Reasons for cancellation of elective operations at a major teaching referral hospital in Jordan

Mesmar, M.; Shatnawi, Nawaf J; Faori, Ibrahim; Khader, Yousef

doi:10.26719/2011.17.8.651

Cited by 40 publications

(57 citation statements)

References 18 publications

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“…A patient's absence has been reported to be the reason for 16.8%-23% of cancellations (Gonzalez-Arevalo et al, 2009;Mesmar, Shatnawi, Faori, & Khader, 2011;Sahraoui & Elarref, 2014 According to previous studies, a multiprofessionally modified preoperative pathway did not affect cancellations (Siragusa et al, 2011).…”

Section: Discussionmentioning

confidence: 91%

“…A patient's absence has been reported to be the reason for 16.8%–23% of cancellations (Gonzalez‐Arevalo et al., ; Mesmar, Shatnawi, Faori, & Khader, ; Sahraoui & Elarref, ). The presented preoperative protocol is very patient centred, as all operative patients were contacted and carefully preoperatively prepared for the total operative pathway.…”

Section: Discussionmentioning

confidence: 99%

“…The preoperative protocol strongly focused on standardising preoperative nursing care processes, including multiprofessional cooperation without adding additional medical care evaluations. Previously, cancellations due to a medically unfit condition were reported in 25%–31.4% of all cancellations (Argo et al., ; Haana, Sethuraman, Stephens, Rosen, & Meara, ; Mesmar et al., ). According to previous studies, a multiprofessionally modified preoperative pathway did not affect cancellations (Siragusa et al., ).…”

Section: Discussionmentioning

confidence: 99%

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The impact of a structured preoperative protocol on day of surgery cancellations

Turunen

Miettinen

Setälä

et al. 2017

Journal of Clinical Nursing

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Aims and objectives:To evaluate the impact of implementing an evidence-based, structured preoperative protocol on day of surgery cancellations in 13 operative specialties.Background: Surgery cancellations cause unnecessary harm for patients and organisations as many cancellations could be prevented. Preoperative care has developed in recent years, and several preoperative interventions have been introduced. However, the optimal model for organising preoperative care remains unknown. Cancellations are a commonly used indicator when evaluating the success of preoperative care.Design: Observational study with two study phases: before and after.Methods: The cancellation data were collected from the hospital register from 1September 2013-31 May 2014 (n = 591) and from September 2015-May 2016(n = 542). The compliance rate of the preoperative protocol was evaluated in group sessions (n = 13) during spring 2016 using the participation of preoperative healthcare professionals (n = 49). The data were analysed statistically.Results: Cancellation rates varied between 1.6%-9.7% (in the first phase) and between 1.5%-7.7% (in the second phase). A remarkable decrease was found in patients who failed to attend their scheduled procedures. The mean of compliance to the preoperative protocol across all specialties was 82.3%. A correlation between the rate of cancellation and the rate of compliance with the preoperative protocol was found.Conclusions: A preoperative protocol promotes the scheduled arrival of surgical patients to the hospital and therefore decreases cancellation rates.Relevance to clinical practice: An evidence-based preoperative care protocol should be introduced for all healthcare professionals working in preoperative care to ensure smooth, safe and high-quality care for surgical patients. | INTRODUCTIONCancellations are a problem in perioperative care, and most of them are preventable (Kumar & Gandhi, 2012). It has been estimated that 50%-65% of cancellations could be potentially avoided (Chughtai, Michael, & Qurashi, 2014;Fitzsimons, Dilley, Moser, & Walker, 2016;Kim & Lee, 2014). In this study, day of surgery cancellation (DOS) is defined as a scheduled elective operative procedure that was cancelled on the same day it was planned to occur. DOS cancellations are described to be one of the 23 nursing-sensitive quality indicators for evaluating and monitoring efficiency, patient safety and crisis event management in perioperative care (Wu et al., 2017 The largest costs of cancelled surgeries after the preparation of the surgery room and during the surgery itself are related to human resources (62.8%) (Perroca, Jerico Mde, & Facundin, 2007).In tertiary care paediatric outpatient surgical centres, the cost of a cancelled urology patient was 4,802 US dollars, which led to an approximately 500,000 dollar loss over a 7-month period with a cancellation rate of 13.3% (Pohlman, Staulcup, Masterson, & Vemulakonda, 2012). Calculating the actual overall cost of cancellations is complicated because of the variations in care ...

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The impact of a structured preoperative protocol on day of surgery cancellations

Turunen

Miettinen

Setälä

et al. 2017

Journal of Clinical Nursing

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“…Mutwali et al 22 found that 68.3% were patient-related and then anaesthesia decisions (33.3%). Other authors 1,26,27 found that work-up and/or medical issues were the most common causes for DOS cancellation.…”

Section: 5 11 22-24mentioning

confidence: 99%

Economic and psychological burden of scheduled surgery cancellation in a sub-Saharan country (Burkina Faso)

Lankoande

Bonkoungou

Ki³

et al. 2017

Southern African Journal of Anaesthesia and Analgesia

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Background: Cancellation of scheduled surgery creates a financial burden for hospitals, caregivers and patients. Cancellation causes emotional stress, which impacts on outcomes. In poor countries where the adequacy of healthcare is limited, the ethical dilemma created by scheduled surgery cancellation is particularly important. Objective: To identify the incidence, cost and emotional impact of elective surgical cancellation in a teaching hospital in Burkino Faso. Methods: A four month, prospective, observational study was undertaken in a teaching hospital (Yalgado Ouedraogo). All surgical patients were eligible. The causes of cancellation, financial cost and patients' emotional response were assessed. The cost was estimated using a tool adapted for the economic cost of African job types. Results: During the study period, 1 088 cases were scheduled to undergo inpatient surgery. Of these, 239 cases (21.9%) were cancelled. Among the cancelled cases, 237 were cancelled during preparation in the surgical ward and two cases were cancelled in the operation room. A large number of the patients were housewives (n = 87). The highest cancellation rate (35.9%) was found in general surgery. Cancellation was judged avoidable in 214 cases (89.5%). The total cost of surgery cancellation to the hospital was US$ 19 147 (mean value US$ 80 per patient). Patients lost a mean of US$ 62.70, which represented 117.6% of the official average monthly income in Burkina Faso. ENT surgery was the costliest to the hospital (US$ 4 989 ). Cancellation caused a negative emotional reaction in 205 patients (85.7%) and 'sadness' was the most frequent (54.8%; n = 131). Cancellation resulted in 163 days of work lost. Conclusion: Based on income, the cost of day of surgery cancellation was high in Burkina Faso.

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“…The cancellation rate in this study was 7.3%, compared to the rates in Saudi 11.1%, Lebanon 4.4%, Jordan 3.6% and Hong Kong 7.6% 13,[17][18][19] . Although there is no consensus regarding the cancellation rate, most believe that less than 5% would be an acceptable rate; nevertheless, a rate of less than 2% was reported 20,21 .…”

Section: Discussionmentioning

confidence: 90%

Cancellation of Elective Procedures on the Day of Surgery

Karashi¹,

Alsaif²,

Rashid³

2018

BMB

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Objective: To evaluate the rate and causes of cancellation of elective procedures. Design: A Retrospective Study.Setting: Salmaniya Medical Complex, Bahrain.Method: Data were collected for four months from the operation theatre register and were analyzed.Result: Day of surgery (DOS) cancellation rate in our study was found to be 7.3%. The causes of cancellation were lack of time, high blood pressure, cardiology consultation, chest infection and upper respiratory tract infection. Most cancellations in the OT were because of high blood pressure. These causes can be avoided if proper preoperative assessment and control were applied. Conclusion: DOS cancellation is a universal problem. Several common factors that play a role inincreasing cancellation rate and these should be considered individually for a better outcome. A general understanding and cooperation between the caring firm, anesthesia department, nursing team and other medical departments is paramount in reducing the incidence to a minimum and to increase the efficacy of the hospital.

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Reasons for cancellation of elective operations at a major teaching referral hospital in Jordan

Cited by 40 publications

References 18 publications

The impact of a structured preoperative protocol on day of surgery cancellations

The impact of a structured preoperative protocol on day of surgery cancellations

Economic and psychological burden of scheduled surgery cancellation in a sub-Saharan country (Burkina Faso)

Cancellation of Elective Procedures on the Day of Surgery

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