Cancellation of elective oral and maxillofacial operations

Sundaram, Karthikeyan; Sankaran, S; Amerally, P.; Avery, C.M.E.

doi:10.1016/j.bjoms.2007.06.001

Cited by 7 publications

(8 citation statements)

References 6 publications

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“…The unit performs at least 14 elective operating sessions each week. A recent study reported that our cancellation rate or performance indicator (PI) was 0.3% 1 . This achieved the Commission for Health Improvement a threshold of 0.5% 4 .…”

Section: Introductionmentioning

confidence: 72%

“…Lack of a post‐operative bed has been the main reason for cancellation in several studies 1,5,6 . In a recent study at the Leicester Royal Infirmary, none of the operations on patients admitted to the day‐case ward were cancelled but minor cases admitted as an in‐patient would be cancelled when priority was given to major oncology cases, the main reasons for cancellations were again lack of a post‐operative bed and also insufficient operating time 1 . Lack of theatre time was one of the main causes of cancellation of elective surgical procedures in two other studies 7,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Lack of post‐operative beds and insufficient operating time are the most common reasons for theatre cancellations at the Leicester Royal Infirmary 1 . This study aimed to develop a methodology for looking at this complex issue to improve the system efficiency.…”

Section: Clinical Relevancementioning

confidence: 99%

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Theatre times and delays in elective oral and maxillofacial lists

Aleid

Avery

2009

Oral Surgery

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Aim: Cancelled operations are a major drain on hospital resources. The maxillofacial department at the Leicester Royal Infirmary (LRI) performs at least 14 elective operating sessions each week. A study reported that our cancellation rate or performance indicator (PI) was 0.3% at LR1. The most common reasons for cancellation of procedures at that time were lack of post-operative beds and insufficient operating time. This study aimed to continue to develop a methodology for looking at this complex issue and to further investigate the reasons for delay to assess whether the system could be managed more efficiently. Material and Methods: In this study, the computerised theatre records system has been utilised to investigate the reasons for theatre delays. A retrospective analysis of data for 1212 patients treated in the 1 year period between December 2006 and December 2007 was performed. Results and Conclusions: Eight hundred and forty-nine patients were treated on a day-surgery basis, of which 710 were dentoalveolar procedures and 139 were other operations. The remaining 363 patients were treated as in-patients of which 97 were oncological patients, 84 orthognathic, 35 salivary gland surgery, 65 traumas, and 82 other operations. Sixty-four (5.28%) of these treatment episodes were logged as delayed. The main reasons for delays were related to the ward (17%) or anaesthetist (22%).The operating time consumed 74% of the overall time in theatre complex. The utilisation of operating time was much better for in-patient operations (81%) than day-surgery procedures (64%). Suggestions have been made to reduce theatre delays.Lack of post-operative beds and insufficient operating time are the most common reasons for theatre cancellations at the Leicester Royal Infirmary 1 . This study aimed to develop a methodology for looking at this complex issue to improve the system efficiency. Principal findingsThe main reasons for delays were ward (17%) or anaesthetist (22%) related. The combined operating time consumed 74% of the overall time in theatre complex. Practical implicationsA dedicated head and neck anaesthetist, dedicated nurse to facilitate preparing patients for theatre and improved information leaflets at the initial consultation are important factors to reduce theatre delays.

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Section: Introductionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

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Theatre times and delays in elective oral and maxillofacial lists

Aleid

Avery

2009

Oral Surgery

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“…Cancelled operation incidence can vary highly according to the specialties and healthcare institution, ranging from 5.0% to 40.0% 1,5,6,7,8,9,10 . Ophthalmology is usually among the most affected specialties 6,10 .…”

Section: Discussionmentioning

confidence: 99%

“…Lack of postoperative beds is the most common reason for cancelling in many establishments 5,9,12 . This was not a problem in the present study which focussed mainly on outpatient surgeries.…”

Section: Discussionmentioning

confidence: 99%