Case review analysis of operating room decisions to cancel surgery

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• 作者：Ju-Hsin Chang (1)
  Ke-Wei Chen (2)
  Kuen-Bao Chen (1)
  Kin-Shing Poon (1)
  Shih-Kai Liu (1)
  
  1. Department of Anesthesiology ; China Medical University Hospital ; China Medical University ; 2 Yuh-Der Rd. ; Taichung ; 40447 ; Taiwan
  2. Division of Cardiology ; Department of Internal Medicine ; China Medical University Hospital ; China Medical University ; Taichung ; Taiwan
  
• 关键词：Preoperative care ; Surgical procedures ; Appointments and schedules
• 刊名：BMC Surgery
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：240 KB
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  2. Tait, AR, Voepel-Lewis, T, Munro, HM, Gutstein, HB, Reynolds, PI (1997) Cancellation of pediatric outpatient surgery. Economic and emotional implications for patients and their families. J Clin Anesth 9: pp. 213-219 CrossRef
  3. Yoon, S-Z, Lee, SI, Lim, HJ, Yoon, SM, Chang, SH (2009) The effect of increasing operating room capacity on day-of-surgery cancellation. Anaesth Intensive Care 37: pp. 261-266
  4. Lopez, RN, Jowitt, S, Mark, S (2012) The reasons for cancellation of urological surgery: a retrospective analysis. N Z Med J 125: pp. 17-22
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  15. van Klei, WA, Moons, KG, Rutten, CL, Schuurhuis, A, Knape, JTA, Kalkman, CJ, Grobbee, DE (2002) The effect of outpatient preoperative evaluation of hospital inpatients on cancellation of surgery and length of hospital stay. Anesth Analg 94: pp. 644-649 CrossRef
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  19. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2482/14/47/prepub
  
• 刊物主题：Surgery; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2482

文摘

Background Cancellation of surgery close to scheduled time causes a waste of healthcare resources. The current study analyzes surgery cancellations occurring after the patient has been prepared for the operating room, in order to see whether improvements in the surgery planning process may reduce the number of cancellations. Methods In a retrospective chart review of operating room surgery cancellations during the period from 2006 to 2011, cancellations were divided into the following categories: inadequate NPO; medical; surgical; system; airway; incomplete evaluation. The relative use of these reasons in relation to patient age and surgical department was then evaluated. Results Forty-one percent of cancellations were for other than medical reasons. Among these, 17.7% were due to incomplete evaluation, and 8.2% were due to family issues. Sixty seven percent of cancelled cases eventually received surgery. The relative use of individual reasons for cancellation varied with patient age and surgical department. The difference between cancellations before and after anesthesia was dependent on the causes of cancellation, but not age, sex, ASA status, or follow-up procedures required. Conclusion Almost half of the cancellations were not due to medical reasons, and these cancellations could be reduced by better administrative and surgical planning and better communication with the patient and/or his family.