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Shouldice

Submitted by chummapurpose on March 26, 2008

Category: Miscellaneous
Words: 974 | Pages: 4
Views: 191
Popularity Rank: 74,222
Average Member Grade: N/A (Add a Comment / Grade this Paper)

Canada’s Shouldice Hospital is known worldwide for its specialty of hernia repairs. In fact, that is the only operation Shouldice performs, and it performs a great many of them. Over the past few decades, this 89-bed hospital has averaged 7,000 operations annually, with more than 250,000 hernia surgeries since 1945. Patients, coming from 80 different countries, are so loyal that as many as 1,500 per year attend the Hernia Reunion gala dinner, complete with free hernia inspection.Perhaps Shouldice’s recurrence rate of only 1%, as opposed to 10% for general hospitals performing this surgery, is a major factor. About 1% of Shouldice’s patients are themselves M.D.s.

A number of features in Shouldice’s service delivery system contribute to its success: (1) it only accepts patients with uncomplicated external hernias and who are in good health; (2) patients are subject to early ambulation, which promotes healing; (3) its country club atmosphere, superior nursing staff, and built-in socializing make a surprisingly pleasant experience out of an inherently unpleasant medical procedure.

The Medical Facility

The medical facilities at Shouldice consist of five operating rooms, a patient recovery room, a laboratory, and six examination rooms. Shouldice performs, on average, 150 operations per week, with patients generally staying at the hospital for 3 days. Operations are performed only 5 days a week, but the remainder of the hospital is in operation continuously to attend to recovering patients.

An operation at Shouldice is performed by one of the 12 fulltime surgeons. Surgeons generally take about 1 hour to prepare for and perform each hernia operation, and they operate on four patients per day.

The Surgery Procedure

All patients undergo a screening exam either by questionnaire or in person (if convenient) prior to setting a date for their operation. Patients then arrive at...

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