Reasons of cancellation of elective cases on the day of surgery - A retrospective study
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 1
Abstract
Background and Aim: Hospitals invest major resources in maintaining and arranging Operation rooms, appointing anaesthetists, Operating surgeons, and OT staff to run an institute. But unindicted cancellation or postponement of operation is a major concern for an institute. On the day cancellation of proposed surgery is a major concern for inefficient use of Operation Theatre and waste of resources. Material and Method: This was a retrospective study of OT bookings (OT list) and IPD case papers of patients, posted for surgical cause; for consecutive five calendar years in various hospitals of PCMC area, Pune with notification of reasons for postponement. Cancellation of surgery is defined as any operation which is scheduled in OT list on Prior day by 3.00pm and is not performed on next intended day. Results: Out of 4500 patients, 85 (1.88%) patients were postponed on that day of surgery. The most common category was miscellaneous related 39 (45.88%), followed by medical 26 (30.59%), administrative 19 (22.35%) and patient related 1(1.176%). Conclusion: Elective cases postponement can be reduced by correct planning, Optimizing patients with pre anaesthesia OPD, Physician’s opinion and review, Discussing with nursing staff in advance and Communication with concerned anaesthesiologist. By appreciation of causes of case postponement on the day of surgery; can improve proper utilization of operation floor and OT suits by clinicians and administrators. While anticipating those patients in which problem may arise, essential attention can be paid in advance.
Authors and Affiliations
Shobha Vatkar
Keywords
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- EP ID EP589645
- DOI 10.26611/101510112
- Views 146
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