Postponed or cancelled heart operations from the patient's perspective

Ivarsson, Bodil; Larsson, Sven; Sjöberg, Trygve

doi:10.1111/j.1365-2834.2004.00400.x

Cited by 45 publications

(65 citation statements)

References 32 publications

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“…There is evidence to suggest that cancellations and delay of elective surgery increases morbidity and thus ultimate cost to the health care system. 6 This relatively small scale project shows the feasibility of quarantined beds ensuring the surgery will not be cancelled. The confirmation of the significant potential benefit of this project for wider application will require a larger scale and longer term programme, which is currently underway in Western Sydney.…”

Section: Discussionmentioning

confidence: 94%

The Auburn Elective Surgery Pilot Project

Singh

Brooke-Cowden

Whitehurst

et al. 2005

ANZ Journal of Surgery

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During the project period, the number of the selected surgical procedures performed doubled. Fifty-seven per cent of patients were discharged on the day of surgery. Surgeons took less time to perform procedures. By the end of the trial period, waiting lists for the selected procedures were eliminated. Operating costs as evaluated by the Centre for Health Economics Research and Evaluation were reduced by 25%. The administrative changes to surgical admissions resulted in improved cost and patient throughput for elective surgical admissions with no adverse patient outcomes.

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Section: Discussionmentioning

confidence: 94%

The Auburn Elective Surgery Pilot Project

Singh

Brooke-Cowden

Whitehurst

et al. 2005

ANZ Journal of Surgery

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“…Last-minute cancellations have been shown to increase the patient’s fear and create a low level of trust in the hospital. It has also been shown that feelings of insecurity can lead to increased pain, leading to a prolonged hospital stay [14,15]. …”

Section: Discussionmentioning

confidence: 99%

“…Increased knowledge of the extent of and reasons for cancellations is needed to make the health-care service better equipped to manage and understand the patient’ needs when a cancellation occurs [14]. The aim of this study was to describe and analyse the number of and reasons for cancelling patients’ scheduled orthopaedic surgical procedures at a clinic treating both elective and acute patients.…”

Section: Introductionmentioning

confidence: 99%

Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases

et al. 2014

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BackgroundThe purpose of the Swedish public health-care system is to provide care on equal terms for all citizens. In this, as in most other systems where taxes and/or insurances pay for most of the care, normal market forces are set aside at least in part. At times, this has, for example, resulted in long waiting lists, particularly in terms of elective orthopaedic surgery, with several negative consequences, such as cancellations of planned surgery.MethodsThe main purpose of this retrospective observational single center study was to evaluate and describe the number and reasons for cancellations in elective orthopaedic surgery. Studied were all the elective patients scheduled for joint replacement, arthroscopy and foot & ankle surgery, January 1, 2007 to December 31, 2011, whose procedure was cancelled at least once.ResultsOf all 17,625 patients scheduled for elective surgery 6,911 (39%) received at least one, some several cancellations. The most common reason for cancelling a planned surgery was different patient-related factors 3,293 (33%). Cancellations due to treatment guarantee legislation reached 2,885 (29%) and 1,181 (12%) of the cancellations were related to incomplete pre-operative preparation of the patients. Organisational reasons were the cause of approximately 869 (9%) of the cancellations.ConclusionsIn this study of patients waiting for elective orthopaedic surgery 6,911(39%) had their surgical procedure cancelled at least once, some several times. It appears that it should be possible to eliminate many of these cancellations, while others are unavoidable or caused by factors outside the responsibility of the individual clinic or even hospital. One possible way of influencing the high rate of cancellations might be to change the view of the patients and involve them in the overall planning of the care process.

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“…Increasing patient satisfaction through efficient practice is an appropriate objective of a health care system. A high cancellation rate for elective surgical procedures makes it difficult to accomplish this [16]. Cancellation reduces operating room efficiency and increases costs [17,18].…”

Section: Resultsmentioning

confidence: 99%