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Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres

Background and aim Inefficient storage and sourcing of routinely required consumables located on procedure trolleys results in time wasted when preparing for common procedures in Emergency Centres, contributing to poor efficiency and quality of care. We designed a novel purpose-orientated procedur...

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Main Author: Furstenburg, Phillip Pieter
Other Authors: Wallis, Lee
Format: Thesis
Language:English
Published: Division of Emergency Medicine 2020
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access_status_str Open Access
author Furstenburg, Phillip Pieter
author2 Wallis, Lee
author_browse Furstenburg, Phillip Pieter
Wallis, Lee
author_facet Wallis, Lee
Furstenburg, Phillip Pieter
author_sort Furstenburg, Phillip Pieter
collection Thesis
description Background and aim Inefficient storage and sourcing of routinely required consumables located on procedure trolleys results in time wasted when preparing for common procedures in Emergency Centres, contributing to poor efficiency and quality of care. We designed a novel purpose-orientated procedure trolley, and evaluated its impact on time spent on procedure preparation and efficiency. Methods In an urban emergency centre, eight participants were measured each day over 24 days, once using the contemporary setup and once using the modified procedure setup. During each simulation, efficiency markers were assessed (time spent on procedure preparation, steps taken, stops made, and amount of time participants had to open a drawer to locate required items). Results The mean time required to collect the required items for IV cannulation and blood sampling from the purpose-orientated trolley was 22.7 seconds(s) (SD = 3.66) compared to 49.2 s (SD = 15.45) using the contemporary trolley. There was a significant difference in mean collection time between the two trolleys (p < 0.0005). There was a significant difference (p-value < 0.0005) in all the other categories: steps taken, stops made, and drawer opening. Conclusion In our setting, stocking procedure trolleys in a purpose-orientated manner has the potential to improve efficiency by reducing time spent on procedure preparation.
format Thesis
id oai:open.uct.ac.za:11427/31524
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:31.121Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2020
publishDateRange 2020
publishDateSort 2020
publisher Division of Emergency Medicine
publisherStr Division of Emergency Medicine
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/31524 Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres Furstenburg, Phillip Pieter Wallis, Lee Oosthuizen, Almero Emergency Medicine Background and aim Inefficient storage and sourcing of routinely required consumables located on procedure trolleys results in time wasted when preparing for common procedures in Emergency Centres, contributing to poor efficiency and quality of care. We designed a novel purpose-orientated procedure trolley, and evaluated its impact on time spent on procedure preparation and efficiency. Methods In an urban emergency centre, eight participants were measured each day over 24 days, once using the contemporary setup and once using the modified procedure setup. During each simulation, efficiency markers were assessed (time spent on procedure preparation, steps taken, stops made, and amount of time participants had to open a drawer to locate required items). Results The mean time required to collect the required items for IV cannulation and blood sampling from the purpose-orientated trolley was 22.7 seconds(s) (SD = 3.66) compared to 49.2 s (SD = 15.45) using the contemporary trolley. There was a significant difference in mean collection time between the two trolleys (p < 0.0005). There was a significant difference (p-value < 0.0005) in all the other categories: steps taken, stops made, and drawer opening. Conclusion In our setting, stocking procedure trolleys in a purpose-orientated manner has the potential to improve efficiency by reducing time spent on procedure preparation. 2020-03-09T13:53:14Z 2020-03-09T13:53:14Z 2019 2020-03-09T08:44:11Z Master Thesis Masters MMed http://hdl.handle.net/11427/31524 eng application/pdf Division of Emergency Medicine Faculty of Health Sciences
spellingShingle Emergency Medicine
Furstenburg, Phillip Pieter
Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
thesis_degree_str Master's
title Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
title_full Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
title_fullStr Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
title_full_unstemmed Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
title_short Purpose-orientated stocking of procedure trolleys saves time in busy Emergency Centres
title_sort purpose orientated stocking of procedure trolleys saves time in busy emergency centres
topic Emergency Medicine
url http://hdl.handle.net/11427/31524
work_keys_str_mv AT furstenburgphillippieter purposeorientatedstockingofproceduretrolleyssavestimeinbusyemergencycentres