Cancellation of Elective Surgeries in a Tertiary Care Hospital in North India
Abstract
Background: Cancellation of elective surgical treatments is a quality-of-care issue as well as a huge waste of health-care resources. Patients may experience emotional distress as a result of this, as well as difficulty for their families.
Aim: To find the significant reasons of cancellation of scheduled surgical cases.
Methods: A total of 300 elective operations in our institution were chosen. The completed surgeries were planned on the scheduled operation day, and the anaesthesiologist noted down a list of cancellations along with their reasons.
Results: A total of 300 patients were scheduled for surgery. A total of 60 patients were cancelled, resulting in a 20% cancellation rate. Lack of operational time was the most prevalent reason for cancellation.
Conclusion: The majority of the reasons for cancellation should have been avoided with proper list preparation and the surgical team's meticulous planning.
[1] Hovlid E, Bukve O, Haug K, Aslaksen AB, von Plessen C. A new pathway for elective surgery to reduce cancellation rates. BMC Health Serv Res. 2012; 12:154.
[2] Garg R, Bhalotra AR, Bhadoria P, Gupta N, Anand R. Reasons for cancellation of cases on the day of surgery-a prospective study. Indian J Anaesth. 2009; 53(1):35-9.
[3] Sahraoui A, Elarref M. Bed crisis and elective surgery late cancellations: An approach using the theory of constraints. Qatar Med J. 2014; 2014(1):1-11.
[4] Kumar R, Gandhi R. Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital. J Anaesthesiol Clin Pharmacol. 2012; 28(1):66-9.
[5] Chalya PL, Gilyoma JM, Mabula JB, Simbila S, Ngayomela IH, Chandika AB, et al. Incidence, causes and pattern of cancellation of elective surgical operations in a university teaching hospital in the Lake Zone, Tanzania. Afr Health Sci. 2011; 11(3):438-43.
[6] Schofield WN, Rubin GL, Piza M, Lai YY, Sindhusake D, Fearnside MR, et al. Cancellation of operations on the day of intended surgery at a major Australian referral hospital. Med J Aust. 2005; 182(12):612-5.
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[8] Ezike H, Ajuzieogu V, Amucheazi A. Reasons for elective surgery cancellation in a referral hospital. Ann Med Health Sci Res. 2011; 1(2):197-202.
[9] Al Talalwah N, McIltrot KH. Cancellation of Surgeries: Integrative Review. J Perianesth Nurs. 2019; 34(1):86-96.
[10] Poeran J, Zhong H, Wilson L, Liu J, Memtsoudis SG. Cancellation of Elective Surgery and Intensive Care Unit Capacity in New York State: A Retrospective Cohort Analysis. Anesth Analg. 2020; 131(5):1337-1341.
[11] Ferschl MB, Tung A, Sweitzer B, Huo D, Glick DB. Preoperative clinic visits reduce operating room cancellations and delays. Anesthesiology. 2005; 103(4):855-9.
[12] Vinukondaiah K, Ananthakrishnan N, Ravishankar M. Audit of operation theatre utilization in general surgery. Natl Med J India. 2000; 13(3):118-21.
[13] Zafar A, Mufti TS, Griffin S, Ahmed S, Ansari JA. Cancelled elective general surgical operations in Ayub Teaching Hospital. J Ayub Med Coll Abbottabad. 2007; 19(3):64-6.
[14] Chiu CH, Lee A, Chui PT. Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: point prevalence and reasons. Hong Kong Med J. 2012; 18(1):5-10.
[15] Caesar U, Karlsson J, Olsson LE, Samuelsson K, Hansson-Olofsson E. Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases. Patient Saf Surg. 2014; 8:24.
[16] Lee CK, Lee IF. Preoperative patient teaching: the practice and perceptions among surgical ward nurses. J Clin Nurs. 2013; 22(17-18):2551-61.
[17] Rai MR, Pandit JJ. Day of surgery cancellations after nurse-led pre-assessment in an elective surgical centre: the first 2 years. Anaesthesia. 2003; 58(7):692-9.
[18] Paschoal ML, Gatto MA. Taxa de suspensão de cirurgia em um hospital universitário e os motivos de absenteísmo do paciente à cirurgia programada [Rate of surgery cancellation at a university hospital and reasons for patients' absence from the planned surgery]. Rev Lat Am Enfermagem. 2006; 14(1):48-53.
[19] Mpyet CD. An audit of the use of ophthalmic theatre time. Community Eye Health. 2002;15(44):62-3.
[20] Dimitriadis PA, Iyer S, Evgeniou E. The challenge of cancellations on the day of surgery. Int J Surg. 2013; 11(10):1126-30.
[21] Chamisa I. Why is surgery cancelled? A retrospective evaluation. S Afr J Surg. 2008; 46(3):79-81.
[22] Jonnalagadda R, Walrond ER, Hariharan S, Walrond M, Prasad C. Evaluation of the reasons for cancellations and delays of surgical procedures in a developing country. Int J Clin Pract. 2005; 59(6):716-20.
[23] Lebowitz P. Why can't my procedures start on time? AORN J. 2003; 77(3):594-7.
[24] Truong A, Tessler MJ, Kleiman SJ, Bensimon M. Late operating room starts: experience with an education trial. Can J Anaesth. 1996; 43(12):1233-6.
[2] Garg R, Bhalotra AR, Bhadoria P, Gupta N, Anand R. Reasons for cancellation of cases on the day of surgery-a prospective study. Indian J Anaesth. 2009; 53(1):35-9.
[3] Sahraoui A, Elarref M. Bed crisis and elective surgery late cancellations: An approach using the theory of constraints. Qatar Med J. 2014; 2014(1):1-11.
[4] Kumar R, Gandhi R. Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital. J Anaesthesiol Clin Pharmacol. 2012; 28(1):66-9.
[5] Chalya PL, Gilyoma JM, Mabula JB, Simbila S, Ngayomela IH, Chandika AB, et al. Incidence, causes and pattern of cancellation of elective surgical operations in a university teaching hospital in the Lake Zone, Tanzania. Afr Health Sci. 2011; 11(3):438-43.
[6] Schofield WN, Rubin GL, Piza M, Lai YY, Sindhusake D, Fearnside MR, et al. Cancellation of operations on the day of intended surgery at a major Australian referral hospital. Med J Aust. 2005; 182(12):612-5.
[7] Hand R, Levin P, Stanziola A. The causes of cancelled elective surgery. Qual Assur Util Rev. 1990; 5(1):2-6.
[8] Ezike H, Ajuzieogu V, Amucheazi A. Reasons for elective surgery cancellation in a referral hospital. Ann Med Health Sci Res. 2011; 1(2):197-202.
[9] Al Talalwah N, McIltrot KH. Cancellation of Surgeries: Integrative Review. J Perianesth Nurs. 2019; 34(1):86-96.
[10] Poeran J, Zhong H, Wilson L, Liu J, Memtsoudis SG. Cancellation of Elective Surgery and Intensive Care Unit Capacity in New York State: A Retrospective Cohort Analysis. Anesth Analg. 2020; 131(5):1337-1341.
[11] Ferschl MB, Tung A, Sweitzer B, Huo D, Glick DB. Preoperative clinic visits reduce operating room cancellations and delays. Anesthesiology. 2005; 103(4):855-9.
[12] Vinukondaiah K, Ananthakrishnan N, Ravishankar M. Audit of operation theatre utilization in general surgery. Natl Med J India. 2000; 13(3):118-21.
[13] Zafar A, Mufti TS, Griffin S, Ahmed S, Ansari JA. Cancelled elective general surgical operations in Ayub Teaching Hospital. J Ayub Med Coll Abbottabad. 2007; 19(3):64-6.
[14] Chiu CH, Lee A, Chui PT. Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: point prevalence and reasons. Hong Kong Med J. 2012; 18(1):5-10.
[15] Caesar U, Karlsson J, Olsson LE, Samuelsson K, Hansson-Olofsson E. Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases. Patient Saf Surg. 2014; 8:24.
[16] Lee CK, Lee IF. Preoperative patient teaching: the practice and perceptions among surgical ward nurses. J Clin Nurs. 2013; 22(17-18):2551-61.
[17] Rai MR, Pandit JJ. Day of surgery cancellations after nurse-led pre-assessment in an elective surgical centre: the first 2 years. Anaesthesia. 2003; 58(7):692-9.
[18] Paschoal ML, Gatto MA. Taxa de suspensão de cirurgia em um hospital universitário e os motivos de absenteísmo do paciente à cirurgia programada [Rate of surgery cancellation at a university hospital and reasons for patients' absence from the planned surgery]. Rev Lat Am Enfermagem. 2006; 14(1):48-53.
[19] Mpyet CD. An audit of the use of ophthalmic theatre time. Community Eye Health. 2002;15(44):62-3.
[20] Dimitriadis PA, Iyer S, Evgeniou E. The challenge of cancellations on the day of surgery. Int J Surg. 2013; 11(10):1126-30.
[21] Chamisa I. Why is surgery cancelled? A retrospective evaluation. S Afr J Surg. 2008; 46(3):79-81.
[22] Jonnalagadda R, Walrond ER, Hariharan S, Walrond M, Prasad C. Evaluation of the reasons for cancellations and delays of surgical procedures in a developing country. Int J Clin Pract. 2005; 59(6):716-20.
[23] Lebowitz P. Why can't my procedures start on time? AORN J. 2003; 77(3):594-7.
[24] Truong A, Tessler MJ, Kleiman SJ, Bensimon M. Late operating room starts: experience with an education trial. Can J Anaesth. 1996; 43(12):1233-6.
| Files | ||
| Issue | Vol 7 No 4 (2021): Autumn |
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| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/aacc.v7i4.7630 | |
| Keywords | ||
| Cancellation Elective Surgeries Causes | ||
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How to Cite
1.
Farooq N, Mir T. Cancellation of Elective Surgeries in a Tertiary Care Hospital in North India. Arch Anesth & Crit Care. 2021;7(4):234-237.
