Reasons for cancellation of elective surgery in Ilorin

Kolawole, IK; Bolaji, BO

doi:10.4314/njsr.v4i1.12166

Cited by 21 publications

(23 citation statements)

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“…Cancellation reduces operating room efficiency and increases costs [17,18]. It also requires major expenditure of time and cost by patients and their families [1,5,6,22]. Cancellation of an elective procedure carries a major cost implication to the hospitals because of wasted hospital resources and major impact on patients because of loss of time from work as well as the impact of the wasted effort on the patient's family [22].…”

Section: Resultsmentioning

confidence: 99%

“…Cancellations of operation due to inadequate preparation of important medical conditions are avoidable [5][6][7]22] the medical problems could have been identified in time and the number of cancellations on medical grounds could have been avoided by establishing a formal protocol with the surgeons. All the patients are assessed a day before operation by the anesthetist in our hospital and the few available anesthesiologist were not involved in preoperative assessment.…”

Section: Discussionmentioning

confidence: 99%

“…The Australian Council of Healthcare Standards [15] divides cancellations in day surgery into 'failure to arrive' and 'cancellation of the procedure after arrival. Repeat cancellations have implications for patient satisfaction, staff morale, hospital-patient relationship and training [4,6,7]. This study was designed to assess the magnitude and causes for cancellation as a first step in identifying measures to reduce them.…”

Section: Introductionmentioning

confidence: 99%

“…Cancellation of elective surgical procedures also causes significantly emotional trauma to the patients as well as their families and the community in general, and its impact on hospital resources is great due to prolonged hospitalization and high cost of health care [1,5,6]. Elective surgery cancellations always lead to insufficient utilization of manpower and hospital resources and can also lead to an increase in patients' treatment expenses due to prolonged hospital stay and in many cases, repetitions of pre-operative preparations and management [6,7].…”

Section: Introductionmentioning

confidence: 99%

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Prospective Study of Proportions and Causes of Cancellation of Surgical Operations at Jimma University Teaching Hospital, Ethiopia

Haile¹,

Desalegn²

2015

IJAR

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prospective Study of Proportions and Causes of Cancellation of Surgical Operations at Jimma University Teaching Hospital, Ethiopia

Haile¹,

Desalegn²

2015

IJAR

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“…Previous studies from Nigeria have shown a high rate of cancellation of scheduled surgeries on the days of surgeries [1][2][3]. One of the causes attributed to these delays was inefficient utilization of theatre time, mainly due to long turnaround times; causing lists overrun and postponement of cases lower on the operating lists [3].…”

Section: Introductionmentioning

confidence: 99%

A Theatre Time Utilization Survey in a University Teaching Hospital from a Developing Country

Oluwadiya¹

2012

J Anesthe Clinic Res

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Background: Previous studies from the West African sub-region have shown a high cancellation rate of scheduled elective surgeries, but no studies from the same region had looked at the efficiency of theatre time utilisation. Our objective was to identify areas of, and causes of theatre time delay, and suggests solutions based on the identified deficiencies. Methods:Data on all patients undergoing elective surgeries were prospectively collected using a proforma to determine the duration of each step of patients' surgery starting from when patients were sent for, and ending with when patients left the operating room. The causes for delays were determined.Results: 279 elective cases were analysed. None of the first-on-the-list cases started as scheduled. The most common cause of delay was delayed transfer of patients from the wards to the theatre, and this occurred in 104 (33.4%) cases. The time spent in transferring patients from the ward ranged between 18% and 54 % of the total time spent from ward to the end of surgery. Most delays were due to poor coordination of patients' movement between the wards and the theatre as well as long distances between the wards and the theatre. Conclusion:Available theatre time is poorly utilized. To improve the overall efficiency of the theatre, qualitative improvement strategies should be instituted.

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Factors associated with elective surgical case cancellation at a tertiary hospital in Malawi

Serrato,

Msosa,

Kondwani

et al. 2024

World j. surg.

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BackgroundSame‐day cancellation of surgery affects up to 44% of cases at a public tertiary hospital in Lilongwe, Malawi. To characterize these cancellations, this study examines surgical volume, cancellation causes, and surgery completion rate after initial cancellation, which are not otherwise monitored for analysis in this setting.MethodsWe conducted a serial cross‐sectional study at the Kamuzu Central Hospital (KCH) during a 6 month period. Variables included patient demographics, procedure information, and hospital capacity factors. Bivariate and multivariable regression models were constructed to assess factors associated with cancellation.ResultsOf the 3121 total surgeries, 2626 (84.1%) were elective procedures, of which 747 (28.4%) were canceled. Orthopedic surgery observed the highest cancellation rate (36.5%). Process‐related factors, such as starting cases late, were the primary reason for cancellation (64.3%). Only 40% of patients with a canceled surgery underwent their procedure after index admission, with a median wait time of 3 days. Emergency cases (aOR: 0.50 and CI: 0.39 and 0.64) and first cases of the day (aOR: 0.02 and CI: 0.01 and 0.04) were associated with lower odds of cancellation. Facility factors associated with lower odds of cancellation included number of open operating rooms (OR: 0.86 and CI: 0.77 and 0.96) and anesthetists assigned on duty (OR: 0.94 and CI: 0.88 and 0.99).ConclusionCancellation of elective surgery was primarily driven by process‐related factors. We identify facility‐related factors associated with lower odds of cancellation and thus provide targets for future interventions at KCH. Studies examining patient outcomes following elective case cancellation are warranted as most patients never return for surgery following cancellation.

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Reasons for cancellation of elective surgery in Ilorin

Cited by 21 publications

References 0 publications

Prospective Study of Proportions and Causes of Cancellation of Surgical Operations at Jimma University Teaching Hospital, Ethiopia

Prospective Study of Proportions and Causes of Cancellation of Surgical Operations at Jimma University Teaching Hospital, Ethiopia

A Theatre Time Utilization Survey in a University Teaching Hospital from a Developing Country

Factors associated with elective surgical case cancellation at a tertiary hospital in Malawi

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