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Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital.
- Source :
-
ANZ journal of surgery [ANZ J Surg] 2009 Sep; Vol. 79 (9), pp. 636-40. - Publication Year :
- 2009
-
Abstract
- Background: This study investigates case cancellations on the intended day of surgery (DOS) at a paediatric hospital in Melbourne, Australia. The hospital in Melbourne treats over 32 000 inpatients annually and handles both elective and emergency cases.<br />Methods: The data for this paper were collected over a period of 12 months, from June 2004 to June 2005. The data were extracted retrospectively from the theatre computer system. A nurse researcher reviewed the full written details of all cancellations to clarify their cause and confirm the reasons for cancellation; the reasons for cancellation were then sorted into one of 14 groups.<br />Results: There were 16 559 theatre bookings, and of these, 1198 (7.2%) were cancelled on the DOS. There was a mean of 3.28 cancellations of surgery on the intended day. The hospital-initiated postponements accounted for 18.5% of DOS cancellations. The top four reasons for cancellation accounted for 65% of all cancelled surgeries and were all patient initiated.<br />Conclusions: There was also evidence that some specialties were more susceptible to DOS cancellation than others. The paper ends with proposals to reduce patient-initiated cancellations and directions for future research.
- Subjects :
- Adolescent
Australia
Child
Hospitals, Pediatric economics
Humans
Operating Rooms economics
Retrospective Studies
Surgical Procedures, Operative economics
Time Factors
Waiting Lists
Appointments and Schedules
Efficiency, Organizational economics
Hospitals, Pediatric organization & administration
Operating Rooms organization & administration
Surgical Procedures, Operative statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1445-2197
- Volume :
- 79
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- ANZ journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 19895520
- Full Text :
- https://doi.org/10.1111/j.1445-2197.2009.05019.x