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Retrospective analysis on incidence and causes of cancellation of the scheduled elective procedures in a tertiary teaching-training hospital in Zamboanga City.

Author

Kingking AR

Related Institution

Operating Room, Nursing Service Office - Zamboanga City Medical Center

Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Revista Cientifica de Zamboanga
Frequency
Semi-Annual
Publication Date
January-June 2016
Volume
2
Issue
1
Page(s)
51-57

Abstract

BACKGROUND: Cancellation of the schedule elective procedure is recognized as major problem that leads to an inefficient use of operating room time, a waste of resources and emotional trauma to patients as well as their families. 


OBJECTIVES: The purpose of this study is aimed to assess the incidence and causes of cancellation of the scheduled elective procedures and determine appropriate strategies to reduce the scheduled cancellation rates. 


METHODS: Documentary analysis of controlled operating room records is utilized in a 1year period from August 2014 to July 2015. The reasons for cancellation are categorized into 5 groups (patient related, administrative related, medical related, work up related, and surgeons related). 


RESULTS: A total of 1,367 patients were scheduled for elective surgical procedures between August 2014 to July 2015. Of these, 198 (14.5) patients' procedures are cancelled. Patient-related cause, administrative, medical, work-up and surgeon-related cause accounted for 20.2%, 37.4%, 12.1%, 25.8% and 4.5% of all cancelled elective procedures.. The most common patient-related cause is patient non-admission. The most common administrative-related cause is insufficient theater time. The most common medical-related cause is change in treatment plan. The most common work-up-related cause is incomplete medical work-up. And the most common surgeon-related cause is unavailability of surgeons. The majority of these cancellations are attribute to administrative related cause and most of them are preventable in 78.3% of cases.


CONCLUSION:  Cancellation of the scheduled elective procedures is still high and considered a significant problem in our hospital. In comparison with the reported rates worldwide, the rate in Zamboanga City Medical Center implies that perioperative system is inefficient. To prevent unnecessary cancellations, efforts should be made to enhance cost effectiveness through careful planning, improving preoperative assessment, proper scheduling of elective procedures, better interdepartmental or multidisciplinary team coordination, increasing operating theater including facilities and valuable manpower, and efficient utilization of the limited available hospital resources. 

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 26 Fulltext Print Format

 
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