Cancellation of Elective Surgeries in A Tertiary Care Hospital in North India

Farooq, Nyla; Mir, Tauyiba Farooq

doi:10.18502/aacc.v7i4.7630

Cited by 2 publications

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“…7 The results of a research done in India by Farooq and Mir revealed that it was roughly 20% of the consular rate, with the greatest rate being associated to the orthopedic department, which did not agree the findings of the current study. 8 According to the findings of this study, the highest proportion of surgery cancellations occurred in the ENT specialty in February 2018 (25%) and September 2019 (14%) respectively. Cancels are more common in general surgery, but the ratio of them to the number of procedures scheduled is greater in the ENT specialty.…”

Section: Discussionmentioning

confidence: 64%

Assessing the Extent and Causes of Cancellation of Surgeries: An Important Issue in Improving the Efficiency of the Hospital

et al. 2022

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Background: Canceling surgery imposes the high cost of the healthcare provider system and wasted many energy and time from the patient and the care team. Objectives: This study examined the extent and reasons of canceling of surgeries in one of the hospitals affiliated to Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Methods: This was a descriptive-applied study. In order to get the number of operations from April 2018 to March 2020, the hospital used HIS software and then extracted the reasons from the operating room office and the quality improvement office in the hospital. Data were analyzed by SPSS version 21 software. Results: Among 8654 planned surgeries, 0.9% were cancelled. The highest frequency of surgical cancellation is associated with general surgery, and the highest rate of surgical cancellation is associated with the ENT specialty. The highest cancellation rate was 1.82% in August 2018 and 2.87% in February 2019. The lack of preparation of patients and patients did not require surgery was the main and worst reason for discontinuing surgery, respectively. Conclusion: The lack of clinical preparation of the patient was the main reason for the cancellation. Therefore, pre-surgery patient evaluation can help solve this problem, make the operating room more effective, and increase patient satisfaction.

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Section: Discussionmentioning

confidence: 64%

Assessing the Extent and Causes of Cancellation of Surgeries: An Important Issue in Improving the Efficiency of the Hospital

et al. 2022

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“…The finding of this study is higher compared with the study conducted in Ethiopia with meta-analysis 21.4% [ 25 ] St. Paul’s Hospital, Addis Ababa (8.9%) [ 26 ], Saudi Arabia (7.6%) [ 27 ], Zambia 18.8% [ 28 ], Sudan (20.2%) [ 29 ], America (4.4%) [ 30 ], Brazil (6.8%), German (12.7%), Wales (7.6%), New Delhi (17.6%), India (16.49% [ 31 ]. This discrepancy may be due to the fact that there are differences in sociodemographic characteristics, sample size, study area, and methodology.…”

Section: Discussionmentioning

confidence: 99%

Case cancellations and associated factors on the day of surgery in hospitals of Wolaita Zone, South Ethiopia

Ayalew

2024

BMC Surg

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Background Cancellations of elective surgery cases are frequent and have significant negative consequences. It causes wasting of valuable resources, patient unhappiness, and psychological stress of patients. Despite this, little is known about the case cancellation and associated factors on the day of surgery in Ethiopia, particularly in the study area. Objective This study aimed to assess the magnitude of case cancellation and associated factors on the day of surgery in hospitals in Wolaita zone, South Ethiopia, from May 17 to June 17, 2023. Methods A hospital-based cross-sectional study involving 322 patients was conducted at Wolaita Sodo Zone, South Ethiopia. All elective surgical cases scheduled during the study period were included. The entire number of participants was selected using a systematic random sampling process. Epidata V.3 was used to enter data, and SPSS V.25 was used to analyze it. Binary logistic regression was used to check for a possible association. P-values < 0.05 and 95% CI were used on multi-variable analysis as the threshold for the significant statistical association. Result A total of 313 study participants were scheduled for elective surgical procedures during the study period and gave a response rate of 97.2%. The mean (± SD) age of the study participants was 39.18 (± 10.64) years. The two-third of patients, 53(64%) were rural residents, and more than half (178, or 55.3%) of the participants were female. This finding showed that the case cancellation was 22.4% (95% CI: 19.3 -25.9%). Among the total canceled cases, 49(58.3%) were males. Variables like rural residence (AOR = 3.48 95% CI: 1.22–9.95), Lack of lab result (AOR = 2.33, 95%CI:1.20–4.51), ophthalmology dept. (AOR = 2.53 95% CI:1.52–4.49), HTN (AOR = 2.53, 95% CI:1.52–4.49), patient refusal (AOR = 3.01 95% CI:1.22–5.05), and age b/n 31 and 43 (AOR = 1.50, 95% CI:1.02–2.01) were significantly associated factors with cancellation of elective surgical cases. Conclusion In this study schedule of case cancellation was high. The contributing factors of case cancellation were rural residence, Lack of lab results, ophthalmology dept, HTN, patient refusal, and age. To decrease unnecessary cancellations and increase cost efficiency, hospital administration and medical staff must plan ahead carefully, communicate effectively, and make efficient use of hospital resources.

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Cancellation of Elective Surgeries in A Tertiary Care Hospital in North India

Cited by 2 publications

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Assessing the Extent and Causes of Cancellation of Surgeries: An Important Issue in Improving the Efficiency of the Hospital

Assessing the Extent and Causes of Cancellation of Surgeries: An Important Issue in Improving the Efficiency of the Hospital

Case cancellations and associated factors on the day of surgery in hospitals of Wolaita Zone, South Ethiopia

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