Causes for cancellation of elective surgical procedures in a Spanish general hospital.

Autor: González-Arévalo A; Department of Anaesthesia, Hospital Universitario Fundación Alcorcón, Madrid, Spain. agonzalez@ fhalcorcon.es, Gómez-Arnau JI, delaCruz FJ, Marzal JM, Ramírez S, Corral EM, García-del-Valle S
Jazyk: angličtina
Zdroj: Anaesthesia [Anaesthesia] 2009 May; Vol. 64 (5), pp. 487-93.
DOI: 10.1111/j.1365-2044.2008.05852.x
Abstrakt: Cancellation of scheduled surgery is undesirable for patients and an inefficient use of resources. We prospectively collected data for 52 consecutive months in a public general hospital to estimate the prevalence and causes. The overall cancellation rate was 6.5% (2559 of 39 115 scheduled operations). Cancellation by broad category was for 'medical reasons' in 50%, 'patient-related factors' in 23%, and due to 'administrative/logistic problems' in 25%. The commonest specific causes within these categories were respectively: infections/fever (18%), patient did not attend (20%) and lack of theatre time (23%). This data will help direct resources to target prevention of cancellations as a result of these main problems.
Databáze: MEDLINE