Entering a patient on an emergency waiting liste of the operating room gives often way to conflict, due to poor definition of the degree of emergency as well as numerous operators. This results in more delay until operation and an increased working load per patient. In order to improve management in emergency operating areas:-surgeons were required to clearly define the degree of emergency (absolute emergency: every minute counts, vital: every hour counts, delayed),-a "computerized black-board" (CBB) was set up to provide real time on the spot management of the emergency operating room,-a surgical coordinator was responsible for the CBB. After a twelve months period of evaluation, we assessed that 75 % of the 2 320 emergency operations were performed within 4 hours of their enrolment on the CBB, with respect to the defined degrees of emergency (listing). This has resulted in lesser conflict explained by an improved access to information. The teams of Abdominal and Orthopedic Surgery have reinforced their on-call personnel by relieving them of their daily ward duties, making them independant for emergency functionning only. © 1993 arnette S.A.
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