❓ A Western Australian parliamentary question seeks detailed data on operating theatre usage at Bunbury Regional Hospital, including the number and type of operations performed, theatre utilisation rates, and closure days, over four financial years. The detailed answer provides specific data on theatre usage, elective vs. emergency surgeries, and session utilisation rates.
AnsweredQoN 452Legislative Council
QuestionView source ↗
I refer to the Bunbury Regional Hospital operating theatres, and I ask: (a) for each of 2009-10, 2010-11, 2011-12 and 2012-13, how many operations were performed in each of the theatres; (b) for each of the years stated in (a), how many of the operations were: (i) elective surgery; (ii) the result of attendance at the emergency department; and (iii) other, please specify; (c) for each of 2009-10, 2010-11, 2011-12 and 2012-13, provided as a percentage, what was the rate of use for each of the theatres; (d) for each of the years stated in (c), what percentage of the operations were: (i) elective surgery; (ii) the result of attendance at the emergency department; and (iii) other, please specify; and (e) for each of 2009-10, 2010-11, 2011-12 and 2012-13, how many days was each theatre closed?
AnswerView source ↗
Answered
3 December 2013
Responded by
Parliamentary Secretary representing the Minister for Health
Response time
33 days
(a)
2009-10
2010-11
2011-12
2012-13
Theatre A
3047
2843
3041
3184
Theatre B
1371
1414
1488
1565
Theatre C
1254
1324
1311
1321
Theatre Endoscopy
1711
1765
1970
1988
Recovery Room*
46
69
96
98
Total
7429
7415
7906
8156
*The recovery room figures refer to "anaesthetist only" completed procedures. This includes procedures such as Peripherally Inserted Central (PICC) Lines, epidural blood patches, controlled intubations, etc.
(b)
2009-10
2010-11
2011-12
2012-13
(i) Elective
6052
5956
6366
6596
(ii) ED*
1331
1390
1444
1462
(iii) Other**
46
69
96
98
Total
7429
7415
7906
8156
*It is not possible to separate those emergency cases which are transferred to theatre via the Emergency Department and those which come from the wards. It is estimated that less than 1% of emergency cases come from the wards.
**Anaesthetic.
(c)
2009/10
Theatre A
AD* session (0800-1700) Elective = 65%
AM session (0800-1200) Elective = 101%
PM session (1300-1700) Elective = 94%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 14%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, then on call coverage) = 21%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, then on call coverage) = 19%
Theatre B
AD* session (0800-1700) Elective = 77%
AM session (0800-1200) Elective = 80%
PM session (1300-1700) Elective = 80%
Theatre C
AD* session (0800-1700) Elective = 74%
AM session (0800-1200) Elective = 90%
PM session (1300-1700) Elective = 87%
Endoscopy Theatre
AM session (0800-1200) Elective = 61% (20% of sessions "open" but not utilised/staffed)
PM session (1300-1700) Elective = 51% (20% of sessions "open" but not utilised/staffed)
2010/11
Theatre A
AD session (0800-1700) Elective = 68%
AM session (0800-1200) Elective = 93%
PM session (1300-1700) Elective = 86%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 15%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, then on call coverage) = 22%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, then on call coverage) = 21%
Theatre B
AD session (0800-1700) Elective = 73%
AM session (0800-1200) Elective = 87%
PM session (1300-1700) Elective = 77%
Theatre C
AD session (0800-1700) Elective = 81%
AM session (0800-1200) Elective = 94%
PM session (1300-1700) Elective = 82%
Endoscopy Theatre
AM session (0800-1200) Elective = 63% (20% of sessions "open" but not utilised/staffed)
PM session (1300-1700) Elective = 43% (20% of sessions "open" but not utilised/staffed)
2011/12
Theatre A
AD session (0800-1700) Elective = 69%
AM session (0800-1200) Elective = 92%
PM session (1300-1700) Elective = 97%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 17%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, then on call coverage) = 20%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, then on call coverage) = 22%
Theatre B
AD session (0800-1700) Elective = 75%
AM session (0800-1200) Elective = 86%
PM session (1300-1700) Elective = 85%
Theatre C
AD session (0800-1700) Elective = 78%
AM session (0800-1200) Elective = 94%
PM session (1300-1700) Elective = 85%
Endoscopy Theatre
AM session (0800-1200) Elective = 71% (20% of session "open" but not utilised/staffed)
PM session (1300-1700) Elective = 54% (20% of session "open" but not utilised/staffed)
2012/13
Theatre A
AD session (0800-1700) Elective = 75%
AM session (0800-1200) Elective = 91%
PM session (1300-1700) Elective = 98%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 17%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, [then 0800-2000 from Sept 2012] + on call coverage) = 28%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, [then 0800-2000 from Sept 2012] + on call coverage) = 22%
Theatre B
AD session (0800-1700) Elective = 80%
AM session (0800-1200) Elective = 83%
PM session (1300-1700) Elective = 87%
Theatre C
AD session (0800-1700) Elective = 84%
AM session (0800-1200) Elective = 93%
PM session (1300-1700) Elective = 89%
Endoscopy Theatre
AM session (0800-1200) Elective = 52% (20% of session "open" but not utilised/staffed)
PM session (1300-1700) Elective = 54% (20% of session "open" but not utilised/staffed)
* AD - All Day sessions
Endoscopy suite has been included in this data.
(d)
2009-10
2010-11
2011-12
2012-13
Elective
81.4%
80.4%
80.5%
80.9%
ED
17.9%
18.7%
18.3%
17.9%
Other
0.7%
0.9%
1.2%
1.2%
Total
100%
100%
100%
100%
(e) For each of 2009-10, 2010-11, 2011-12 and 2012-13:
· Theatre A was not closed at all. It has an on-call roster which means it is available 24/7.
· Theatres B, C and the Endoscopy Theatre were closed for 52 weekend days, 10 public holidays and 12 Christmas shutdown days.
2009-10
2010-11
2011-12
2012-13
Theatre A
3047
2843
3041
3184
Theatre B
1371
1414
1488
1565
Theatre C
1254
1324
1311
1321
Theatre Endoscopy
1711
1765
1970
1988
Recovery Room*
46
69
96
98
Total
7429
7415
7906
8156
*The recovery room figures refer to "anaesthetist only" completed procedures. This includes procedures such as Peripherally Inserted Central (PICC) Lines, epidural blood patches, controlled intubations, etc.
(b)
2009-10
2010-11
2011-12
2012-13
(i) Elective
6052
5956
6366
6596
(ii) ED*
1331
1390
1444
1462
(iii) Other**
46
69
96
98
Total
7429
7415
7906
8156
*It is not possible to separate those emergency cases which are transferred to theatre via the Emergency Department and those which come from the wards. It is estimated that less than 1% of emergency cases come from the wards.
**Anaesthetic.
(c)
2009/10
Theatre A
AD* session (0800-1700) Elective = 65%
AM session (0800-1200) Elective = 101%
PM session (1300-1700) Elective = 94%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 14%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, then on call coverage) = 21%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, then on call coverage) = 19%
Theatre B
AD* session (0800-1700) Elective = 77%
AM session (0800-1200) Elective = 80%
PM session (1300-1700) Elective = 80%
Theatre C
AD* session (0800-1700) Elective = 74%
AM session (0800-1200) Elective = 90%
PM session (1300-1700) Elective = 87%
Endoscopy Theatre
AM session (0800-1200) Elective = 61% (20% of sessions "open" but not utilised/staffed)
PM session (1300-1700) Elective = 51% (20% of sessions "open" but not utilised/staffed)
2010/11
Theatre A
AD session (0800-1700) Elective = 68%
AM session (0800-1200) Elective = 93%
PM session (1300-1700) Elective = 86%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 15%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, then on call coverage) = 22%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, then on call coverage) = 21%
Theatre B
AD session (0800-1700) Elective = 73%
AM session (0800-1200) Elective = 87%
PM session (1300-1700) Elective = 77%
Theatre C
AD session (0800-1700) Elective = 81%
AM session (0800-1200) Elective = 94%
PM session (1300-1700) Elective = 82%
Endoscopy Theatre
AM session (0800-1200) Elective = 63% (20% of sessions "open" but not utilised/staffed)
PM session (1300-1700) Elective = 43% (20% of sessions "open" but not utilised/staffed)
2011/12
Theatre A
AD session (0800-1700) Elective = 69%
AM session (0800-1200) Elective = 92%
PM session (1300-1700) Elective = 97%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 17%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, then on call coverage) = 20%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, then on call coverage) = 22%
Theatre B
AD session (0800-1700) Elective = 75%
AM session (0800-1200) Elective = 86%
PM session (1300-1700) Elective = 85%
Theatre C
AD session (0800-1700) Elective = 78%
AM session (0800-1200) Elective = 94%
PM session (1300-1700) Elective = 85%
Endoscopy Theatre
AM session (0800-1200) Elective = 71% (20% of session "open" but not utilised/staffed)
PM session (1300-1700) Elective = 54% (20% of session "open" but not utilised/staffed)
2012/13
Theatre A
AD session (0800-1700) Elective = 75%
AM session (0800-1200) Elective = 91%
PM session (1300-1700) Elective = 98%
E1 session Emergency Mon - Fri 1800-0800 (staffed until 2130hrs, then on call coverage) = 17%
SA1 session Emergency Saturday 0800-0800 (staffed 1000-1630, [then 0800-2000 from Sept 2012] + on call coverage) = 28%
SU1 session Emergency Sunday 0800-0800 (staffed 1000-1630, [then 0800-2000 from Sept 2012] + on call coverage) = 22%
Theatre B
AD session (0800-1700) Elective = 80%
AM session (0800-1200) Elective = 83%
PM session (1300-1700) Elective = 87%
Theatre C
AD session (0800-1700) Elective = 84%
AM session (0800-1200) Elective = 93%
PM session (1300-1700) Elective = 89%
Endoscopy Theatre
AM session (0800-1200) Elective = 52% (20% of session "open" but not utilised/staffed)
PM session (1300-1700) Elective = 54% (20% of session "open" but not utilised/staffed)
* AD - All Day sessions
Endoscopy suite has been included in this data.
(d)
2009-10
2010-11
2011-12
2012-13
Elective
81.4%
80.4%
80.5%
80.9%
ED
17.9%
18.7%
18.3%
17.9%
Other
0.7%
0.9%
1.2%
1.2%
Total
100%
100%
100%
100%
(e) For each of 2009-10, 2010-11, 2011-12 and 2012-13:
· Theatre A was not closed at all. It has an on-call roster which means it is available 24/7.
· Theatres B, C and the Endoscopy Theatre were closed for 52 weekend days, 10 public holidays and 12 Christmas shutdown days.
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