The Burden of Surgical Cancellations and No-Shows Quality management study from a large regional hospital in Oman
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 3
Abstract
Objectives: Te operating theatre (OT) is a vital facility that utilises a considerable portion of the hospital’s budget; thus proper OT utilisation is essential. Surgical cancellation is a leading cause of OT underutilisation. Tis study aimed to report the rate and reasons for surgical cancellations and no-shows in a large regional hospital in Oman. Methods: Tis study took place as part of a retrospective quality management project at the Ibri Regional Hospital, Ibri, Oman. All elective surgical procedures scheduled between January and December 2014 were included. Cancelled procedures were reviewed to determine the reasons for cancellation. Results: A total of 4,814 elective procedures were scheduled during the study period; of these, 1,235 (26%) were cancelled. Patient no-shows were the most prevalent reason for surgical cancellation (63%), followed by surgical reasons (17%); in contrast, OT-associated reasons were responsible for only 2% of cancellations. According to speciality, general surgery had the highest percentage of total cancellations (65%), while ear, nose and throat had the highest rate of surgical cancellations among their scheduled cases (42%). Conclusion: Ibri Regional Hospital had a higher surgical cancellation rate due to no-shows than those reported in the literature. Regular audits, quality management projects and the appointment of a dedicated procedure booking coordinator may enhance proper utilisation of the OT, potentially saving funds, conserving resources and alleviating the burden of cancellations.
Authors and Affiliations
Sivasubramanian T. Appavu| Departments of Anaesthesia, Ibri Regional Hospital, Ibri, Oman, Salim M. Al-Shekaili| Departments of Anaesthesia, Ibri Regional Hospital, Ibri, Oman, Ahmed M. Al-Sharif| Departments of Anaesthesia, Ibri Regional Hospital, Ibri, Oman, Mohamed M. Elawdy| Departments of Surgery, Ibri Regional Hospital, Ibri, Oman
Keywords
Related Articles
- EP ID EP14686
- DOI -
- Views 347
- Downloads 14
Incidence and Determinants of Birth Defects and Enzyme Defciencies among Live Births in Oman A review of the 2005 National Register
In 2003, the Omani Ministry of Health Child Health Care Program initiated a national Birth Defects (BD) Register. Tis paper reviews the magnitude and risk factors of birth defects in children born and registered in 200...
Asthma Clinics in Primary Healthcare Centres in Oman: Do they make a difference?
Objectives: This study aimed to determine the effect of newly established asthma clinics (ACs) on asthma management at primary healthcare centres (PHCs) in Oman. Methods: This retrospective crosssectional study was condu...
Improvement in Adherence to Surgical Antimicrobial Prophylaxis Guidelines after Implementation of a Multidisciplinary Quality Improvement Project
Objectives: Tis study aimed to show the impact of a multidisciplinary quality improvement project on adherence to antimicrobial prophylaxis guidelines in oncological surgery. Methods: Tis pre- and post-intervention pr...
Dyslexia Its impact on the Individual, Parents and Society
Snoring-Induced Nerve Lesions in the Upper Airway
Te prevalence of habitual snoring is extremely high in the general population, and is reported to be roughly 40% in men and 20% in women. Te low-frequency vibrations of snoring may cause physical trauma and, more speci...