WEEK (Mon –Fri) ELECTIVE V EMERGENCY SURGERY 0700-1700 MAIN THEATRE * Includes](https://reader034.vdocument.in/reader034/viewer/2022050100/5f3fc6b75a0dc1554e744d2d/html5/thumbnails/1.jpg)
My Role
as a
Surgery Services
Data Analyst
Surgery Services
Data Analyst
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Data that Describes the Surgical Journey
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Working Data File
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Data
Patient
Demographics
ED
Data
Referral
Theatre Coding
DataDataTheatre
Data
Admission
Discharge
Outcome
Data
Data
Linkage Tool
Pivot Tables
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Linkage Tool
Pivot Tables
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Reports
&
Improvement ActivitiesImprovement Activities
Narratives
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BARWON HEALTH THEATRE
SCHEDULE
KPI WEEKLY REPORTKPI WEEKLY REPORT
Week beginning 10-6-13
• Theatre contact hour = ‘anaesthesia start time’ to ‘out of theatre time’
• Time period = calculated from ‘Into anos room time’
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CONTACT HOURS PER WEEK Monday - Friday
MAIN
New schedule
commenced
14/1/13
* Includes off the floor procedures
2012 average contact hours per week = 443hrs
(median = 449hrs)
Week beginning 10/6 = 401hrs (10/6 public holiday)
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CONTACT HOURS PER WEEK
GVC
New schedule
commenced
14/1/13
*Includes GVC Ward
2012 average contact hours per week = 130hrs
(median = 131hrs)
Week beginning 10/6 = 112hrs
*This slide has been updated 3/6/13 to includes GVC Ward
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CONTACT HOURS PER WEEK (Mon – Fri)
ELECTIVE V EMERGENCY SURGERY
0700-1700
MAIN THEATRE
New schedule
commenced
14/1/13
* Excludes off the floor procedures
• 2012 average emergency contact hours per week = 112hrs (median 113hrs)
• 2012 average elective contact hours per week = 227hrs (median 235hrs)
Week beginning 10/6 = 126hr (emerg) 208hrs (elect)
Goal : Increase emergency contact hours (in hours) per week whilst not
decreasing elective surgery contact hours
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CONTACT HOURS PER WEEK (Mon – Fri)
ELECTIVE V EMERGENCY SURGERY
0700-1700
MAIN THEATRE * Includes off the floor procedures
New schedule
commenced
14/1/13
• 2012 average emergency contact hours per week = 118hrs (median 120hrs)
• 2012 average elective contact hours per week = 233hrs (median 242hrs)
Week beginning 10/6 = 133hrs (emerg) 208hrs (elect)
Goal : Increase emergency contact hours (in hours) per week whilst not decreasing
elective surgery contact hours
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CONTACT HOURS PER WEEK (Mon – Fri)
BY TIME PERIOD
1700-2400
MAIN THEATRE * Includes off the floor procedures
Contact hours week beginning 10-6-13 = 49hrs
2012 average contact hours per week = 34hrs (median 34hours)
Goal : Decrease out of hours emergency contact hours per week
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PROCEDURES DONE w/b 10-6-13
1700-2400
Specialty CMBS Description Surgeon Start date and Time
Theatre
Hours
Anaesthesia EPIDURAL INJECTION (<= 1 HOUR) 0.8
Anaesthesia EPIDURAL INJECTION (<= 1 HOUR) 1.0
Urology
Prostate, transrectal needle biopsy of, using transrectal prostatic ultrasound
techniques and obtaining 1 or more prostatic specimens, being a service associate 14/06/2013 17:26 0.5
Orthopaedic RADIUS;DISTAL END;(COLLES/SMITH'S)OPEN REDUCTION FRACTURE 14/06/2013 21:17 1.8
General Surgery LAPAROTOMY INVOLVING ABDOMINAL VISCERA 14/06/2013 20:55 2.8
General Surgery HAEMORRHAGE-CONTROL OF POSTOP. 14/06/2013 22:30 4.2
Gastroenterology GASTROSCOPY + / - BIOPSY 14/06/2013 19:35 1.4
General Surgery ABSCESS/HAEMATOMA - LARGE -DRAINAGE UNDER G.A. 14/06/2013 0:25 1.2
Cardio -Thoracic PERICARDIUM-SUB-XYPHOID DRAINAGE 13/06/2013 19:25 1.4
Gynaecology CAESAREAN - LOWER UTERINE SEGMENT 13/06/2013 17:17 1.7
Obstetrics CAESAREAN - LOWER UTERINE SEGMENT 13/06/2013 22:10 1.5
Urology TESTIS-EXPLORATION OF +/- BIOPSY 13/06/2013 23:20 0.9
Ophthalmology EYE - EXAMINATION UNDER ANAESTHETIC 13/06/2013 21:15 2.0Ophthalmology EYE - EXAMINATION UNDER ANAESTHETIC 13/06/2013 21:15 2.0
Ophthalmology VITRECTOMY 13/06/2013 19:56 1.4
General Surgery COLECTOMY-SUBTOTAL WITH ANASTOMOSIS 13/06/2013 20:30 2.3
Orthopaedic RADIUS;DISTAL END;(COLLES/SMITH'S)OPEN REDUCTION FRACTURE 12/06/2013 19:45 1.8
Obstetrics CAESAREAN SECTION 12/06/2013 22:50 1.3
General Surgery HERNIA - UMBILICAL/MIDLINE/EPIGASTRIC - OVER 10 12/06/2013 21:02 1.9
General Surgery APPENDICECTOMY VIA LAPAROSCOPE 12/06/2013 19:46 1.1
Gastroenterology GASTROSCOPY + / - BIOPSY 12/06/2013 19:01 0.7
General Surgery LAPAROTOMY & MISCELLANEOUS BOWEL OPERATION 11/06/2013 21:50 2.8
Gynaecology DILATATION & CURETTAGE 11/06/2013 20:40 0.6
Obstetrics CAESAREAN - LOWER UTERINE SEGMENT 11/06/2013 21:50 1.1
Urology CYSTOSCOPY-INSERTION URETERIC STENT 11/06/2013 20:14 1.0
Urology
PYELOSCOPY,RETROGRADE-CYSTOSCOPY/URETERIC MEATOMY / OR URETERIC
DILATATION 11/06/2013 18:35 1.8
Orthopaedic RADIUS;DISTAL END;(COLLES/SMITH'S)OPEN REDUCTION FRACTURE 10/06/2013 20:48 1.9
Orthopaedic RADIUS;DISTAL END;(COLLES/SMITH'S)OPEN REDUCTION FRACTURE 10/06/2013 18:50 1.7
General Surgery DEBRIDEMENT &/- SUTURE OF CONTAMINATED WOUND (SOFT TISSUE) 10/06/2013 22:57 2.1
Plastic Surgery MICROVASCULAR REPAIR - ARTERY OR VEIN - DIGIT OR LIMB 10/06/2013 19:31 3.2
Plastic Surgery METACARPAL FRACTURE; CLOSED REDUCTION 10/06/2013 18:45 2.0
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CONTACT HOURS PER WEEK (Mon – Fri)
BY SPECIALITY
2200-2400
MAIN THEATRE
New schedule
commenced
14/1/13
* Includes off the floor procedures
Goal: A decrease in contact hours 2200-2400
2012 weekly average = 5hrs (median = 5hrs)
Week beginning 10-6-13 = 13hrs
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CONTACT HOURS PER WEEK
BY TIME PERIOD
0000-0700
MAIN THEATRE * Includes off the floor procedures
New schedule
commenced
14/1/13
Contact hours week beginning 3-6-13 = 18hrs
2012 average contact hours per week = 5hrs (median 4hrs)
Goal : Decrease emergency contact hours per week 0000-0700
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PROCEDURES DONE PER WEEK (w/b 10/6/13)
BY TIME PERIOD
0000-0700 Including cases commenced before 2400
MAIN THEATRE
In Theatre (into Anos
Rm) Consultant CMBS Description
Dressing done date and
Time
Sum of Theatre
Hours
10/06/2013 22:21 Douraid Abbas
DEBRIDEMENT &/- SUTURE OF
CONTAMINATED WOUND (SOFT TISSUE) 11/06/2013 0:10 2.1
12/06/2013 0:20
Michael
Borschmann
TONSILS - POST OP HAEMORRHAGE - RE-
OPERATION 12/06/2013 1:10 1.0
13/06/2013 0:30 Douraid Abbas
SEPSIS-GROSS INTRA-PERITONEAL-
LAPAROTOMY 13/06/2013 2:45 2.5
ABSCESS/HAEMATOMA - LARGE -
13/06/2013 23:55 Douraid Abbas
ABSCESS/HAEMATOMA - LARGE -
DRAINAGE UNDER G.A. 14/06/2013 1:00 1.2
14/06/2013 5:05 Sam Sabary CAESAREAN - LOWER UTERINE SEGMENT 14/06/2013 6:50 1.9
14/06/2013 4:00 David Wardill
HEMICOLECTOMY-RIGHT - WITH
ANASTOMOSIS 14/06/2013 6:05 3.2
15/06/2013 22:50 Marilla Druitt CAESAREAN - LOWER UTERINE SEGMENT 16/06/2013 0:12 1.4
17/06/2013 0:17 Cheng-Hon Yap
ASCENDING THORACIC
AORTA,REPAIR/REPLACE+AORT.VALVE
+IMPLANT COR.ARTERIES 17/06/2013 7:55 7.9
12/06/2013 3:30 Heather Butler EPIDURAL INJECTION (<= 1 HOUR) (blank) 0.5
12/06/2013 17:40 Heather Butler EPIDURAL INJECTION (<= 1 HOUR) (blank) 1.0
13/06/2013 3:20 Colin Gordon EPIDURAL INJECTION (<= 1 HOUR) (blank) 0.3
13/06/2013 6:30 Colin Gordon EPIDURAL INJECTION (<= 1 HOUR) (blank) 0.8
13/06/2013 18:30 Simon Tomlinson EPIDURAL INJECTION (<= 1 HOUR) (blank) 0.8
Grand Total 24.5
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ORTHOPAEDIC CONTACT HOURS PER WEEK MONDAY - FRIDAY
EMERGENCY SURGERY
MAIN THEATRE
1700 - 0700
New schedule
commenced
14/1/13
Contact hours week beginning:
10-6-13 = 7hrs
2012 average contact hours per week = 3.9 hrs (median 8.5hrs)
Goal : A decrease in contact hours for orthopaedic surgery
(emergency only) Monday to Friday after hours
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ELECTIVE COLONOSCOPY CASES PER WEEK
(CMBS 32084, 32087, 32090, 32093)
Week beginning;
10-6-13 = 40
Goal: An increase in colonoscopies up to June 30th 2013
Current activity: July – Dec 2012 = 48 cases per week (average)
(based on 6 sessions per week with an average of 6 -7 cases per session)
TARGET = 40 cases per week
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ELECTIVE COLONOSCOPY CASES PER WEEK GASTRO V GENERAL SURGERY
(CMBS 32084, 32087, 32090, 32093)
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ELECTIVE AND EMERGENCY O&G DONE IN ALL LISTS EXCLUDING O&G LISTS MON -FRI
0700-1700
New schedule
commenced
14/1/13
Goal: Reduction of emergency O&G cases done in non O&G lists
(CMBS codes: 16519, 16520, 16522, 16564)
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Orthopaedic Flow – June 2013
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Orthopaedic Waiting List
All categories
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Orthopaedic Waiting List
Cat 2 Overdue and Ready for Care
Monthly Totals
Total number of Cat 2 patients ready for care and have been waiting over 90 daysJune 2013 = 219
(data gathered on 30th every month excluding Feb which was gathered on 28th)
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Orthopaedic Waiting List
Cat 2 Over threshold
Overdue and Ready for Care by timeframe
*Includes patients that have been given a date but not yet had surgery * Excludes patients NRFC
June 2013 Average days overdue = 129 Median days overdue = 119
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Orthopaedic Waiting List
Monthly Medians (over threshold days only) for Cat 2
Overdue and Ready for Care
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ORTHOPAEDIC ON TIME STARTS
Mon- Fri (AM, AD and PM lists)
Excludes SMUG and GSTR Lists June 2013
June = 12/52 lists started on time
Average number of lists per month – 52
Average % on time starts per month – 17%
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ON TIME STARTS BY SPECIALITY – June 2013
Mon- Fri (AM, AD and PM lists)
Excludes SMUG and GSTR Lists
23%
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LATE START REASONS
Mon- Fri (AM, AD and PM lists)
Excludes SMUG and GSTR Lists
JUNE 2013
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Orthopaedic Theatre Contact Hours Monday - Friday
per month by time period
January 2012 - June 2013
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Orthopaedic Theatre Contact Hours Monday - Friday 0700 – 1700
Elective v’s emergency
Elective
Emergency
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ORTHOPAEDIC CONTACT HOURS PER MONTH
MONDAY - FRIDAY
EMERGENCY SURGERY
MAIN THEATRE
1700 - 0700
June 2013 contact hours = 26hrs
2012 average contact hours per month = 37hrs (median 37hrs)
Goal : A decrease in contact hours for orthopaedic surgery (emergency only) Monday to Friday after hours
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Indicators
for
Emergency SurgeryEmergency Surgery
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Hip Fracture
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HIP Fracture - DRG I08A &IO8B
ED to OP by timeframe May 2013
May = 14 cases
Time from ED presentation to Surgery Start Average hrs Median hrs
May 97 45
Hip # data is one month behind due to coding
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HIP Fracture - DRG I08A &IO8B
Operated by Time Period
Hip # data is one month behind due to coding
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01224364860728496
108120132144156168
Hours Hip Fracture Barwon Health Jun 2011 - May 2013
12
11
1
1
44
444
444
4
23232
1 1
4
11
80th percentile 43 hrs
Project
Summary
Segment Start Finish Mean Sigma Count LCL UCL Stable Capable
1 00:00 00:00 27.95 17.31 361 -24.0 79.87 No
12/03/11
13/06/11
24/06/11
19/07/11
14/08/11
14/09/11
15/10/11
17/11/11
15/12/11
03/01/12
19/01/12
31/01/12
15/02/12
11/03/12
24/03/12
09/04/12
02/05/12
19/05/12
10/06/12
29/06/12
14/07/12
22/07/12
26/08/12
12/09/12
27/09/12
16/10/12
05/11/12
24/11/12
21/12/12
13/01/13
02/02/13
26/02/13
21/03/13
20/04/13
05/07/13
05/10/13
Date
0
BaseLine 1.00.018
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Hip Fracture Mortality
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30/03/2012
13/01/2013
13/06/2011
08/10/2011
24/01/2012
18/03/2012
14/07/2012
24/10/2012
01/06/2011
01/07/2011
08/08/2011
12/10/2011
08/12/2011
10/01/2012
02/02/2012
14/03/2012
14/04/2012
30/05/2012
14/06/2012
14/07/2012
27/08/2012
12/10/2012
16/11/2012
10/01/2013
09/02/2013
08/04/2013
02/08/2011
03/12/2011
12/06/2012
02/09/2012
29/01/2013
29/03/2013
07/09/2011
29/03/2012
18/07/2012
03/11/2012
-20.0
-10.0
0.0
10.0
20.0
30.0
40.0
50.0
60.0
Days Hip Fracture - Acute Length of Stay - ASA Score1
1
21
4
1
32
12
1 2
1
1
44 44 444 4
44
4
11
Not
1
30/03/2012
13/01/2013
13/06/2011
08/10/2011
24/01/2012
18/03/2012
14/07/2012
24/10/2012
01/06/2011
01/07/2011
08/08/2011
12/10/2011
08/12/2011
10/01/2012
02/02/2012
14/03/2012
14/04/2012
30/05/2012
14/06/2012
14/07/2012
27/08/2012
12/10/2012
16/11/2012
10/01/2013
09/02/2013
08/04/2013
02/08/2011
03/12/2011
12/06/2012
02/09/2012
29/01/2013
29/03/2013
07/09/2011
29/03/2012
18/07/2012
03/11/2012
DateBaseLine 1.00.018
Project
Date 09/06/2013 16:45:07
Summary
Group Start Finish Mean Sigma Count LCL UCL Stable
1 17/06/2011 17/05/2013 4.667 2.046 27 -1.47 10.80 No
2 02/06/2011 06/04/2013 8.113 5.043 62 -7.02 23.24 No
3 01/06/2011 29/04/2013 9.455 4.772 176 -4.86 23.77 No
4 19/06/2011 18/05/2013 9.262 5.230 61 -6.43 24.95 No
Not 08/06/2011 10/05/2013 9.419 5.024 43 -5.65 24.49 No
Patients with an ASA Score of over 1 have a
longer LOS - in acute
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30/03/2012
20/01/2013
19/06/2011
14/10/2011
28/01/2012
16/04/2012
21/07/2012
26/11/2012
02/06/2011
07/07/2011
11/08/2011
15/10/2011
08/12/2011
11/01/2012
05/02/2012
21/03/2012
08/05/2012
31/05/2012
23/06/2012
21/07/2012
17/09/2012
03/11/2012
24/12/2012
02/02/2013
04/04/2013
19/07/2011
01/12/2011
05/06/2012
02/09/2012
29/01/2013
08/04/2013
12/11/2011
26/04/2012
04/09/2012
14/02/2013
-20.0-15.0-10.0-5.00.05.0
10.015.020.025.030.035.040.045.050.0
Days Hip Fracture - Sub-- Acute Length of Stay - ASA Score12
1 1
3
1
12
1
1
4 44 44
4
11
Not
1
30/03/2012
20/01/2013
19/06/2011
14/10/2011
28/01/2012
16/04/2012
21/07/2012
26/11/2012
02/06/2011
07/07/2011
11/08/2011
15/10/2011
08/12/2011
11/01/2012
05/02/2012
21/03/2012
08/05/2012
31/05/2012
23/06/2012
21/07/2012
17/09/2012
03/11/2012
24/12/2012
02/02/2013
04/04/2013
19/07/2011
01/12/2011
05/06/2012
02/09/2012
29/01/2013
08/04/2013
12/11/2011
26/04/2012
04/09/2012
14/02/2013
DateBaseLine 1.00.018
Summary
Group Start Finish Mean Sigma Count LCL UCL Stable
1 17/06/2011 17/05/2013 3.654 1.809 26 -1.77 9.079 Yes
2 02/06/2011 06/04/2013 6.952 4.999 62 -8.05 21.95 No
3 01/06/2011 29/04/2013 8.310 4.656 168 -5.66 22.28 No
4 19/06/2011 18/05/2013 7.948 5.459 58 -8.43 24.33 No
Not 08/06/2011 10/05/2013 8.333 5.436 39 -7.97 24.64 No
Patients with an ASA Score of over 1 have a
longer LOS - in sub-acute
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Ankle, Humerus, Tibia & Fibula
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24
48
72
96
120
144
168
Hours Ankle - ASA Score Time to Surgery 1
1
1
1
44
1
4
1
1
4
1
12
4444
1
2
1
1
1
4
111
1
44
2
1
44
3
11 1
4
Not
4
4
44
4
11/Jun/1131/Jul/1110/S
ep/1120/O
ct/1112/D
ec/1114/Jan/1216/F
eb/1221/A
pr/1218/M
ay/1218/Jun/1225/Jul/1212/S
ep/1227/O
ct/1208/D
ec/1228/Jan/1305/M
ar/1305/M
ay/1310/Jan/1125/Jun/1118/A
ug/1127/S
ep/1120/N
ov/1105/Jan/1212/F
eb/1225/A
pr/1223/M
ay/1209/Jul/1206/A
ug/1218/O
ct/1226/N
ov/1217/Jan/1329/M
ar/1303/M
ay/1302/D
ec/1324/S
ep/1116/A
pr/1221/N
ov/1226/D
ec/1225/N
ov/1101/M
ay/1228/D
ec/12
Date
0
BaseLine 1.00.018Summary
Group Start Finish Mean Sigma Count LCL UCL Stable Capable
1 08/Jan/11 05/Dec/13 21.46 21.51 179 -43.1 85.98 No No
2 10/Jan/11 03/Dec/13 24.18 19.80 163 -35.2 83.59 No No
3 11/Mar/11 22/Apr/13 36.08 36.10 37 -72.2 144.4 No No
4 26/Dec/12 01/Apr/13 54.00 28.37 2 -31.1 139.1 Yes No
Not 06/Mar/11 04/Oct/13 36.32 44.03 34 -95.8 168.4 No No
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04/07/2011
20/08/2011
27/09/2011
31/10/2011
28/12/2011
25/01/2012
29/02/2012
02/04/2012
05/05/2012
13/06/2012
27/07/2012
16/08/2012
20/09/2012
20/10/2012
17/11/2012
05/12/2012
10/01/2013
20/02/2013
25/03/2013
18/04/2013
26/05/2013
27/10/2011
02/03/2012
24/05/2012
22/08/2012
08/11/2012
04/02/2013
05/05/2013
03/02/2013
22/05/2012
09/04/2013
0
12
24
36
48
60
72
84
96
108
120
Hours Appendicectomy - Time to Surgery - ASA Score1
11 1
4
1
23
12
2
11 1
1
4
33
1
44
2121 2
2
12
1
21 1
2
1
4
3
14
Not 1
04/07/2011
20/08/2011
27/09/2011
31/10/2011
28/12/2011
25/01/2012
29/02/2012
02/04/2012
05/05/2012
13/06/2012
27/07/2012
16/08/2012
20/09/2012
20/10/2012
17/11/2012
05/12/2012
10/01/2013
20/02/2013
25/03/2013
18/04/2013
26/05/2013
27/10/2011
02/03/2012
24/05/2012
22/08/2012
08/11/2012
04/02/2013
05/05/2013
03/02/2013
22/05/2012
09/04/2013
DateBaseLine 1.00.018
Project Ankle Fracture Time to Surgery.bpf
Date 10/06/2013 07:43:23
Summary
Group Start Finish Mean Sigma Count LCL UCL Stable Capable
1 01/06/2011 26/05/2013 16.33 11.41 420 -17.9 50.57 No
2 05/06/2011 30/05/2013 18.67 12.04 144 -17.4 54.79 No
3 22/06/2011 12/04/2013 16.22 9.80 18 -13.2 45.63 No
4 08/08/2011 23/03/2013 7.333 0.887 3 4.674 9.99 Yes Yes
Not 03/07/2011 09/04/2013 16.57 7.848 35 -6.97 40.12 No
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Ask Peter if he would like to say something as
Director of Surgical Services