Análisis de la suspensión de cirugía en un hospital docente

Barbosa, María Helena; Goulart, Débora Moura Miranda; Andrade, Érica Vieira de; Mattia, Ana Lúcia De

doi:10.4321/s1695-61412012000200011

Cited by 13 publications

(19 citation statements)

References 5 publications

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“…Contributions to the area of nursing, health or public policy This contribution may be considered challenging, since there is a study reporting 69.9% of the surgery cancellations presented no justification, which is considered by the authors as concerning because it restricts the managers' knowledge about the reasons for cancellations and, consequently, also restricts the possibility of investments in appropriate solutions (21) . The main contribution of this study is the demonstration that, even if the institution has a rate of surgery cancellations lower than expected, it is still possible to reduce it in order to increase the users' access to treatment, improving the use of public resources.…”

Section: Study Limitationsmentioning

confidence: 99%

“…Therefore, the information system represents an important tool to collect data in the surgical unit (18) . However, a correct and detailed input of data by the professionals is fundamental (7,20) , along with constant education and awareness activities in these institutions (21) . 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) .…”

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: Study Limitationsmentioning

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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“…A study conducted in a public teaching hospital identified the suspension rates per surgical type compared within two years, showing a considerable variation between them; it also identified urology and cardiology as those with the highest rates. 19 We noticed that, like the distribution of cancellations in certain times of the year, these rates tend to vary according to the facility observed.…”

Section: Discussionmentioning

confidence: 99%

“…18 Similarly to the data shown previously in table 5, a research conducted identified the lack of justification in a large number of medical records (53,2 to 69,9%). 19 These data justify the need for a greater awareness of the professional involved in this process; the finding of the most frequent reasons that lead to surgical cancellations in a given facility is crucial to create an efficient strategy to reduce these rates and improve the quality of patient care.…”

Section: Discussionmentioning

confidence: 99%

Determinação dos fatores da suspensão de cirurgia e suas contribuições para assistência de enfermagem Determination of surgery suspension factors and their constributions with nursing assistance

Gonçalves

Sampaio

Júnior³

2016

R. pesq. cuid. fundam. online

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Objetivo: determinar o perfil dos pacientes submetidos a procedimentos cirúrgicos; identificar as principais cirurgias realizadas em uma unidade de saúde; analisar os fatores determinantes de suspensões cirúrgicas. Método: abordagem quantitativa, descritiva e exploratória. A coleta de dados foi realizada no arquivo de um hospital situado no Estado do Rio de Janeiro. Resultados: dos 260 prontuários pesquisados, observou-se um total de 55 suspensões (21,2%). Notou-se uma tendência de suspensões ocorrerem mais frequentemente em pacientes acima dos 40 anos de idade. Os procedimentos mais comuns foram correções de herniações (33,8%), prostatectomias (30%), colelitíases (26,8%), correção de varizes (26,1%) e aquelas relacionadas à tumorações variadas (25%). Conclusão: os motivos mais encontrados para a justificativa das suspensões foram: falta de anestesista (18,2%) e crises hipertensivas (12,7%); encontrou-se, também, um elevado índice de motivos não declarados em prontuário (34,5%). Descritores: Cirurgia geral, Enfermagem de Centro Cirúrgico, Suspensão de tratamento.

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“…La cancelación de cirugía programada se enmarca en los tipos de atención en salud insegura que pueden causar eventos adversos, específicamente factores que incluyen lo relacionado con la gestión de los recursos, como la falta de instrumental o equipo, falta de ropa estéril o falta de personal, como también se puede dar una sustitución por cirugía de urgencia (2) ; la OMS destaca que en el mundo se han realizado aproximadamente 230 millones de procedimientos quirúrgicos mayores al año y se calcula que la inversión en el área quirúrgica de un hospital es del 30,1% del costo total (3) , por lo tanto la suspensión de una cirugía programada afecta y condiciona conflictos presupuestales, laborales y médicos legales en la institución, incrementando costos teniendo repercusiones negativas en la atención de la población, principalmente de aquella más carente (4) por lo que se debe organizar y optimizar el servicio y su impacto (5) .…”

Section: Introductionunclassified

Incidencias y causas de la cancelación de cirugía en un hospital universitario, Barranquilla, Colombia 2016

et al. 2019

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Introducción: La cirugía es todo procedimiento realizado en quirófano que permite el tratamiento oportuno a patologías y traumatismos; en Colombia un indicador de calidad para el Sistema de Información de salud es la proporción de cancelación de cirugía programada. Materiales y método: Diseñamos un estudio observacional retrospectivo, seleccionando todos los pacientes programados en la Institución Hospitalaria en el periodo de 1 enero 2016 a 31 diciembre de 2016. Un total de 3207 pacientes programados. Se analizaron las cancelaciones en factores atribuibles al paciente, institución y orden médica. Resultados: De los 3207 procedimientos programados 1739 (54,2%) fueron hombres y 1468 (45,8%) mujeres, se programaron procedimientos quirúrgicos entre 6 meses y 116 años de edad, con un promedio de 38 años. Del total de programaciones 244 (7,6%) sufrieron cancelación de la cirugía, los meses con el menor y mayor incidencia de cancelación fue de agosto y noviembre con 9 (3,7%) y 36 (14,8%) respectivamente. La tasa de cancelación por especialidades medico quirúrgicas de manera independiente oscila entre 1 (0,4%) de las especialidades de ginecología oncológica, maxilofacial, urología y 85 (34,8%) de ortopedia.Las causas de cancelación se clasificaron en atribuibles a la institución 93 casos (38,1%), al usuario 99 (40,6) y por orden médica 52 (21,3%). Conclusiones: El 41% de las cancelaciones podrían haber sido evitadas. Recomendamos seguimiento continuo a los pacientes programados, además divulgación de estos estudios a profesionales para el empoderamiento de las responsabilidades y la necesidad de educación a los usuarios que serán intervenidos. Introduction: Surgery is any procedure performed in the operating room that allows timely treatment of pathologies and injuries; in Colombia, an indicator of the quality of the information system is the proportion of scheduled surgery cancellations.Materials and method: We designed a retrospective observational study, selecting all patients scheduled for surgery at the hospital institution from January 1, 2016 to December 31, 2016. A total of 3207 patients were included. We analyzed cases of surgery cancellations because of factors attributable to the patient, institution, and medical order.Results: Of the 3207 scheduled procedures, 1739 (54.2%) were men and 1468 (45.8%) were women. Surgical procedures were scheduled for patients aged between 6 months and 116 years, with an average age of 38 years. Of the scheduled procedures, 244 (7.6%) surgeries were cancelled. The months with the lowest and highest incidences of surgery cancellation were August and November, with 9 (3.7%) and 36 (14.8%) cancellations, respectively. The cancellation rate for surgical specialties independently ranged from 1 (0.4%) for gynecology specialties of oncology, maxillofacial, and urology and 85 (34.8%) for orthopedics.As the causes of cancellation, 93 (38.1%) were attributable to the institution, 99 (40.6) to patients, and 52 (21.3%) to medical orders.Conclusions: In total, 41% of cancellations could have been avoided. We recommend continuous monitoring of scheduled patients, as well as the dissemination of our findings to professionals for the empowerment of responsibilities and the need for education for patients undergoing intervention.

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Análisis de la suspensión de cirugía en un hospital docente

Cited by 13 publications

References 5 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

Determinação dos fatores da suspensão de cirurgia e suas contribuições para assistência de enfermagem Determination of surgery suspension factors and their constributions with nursing assistance

Incidencias y causas de la cancelación de cirugía en un hospital universitario, Barranquilla, Colombia 2016

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