Reducing Surgery Cancellations at a Pediatric Ambulatory Surgery Center

Lee, Chelsea M.; Rodgers, Cheryl; Oh, Albert K.; Muckler, Virginia C.

doi:10.1016/j.aorn.2017.01.011

Cited by 25 publications

(25 citation statements)

References 9 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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“…Research on surgery cancellation has predominantly focused on the reasons for cancellation and implementation of different preventive interventions to reduce cancellations (Azari‐Rad et al, 2013; Ferschl et al, 2005; Gaucher et al, 2016; Lee et al, 2017; Singhal et al, 2014). To our knowledge, no previous studies have reviewed the literature on patients’ experiences of surgery cancellation.…”

Section: Introductionmentioning

confidence: 99%

Surgery cancellation: A scoping review of patients' experiences

Viftrup

Dreyer

Nikolajsen

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To review the literature on patients’ experiences of surgery cancellation to gain knowledge of nursing care needs and identify gaps in evidence. Background Surgery cancellations are an ongoing challenge in healthcare systems with negative impacts on healthcare costs, hospital staff and patients. Most research addresses the reasons for cancellation and implementation of preventive interventions, but limited knowledge exists about patients’ experiences of cancellation. Design The scoping review was undertaken using the methodology recommended by the Joanna Briggs Institute for Scoping Reviews and the Reporting Cheklist for Scoping Reviews (PRISMA‐ScR). Methods A systematic search was conducted by two independent researchers in Cochrane Library, CINAHL, PubMed and PsycINFO. A forward and backward citation search was performed in Scopus, and references in relevant studies were explored. The tool Covidence was applied to select, compare and discuss relevant articles. The Mixed Methods Appraisal Tool was used for critical appraisal. Results Surgery cancellation is emotionally harmful with negative effects on patients. Four themes were identified: ‘Initial reactions to cancellation’, ‘Reactions during a new waiting period at home and during readmission to hospital’, ‘Information about cancellation’ and ‘The experience of new practical arrangements’. Patients whose surgery was cancelled experienced initial feelings such as anger, rejection and anxiety and physical/psychosomatic symptoms in the extended waiting period. Patients prefered early sufficient information about cancellation from the surgeon. The practical arrangements were stressfull for the patients. Conclusion Nursing care and identification of vulnerable patients are essential to prevent negative effects in the extended waiting period. Provision of timely, sufficient and professional information about cancellation from the surgeon is important. Further research assessing consequences of cancellation is needed. Relevance to clinical practice Patients would benefit if hospitals find systems to minimise cancellation, and healthcare professionals could systematically develop professional supportive interventions tailored to patients’ individual needs.

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“…Unplanned surgery cancellation (USC) is a widespread problem for many health care organizations, [16][17][18][19][20] which causes distress and inconvenience to patients, affects health care quality, wastes operating room resource, and leads to low operational inefficiency. Many studies reported that the incidence of USC was higher than 10%, even more than 40% in Low-and middle-income countries.…”

Section: Research-article2020mentioning

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 Surgery Cancellations at a Pediatric Ambulatory Surgery Center

Cited by 25 publications

References 9 publications

Impacts of elective surgical cancellations and postponements in Canada

Impacts of elective surgical cancellations and postponements in Canada

Surgery cancellation: A scoping review of patients' experiences

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

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