Reducing Cancelations on the Day of Scheduled Surgery at a Children’s Hospital

Pratap, Jayant Nick; Varughese, Anna M.; Mercurio, Patti; Lynch, Terri; Lonnemann, Teresa; Ellis, Andrea; Rugg, John; Stone, W Ray; Bedinghaus, Cindi

doi:10.1542/peds.2014-2418

Cited by 27 publications

(26 citation statements)

References 13 publications

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“…The study of appointment reminders has occurred in a variety of settings, including primary care ( Steiner et al, 2016 ), dental care ( Perry, 2011 ), and psychotherapy clinics ( Delgadillo et al, 2015 ). Appointment attendance reminders were found to either increase the rate of appointment attendance, increase the rate of appointments cancelled ahead of time, or decrease the rate of missed appointments in 48 of the 56 studies (86%) ( Altuwaijri et al, 2012 ; Arora et al, 2015 ; Berenson et al, 2016 ; Bourne et al, 2011 ; Brannan et al, 2011 ; Branson et al, 2013 ; Chen et al, 2008 ; da Costa et al, 2010 ; Deng et al, 2015 ; Downer et al, 2005 ; Fairhurst and Sheikh, 2008 ; Farmer et al, 2014 ; Foley and O'Neill, 2009 ; Geraghty et al, 2008 ; Hofstetter et al, 2015a , Hofstetter et al, 2015b ; Kerrison et al, 2015 ; Koshy et al, 2008 ; Leong et al, 2006 ; Liew et al, 2009 ; Lin et al, 2012 ; Liu et al, 2017 ; Lund et al, 2012 ; Lund et al, 2014 ; McInnes et al, 2014 ; Milne, 2010 ; Muller et al, 2017 ; Murray et al, 2015 ; Narring et al, 2013 ; Nundy et al, 2013a , Nundy et al, 2013b ; Nyatsanza et al, 2016 ; Odeny et al, 2012 ; Perry, 2011 ; Pijnenborg et al, 2007 ; Prasad and Anand, 2012 ; Pratap et al, 2015 ; Rohman et al, 2015 ; Sims et al, 2012 ; Sly et al, 2014 ; Steiner et al, 2016 ; Taylor et al, 2012 ; Thomas et al, 2017 ; Ting et al, 2012 ; Tolonen et al, 2014 ; Trent et al, 2015 ; …”

Section: Resultsmentioning

confidence: 99%

“…SMS can function as a reminder both for recurring (e.g., daily medication adherence) and distal, one-time (e.g., to complete a follow-up vaccination two months after initial vaccination) behaviors. Clinics report major financial savings after implementing an automated, SMS-reminder system, and attribute the savings to the relative inexpensiveness of SMS reminders and the decreased rate of missed appointments (e.g., Pratap et al, 2015 ; Rohman et al, 2015 ). SMS messages may also help individuals who need additional support or structure to remember things or to engage in a behavior (e.g., individuals with schizophrenia or a TBI) ( Hart and Vaccaro, 2017 ; Pijnenborg et al, 2010 ).…”

Section: Discussionmentioning

confidence: 99%

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Using text message reminders in health care services: A narrative literature review

Schwebel

Larimer

2018

Internet Interventions

175

134

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IntroductionDespite the extensive use of mHealth behavior change interventions, questions remain about the use of technology-based reminders in delivering health care services. Text messaging, or short message service (SMS), is one reminder method that has been extensively researched. Most SMS-reminder research is distributed across a range of health care outcomes. The aim of this article is to systematically review the aggregate impact of these reminders on overall health care outcomes.MethodsA systematic literature review was conducted and yielded 2316 articles. Studies were included if they used SMS reminders to support patient health care outcomes. Study methodology was aligned with the PRISMA guidelines for systematic reviews.ResultsFollowing screening, 162 articles met inclusion criteria. Of these studies, 93 investigated medical compliance reminders and 56 investigated appointment reminders. The review found that nearly all the SMS-reminder studies helped improve patient medical compliance and appointment reminders. Additionally, researchers reported numerous benefits from using SMS reminders, including ease of use, relative inexpensiveness, and rapid and automated message delivery. Minimal risks were reported and most participants found the reminders to be acceptable.DiscussionText messages appear to be an effective reminder mechanism to promote improved patient appointment and medical compliance. Reminders should continue to be evaluated and improved to determine the most effective timing and frequency of messages for improving outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Using text message reminders in health care services: A narrative literature review

Schwebel

Larimer

2018

Internet Interventions

175

134

View full text Add to dashboard Cite

show abstract

“… 18) In order to reduce the rate of cancellation, a multidisciplinary team improves the instructing of patients, the correspondence procedure to the caregivers, and the arrangement system for rescheduling after cancellation, all of which results in a successful reduction of cancellation. 19) The cancellation depends on many factors, including the patients’ conditions and social factors. However, reduced rates of cancellation could lead to more efficient utilization of operating rooms and medical resources.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Management Center (PERIO) for Neurosurgical Patients

Yasuhara

Hishikawa

Agari

et al. 2016

Neurol. Med. Chir.(Tokyo)

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Perioperative management is critical for positive neurosurgical outcomes. In order to maintain safe and authentic perioperative management, a perioperative management center (PERIO) was introduced to patients of our Neurosurgery Department beginning in June 2014. PERIO involves a multidisciplinary team consisting of anesthesiologists, dentists/dental hygienists/technicians, nurses, physical therapists, pharmacists, and nutritionists. After neurosurgeons decide on the course of surgery, a preoperative evaluation consisting of blood sampling, electrocardiogram, chest X-ray, and lung function test was performed. The patients then visited the PERIO clinic 7–14 days before surgery. One or two days before surgery, the patients without particular issues enter the hospital and receive a mouth cleaning one day before surgery. After surgery, postoperative support involving eating/swallowing evaluation, rehabilitation, and pain control is provided. The differences in duration from admission to surgery, cancellation of surgery, and postoperative complications between PERIO and non-PERIO groups were examined. Eighty-five patients were enrolled in the PERIO group and 131 patients in the non-PERIO group. The duration from admission to surgery was significantly decreased in the PERIO group (3.6 ± 0.3 days), compared to that in the non-PERIO group (4.7 ± 0.2 days). There was one cancelled surgery in the PERIO group and six in the non-PERIO group. Postoperative complications and the overall hospital stay did not differ between the two groups. The PERIO system decreased the duration from admission to surgery, and it is useful in providing high-quality medical service, although the system should be improved so as not to increase the burden on medical staff.

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“…After interviewing the virtual bed patients about the needs of health education, the project team revised the instruction manual of the Admission Management Center, which was described with pictures so the patients could understand easily. 19 Quick Hit 2: Standardizing the way of communication between the Admission Management Center and the patients. An information checklist for virtual admission was formulated to clarify the contents and requirements, 19 which helped to avoid important information omission before operation and controlled the fluctuation of information quality among different nurses.…”

Section: Measurementioning

confidence: 99%

“…19 Quick Hit 2: Standardizing the way of communication between the Admission Management Center and the patients. An information checklist for virtual admission was formulated to clarify the contents and requirements, 19 which helped to avoid important information omission before operation and controlled the fluctuation of information quality among different nurses.…”

Section: Measurementioning

confidence: 99%

Applying Lean Six Sigma to Reduce the Incidence of Unplanned Surgery Cancellation at a Large Comprehensive Tertiary Hospital in China

Zhu

Qian

Zhou

et al. 2020

INQUIRY

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Unplanned surgery cancellation (USC) was an important quality management issue in the course of medical care for surgical patients, which caused inappropriate use of hospital resources and had negative impacts on quality and safety. This study used Lean Six Sigma to reduce the incidence of USC. Following the Lean Six Sigma DMAIC (Define, Measure, Analyze, Improve, and Control) process, the main factors influencing the USC were identified, such as the time of informing patient admission, the time of submitting operation notice, and the management of test report follow-up. A series of measures were implemented including improving the health education content of virtual bed patients, standardizing the way of communication between the Admission Management Center and the patients, improving the timing of anesthesia evaluation, optimizing the process of operation notice with an information system, and implementing the regulations of virtual bed management. The incidence of USC reduced from 10.21% in Jan. 2016 to 3.8% in Dec. 2016, and the Z-score increased from 1.25 to 1.68, which improved patient safety and demonstrated that Lean Six Sigma was an effective method to solve cross-department issues in hospital.

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Reducing Cancelations on the Day of Scheduled Surgery at a Children’s Hospital

Cited by 27 publications

References 13 publications

Using text message reminders in health care services: A narrative literature review

Using text message reminders in health care services: A narrative literature review

Perioperative Management Center (PERIO) for Neurosurgical Patients

Applying Lean Six Sigma to Reduce the Incidence of Unplanned Surgery Cancellation at a Large Comprehensive Tertiary Hospital in China

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