Elective surgery cancelation on day of surgery

An endless dilemma

A. Fayed, A. Elkouny, N. Zoughaibi, H. Wahabi

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Background: Cancelation of surgery is a constant agonizing dilemma for nearly all healthcare services that has been intensively investigated to find out its roots, consequences, and possible solutions. The rates of cancelation of surgery vary between centers and more so among surgical specialties with numerous reasons standing behind this phenomenon. Patients and Methods: In the current study, analysis of monthly cancelation rates from January 2009 to December 2012, and assessment of establishing new operating rooms (ORs) using statistical process control charts was conducted. A detailed review of a total of 1813 cases canceled on the day of surgery from January to December 2012, to examine the various reasons of cancelation among surgical specialties. Results: The average cancelation rate was 11.1%, which dropped to 9.0% after launching of new theaters. Four reasons explained about 80% of cancelations; Patients »no show» was the leading cause of cancelation (27%). One-fourth of cancelations (24.3%) were due to the need for further optimization, and the third most prominent cause of cancelation was a lack of OR time (19.5%). Unavailability of staff/equipment/implants accounted for only 0.7% of cancelations. The »no show» was the most common cause of cancelation among all surgical specialties ranging from 21% for plastic surgery to 32% in ophthalmic surgeries. Conclusion: It was confirmed that there is a unique profile of cancelation of surgery problem for every institute, an extension of infrastructure may not be the only solution. Control charts helped to enhance the general picture and are functional in monitoring and evaluating changes in the cancelation of surgery.

Original languageEnglish
Pages (from-to)68-73
Number of pages6
JournalSaudi Journal of Anaesthesia
Volume10
Issue number1
DOIs
Publication statusPublished - 1 Jan 2016

Fingerprint

Ambulatory Surgical Procedures
Surgical Specialties
Operating Rooms
Plastic Surgery
Delivery of Health Care
Equipment and Supplies

Keywords

  • Cancelation of surgery
  • Saudi Arabia
  • Statistical process control

Cite this

Fayed, A. ; Elkouny, A. ; Zoughaibi, N. ; Wahabi, H. / Elective surgery cancelation on day of surgery : An endless dilemma. In: Saudi Journal of Anaesthesia. 2016 ; Vol. 10, No. 1. pp. 68-73.
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Elective surgery cancelation on day of surgery : An endless dilemma. / Fayed, A.; Elkouny, A.; Zoughaibi, N.; Wahabi, H.

In: Saudi Journal of Anaesthesia, Vol. 10, No. 1, 01.01.2016, p. 68-73.

Research output: Contribution to journalArticleResearchpeer-review

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AB - Background: Cancelation of surgery is a constant agonizing dilemma for nearly all healthcare services that has been intensively investigated to find out its roots, consequences, and possible solutions. The rates of cancelation of surgery vary between centers and more so among surgical specialties with numerous reasons standing behind this phenomenon. Patients and Methods: In the current study, analysis of monthly cancelation rates from January 2009 to December 2012, and assessment of establishing new operating rooms (ORs) using statistical process control charts was conducted. A detailed review of a total of 1813 cases canceled on the day of surgery from January to December 2012, to examine the various reasons of cancelation among surgical specialties. Results: The average cancelation rate was 11.1%, which dropped to 9.0% after launching of new theaters. Four reasons explained about 80% of cancelations; Patients »no show» was the leading cause of cancelation (27%). One-fourth of cancelations (24.3%) were due to the need for further optimization, and the third most prominent cause of cancelation was a lack of OR time (19.5%). Unavailability of staff/equipment/implants accounted for only 0.7% of cancelations. The »no show» was the most common cause of cancelation among all surgical specialties ranging from 21% for plastic surgery to 32% in ophthalmic surgeries. Conclusion: It was confirmed that there is a unique profile of cancelation of surgery problem for every institute, an extension of infrastructure may not be the only solution. Control charts helped to enhance the general picture and are functional in monitoring and evaluating changes in the cancelation of surgery.

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