Day of surgery cancellation rate after preoperative telephone nurse screening or comprehensive optimization visit

Olson, Ronald P.; Dhakal, Ishwori

doi:10.1186/s13741-015-0022-z

Cited by 30 publications

(27 citation statements)

References 37 publications

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“…Patients’ vital signs (blood pressure, heart rate, body temperature, and oxygen saturation) should be measured accurately at their ward by the ward nurse and should be checked by the anesthesiologist. A structured preoperative assessment has been reported to improve operating room efficiency and reduce surgery cancellations [10]. A standardized preoperative evaluation checklist can also reduce the number of cancellations [11].…”

Section: Discussionmentioning

confidence: 99%

Surgery cancellations after entering the operating room

2016

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BackgroundSurgery cancellation results in unavailability of the operating room and loss time. We identified the frequency of and reasons for operation cancellations after patients entered the operating room and assessed the preventability of such cancellations.FindingsA retrospective chart review of all scheduled surgical procedures proposed under general anesthesia in a period spanning 2008 to 2016 was performed, and the reasons for cancellation were assessed.A total of 30 surgery procedures were cancelled after the patient had entered the operation room and preparation for general anesthesia had been completed. Ten of 18 cases (55.6%) that were cancelled before general anesthesia induction could have been prevented, accounting for 36.7% of the overall cancellations. The majority of the cancellations after anesthesia were due to the patients’ health status.ConclusionsImproving the systems for checking patients’ medical problems and performing preoperative evaluations can reduce the number of cancellations after the patient has entered the operating room.

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Section: Discussionmentioning

confidence: 99%

Surgery cancellations after entering the operating room

2016

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“…[10][11][12][13] Even with advancements in hospital quality measures directed toward decreasing patient cancellation rates, these "avoidable" cancellations continue to occur. 8,14,15 Despite the increased interest in surgical cancellations, knowledge regarding the factors that influence patient cancellations is incomplete. Currently, there are limited data on determining which patients are at high risk of elective orthopaedic surgery cancellation.…”

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confidence: 99%

Predicting Elective Orthopaedic Sports Medicine Surgical Cancellations Based on Patient Demographics

Petrone¹,

Fakhoury²,

Matai³

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To evaluate whether patient demographics are associated with cancellation of elective orthopaedic sports medicine surgical procedures. Methods: We retrospectively reviewed the electronic medical records of 761 patients who were scheduled to undergo an elective sports medicine orthopaedic operation from January 1, 2015, to December 31, 2017. The patients were divided into 2 groups: those who underwent the scheduled procedure (group A) and those in whom the operation was canceled for any reason prior to the surgical date and not rescheduled (group B). Univariate analysis assessed patient factors consisting of age, sex, race, language, marital status, occupation status, type of insurance (Medicaid or Medicare vs private), smoking history, employment status, and history of surgery to determine which demographic factors led to an increased risk of elective case cancellation. Results: Patients who canceled were significantly older (46.5 years vs 41.5 years, t ¼ 2.432, P ¼ .015) than those who do not. In addition, current smokers (22.5% vs 10.9%, c 2 ¼ 10.85, P ¼ .001), patients with Medicare or Medicaid versus private insurance (16.7% vs 10.0%, c 2 ¼ 5.35, P ¼ .021), noneEnglish-speaking patients (29.5% vs 11.6%, c 2 ¼ 11.43, P ¼ .001), and patients without a history of surgery requiring anesthesia (18.8% vs 9.6%, c 2 ¼ 9.96, P ¼ .002) were all more likely to cancel. When all studied variables were examined in a logistic regression analysis, of the above demographic variables, only insurance status was no longer significant, given its correlation with age and language. Conclusions: Increased age (46.5 years), non-English speaking, smoking, lack of a history of surgery requiring anesthesia, and Medicaid or Medicare insurance were found to contribute to an increased risk of elective orthopaedic surgery cancellation. Level of Evidence: Level III, case-control study.

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“…Its continued popularity with some anaesthetists and notably non-anaesthetist emergency physicians and intensivists is defended by assertions that single doses do not impact morbidity/mortality, although this remains controversial. Novel etomidate derivatives have dealt with the adrenocortical depression issue, through structural changes to form a pyrrole analogue, carboetomidate 4 with…”

Section: Does Anybody Need Etomidate?mentioning

confidence: 99%

“…Various terms are used to describe the reason for these preoperative medical evaluations, including risk assessment, 1 risk stratification, 2 medical clearance, 3 and optimization. 4 But it is not only the terminology that varies, the practice of preoperative medical evaluations varies widely between providers and hospitals. 5 6 This imprecision in terminology and variation in practice may reflect conceptual confusion regarding surgical risk, which may contribute to misuse or overuse of preoperative services.…”

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confidence: 99%