Reducing Preventable Surgical Cancellations: Improving the Preoperative Anesthesia Interview Process

Leite, Kirsten A.; Hobgood, Todd; Hill, Brandy; Muckler, Virginia C.

doi:10.1016/j.jopan.2019.02.001

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…Results also underscore the importance of developed interventions to reduce preventable cancellations. For example, research has shown that improved preoperative anesthesia interviews, 38 modifications to surgical scheduling procedures, 39 and increased communication between healthcare professionals and surgical patients 40 can help reduce elective surgical cancellation rates. Further investigation is warranted to address additional strategic intervention opportunities for reducing surgical cancellation rates.…”

Section: Discussionmentioning

confidence: 99%

Impacts of elective surgical cancellations and postponements in Canada

Sommer

Jacobsohn

El‐Gabalawy

2020

Can J Anesth/J Can Anesth

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Purpose Worldwide, patients experience difficulties accessing elective surgical care. This study examined the perceived health, social, and functional impacts of elective surgical cancellations and postponements in Canada. Methods We analyzed a subset of aggregate data from the Canadian Community Health Survey (CCHS) annual components from 2005 to 2014. Multivariable logistic regressions examined associations between past-year non-emergency surgical cancellations/postponements and perceived impacts of waiting for surgery (e.g., worry/stress/anxiety, pain, loss of work, loss of income, deterioration of health, relationships suffered). Results Among those who experienced a cancellation or postponement of a past-year non-emergency surgery (weighted n = 256,836; 11.8%), 23.5% (weighted n = 60,345) indicated their life was affected by waiting for surgery. After adjusting for type of surgery, year, and sociodemographics, those who experienced a surgical cancellation or postponement had increased odds of reporting their life was affected by waiting for surgery (adjusted odds ratio [aOR], 2.67; 99% confidence interval [CI], 1.41 to 5.1); in particular, they reported greater deterioration of their health (aOR, 3.47; 99% CI, 1.05 to 11.4) and increased dependence on relatives/friends (aOR, 2.53; 99% CI, 1.01 to 6.3) than those who did not have a cancellation or postponement. Conclusion Results highlight the multifaceted perceived impacts of surgical cancellations/postponements. These findings suggest there is a need for improvements in reducing elective surgical cancellations and postponements. Results may also inform the development of targeted interventions to improve patients’ health and quality of life while waiting for surgery.

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Section: Discussionmentioning

confidence: 99%

Impacts of elective surgical cancellations and postponements in Canada

Sommer

Jacobsohn

El‐Gabalawy

2020

Can J Anesth/J Can Anesth

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“…This includes preoperative guidance and preoperative telephone communication with the patient, as well as a careful review of additional preoperative examinations(Caesar et al, 2021). A retrospective record-based study was performed and concluded that a standardized guide to preoperative anesthesia interviews and an online anesthesia training module for nurses performing pre-anesthesia interviews have improved preoperative record completion rates, reduced unnecessary laboratory tests, and avoided surgical cancellations(Leite et al, 2019).…”

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confidence: 99%

Prevalence and Reasons for Cancellation of Elective Dental and Maxillofacial Surgeries in a Tertiary Care Hospital

Alotaibi

Alonazi

2022

Preprint

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Objectives: The aim of this study was to determine the prevalence and reasons for elective dental and oral and maxillofacial surgeries (OMFS) cancellations at a single, tertiary hospital, to determine whether patient demographics are associated with cancellations, and to describe the cancellation phenomenon. Methods: A retrospective record-based study was conducted at a tertiary care hospital in Riyadh from January 2017 to March 2020. For the final analysis, we included 2768 patients who satisfied the inclusion criteria. The descriptive statistics were obtained to investigate the prevalence of elective dental and maxillofacial surgery cancellations at a single, tertiary hospital; we then estimated the overall prevalence and reasons for cancellation across three categories: patient-related reasons, physician-related reasons, and organizational reasons. The Fisher's exact test was performed to evaluate if there were variations in the proportion of reasons for cancellation among participant characteristics and surgical specialties. Results: Out of 2,768 patients who were eligible for OMFS, Pediatric Dentistry, or Special Need Dentistry elective surgeries that have had appointments scheduled at the hospital between January 2017 through March 2020, only 144 patients have had their appointments cancelled. Overall prevalence of cancellation of elective surgeries (CES) is 5.2%. Physician-related cancellation of CES was the highest (66.43%) compared to patient-related (27.86%) and organization-related (5.71%) reasons. Conclusion: Although the CES rate was low compared to the rates reported worldwide, there are some important interventional processes that can help reduce the rate of CES and thereby improve economic efficiency and patient outcomes. Greater attention should be paid to quality improvement strategies, patient adequacy and organizational resources in the early stages of the preoperative period.

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