Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital

Kumar, Rajender; Gandhi, Ritika

doi:10.4103/0970-9185.92442

Cited by 123 publications

(137 citation statements)

References 9 publications

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“…This assumption is based on two premises: (a) most reasons (80%) for surgical cancellations are avoidable, including clinical reasons, such as uncontrolled systemic arterial hypertension or diabetes mellitus on the day of surgery (26) . These alterations are considered the main reasons for surgery cancellations (22,26) ; (b) out of 6.79% of elective surgeries canceled in the institution under study, 3.13% occurred for "non-clinical reasons" and 3.26% for "clinical reasons". Furthermore, the main reasons for surgical cancellations at the institution under study are not different from those found in hospital services in developed countries.…”

Section: Discussionmentioning

confidence: 99%

“…It is the nurse's responsibility to use the information about the microeconomic features of the process, as well as direct and opportunity costs, in order to manage the SC and develop strategies to solve the problem (1) . Considering that: a) a low rate of surgical cancellations is one of the indications of quality and, consequently, of management efficiency and, therefore, cancelling surgeries implies in underuse of operating rooms and increase of the waiting list and institutional cost (22) ; b) the actors involved in the surgery itinerary, responsible for assistance or management, must be aware that the underuse of public structure raises the cost of the services, which will be reflected upon users, family members and themselves, not only financially but also psychologically; c) the misuse of public resources does not contribute to investments in working conditions and to the quality of the service offered to citizens;…”

Section: Introductionmentioning

confidence: 99%

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Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction

Santos

Bocchi

2017

Rev. Bras. Enferm.

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Objective: To characterize cancellations of elective surgeries according to clinical and non-clinical reasons, as well as to verify seasonal influence and determine the estimated reduction of the index. Method: Quantitative, descriptive and retrospective study with secondary data extracted from the Public Hospital of the State of São Paulo database. Results: Out of the 8,443 (100%) elective surgeries scheduled, 7,870 (93.21%) were performed and 573 (6.79%) were canceled. Out of these 573 (100%) people, 48.33% were canceled for clinical reasons and 46.40% were for non-clinical reasons. Among the non-clinical reasons for surgery cancellations, those related to medical reasons stood out: at the request of the surgeon/change of approach (17.93%), followed by non-hospitalized patient (8.96%). There was no indication of seasonality regarding the reasons for cancellation in the assessed period. Conclusion: Although the rate of elective surgeries cancellations is lower than that of other hospitals with similar characteristics, it is still possible to reduce it from 6.79% to 1.36%, considering that 80% of the reasons for cancellation are avoidable.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction

Santos

Bocchi

2017

Rev. Bras. Enferm.

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“…General surgery had the highest number of cases scheduled for operation at 2 196 (30.1%) followed by orthopaedics at 1 812 (25%) in India. 23 The DOS cancellation rate according to specialty varied in the literature.…”

Section: Discussionmentioning

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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“…Cancellation for long preceding surgery was identified in 2.6% of cases. Kumar and Gandhi 13 in India reported 63% of cancellations being due to a lack of time related to a long preceding surgical operation. Late starting time, going beyond expected duration and a long time cleaning the OT between two cases led to a waste of resources.…”

Section: Acknowledgementmentioning

confidence: 99%

Cancellation of elective surgical procedures in the university teaching hospital center Yalgado Ouedraogo in Burkina Faso: incidence, reasons and proposals for improvement

Lankoande

Bonkoungou

Traoré

et al. 2016

Southern African Journal of Anaesthesia and Analgesia

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Background: Cancellation of scheduled surgery leads to operating theatre under-occupancy and is recognised as a major cause of emotional trauma to patients and their families. This study aimed to assess the incidence of elective surgery cancellation in order to make proposals for healthcare improvement. Methods: A prospective study was undertaken on cancellation of scheduled surgery in the general surgery service. Cancellation is considered to have occurred when planned surgery did not take place on the day it was scheduled and recognised as 'final' when it was no longer considered at a later date. Cancellations were classed as 'avoidable' or 'unavoidable' . Results: A total of 103 surgeries were scheduled for patients with an average age of 41.1 years. Abdominal surgery (36.9%) dominated and 63.1% (n = 65) of the operations were scheduled. Some 36.9% (n = 38) of interventions were delayed, of which 9.7% (n = 10) were definitively cancelled and 27.2% (n = 28) were carried forward. Half of the cancellations (47.4%) were related to equipment and 31.6% related to patient factors. Hospital-related cancellation accounted for 63.9%. Cancellation was avoidable in 68.5% of cases. A financial cause was relevant for 16.6% (n = 6) and 2.6% of cancellations were due to a 'long preceding intervention' . Conclusion: The impact of cancellation is high and better organisation and communication between relevant role players within the operating theatre should reduce unnecessary cancellation.

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Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital

Cited by 123 publications

References 9 publications

Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction

Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction

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

Cancellation of elective surgical procedures in the university teaching hospital center Yalgado Ouedraogo in Burkina Faso: incidence, reasons and proposals for improvement

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