Monitoring The Suspension Of Surgical Procedures

Abstract

Introduction: A surgical suspension generates a series of hassles and dissatisfaction of the patient and his family. Preparations for surgery involve an entire remodeling of the professional, social and family schedule, as well as other factors such as expectations regarding the results and the fear of the unknown.Objective: A quantification and identification of the reasons for surgical cancellations was realized for a better understanding and guidance to the leadership team's actions on this issue. Thus, their monitoring is important in the search for actions to make the surgery center´s processes more effective, favoring possibilities for improvement in the quality of hospital services. This way, the objective of this research was to identify the main causes for the cancellations of surgical procedures.Method: Study of documentary and retrospective type, quantitative, performed in the surgical center of a hospital in the city of Juazeiro do Norte, CE, Brazil. Data collection was performed through digital files of the 'syshosp' system used to record performed and suspended surgical procedures. Data were collected from January to December 2014 and analyzed using simplified statistics and presentation through a table. Results:The justifications for cancellation of procedures related to the organizational aspects of the institution were highlighted as main reasons for surgical suspension: the priority for urgency, lack of material resources/equipment required for the surgical procedure and no hospitalization of surgical patients. There were also those related to the lack of staff, being most of them because of the surgeon's inability to attend and absence of anesthesiologist causing the impossibility of building the surgical team. Finally, the suspensions regarding

Fatores determinantes para suspensões de cirurgias eletivas em um hospital do Distrito Federal

“…A partir disso, foram enquadradas nos grupos de determinantes ordenados pelo estudo, de acordo com a Tabela 1. 1,5,8,9 . O alto índice pode ser reflexo da falta de planejamento das ações que envolvem todo o processo da programação cirúrgica.…”

“…Alguns dos principais motivos para suspensão dos procedimentos cirúrgicos na literatura são: questões administrativas e estruturais; condições clínicas inadequadas; atrasos da equipe cirúrgica; falhas de comunicação entre equipe médica, CC e unidades de internação; falta de insumos necessários; falhas no pré-operatório e falta de exames previamente solicitados 1,8 .…”