Cancellation of elective surgery in an institution III level of care
Abstract
Objective: Identify the causes that influence the cancellation of elective surgery at a III level of complexity of the city of Popayan in 2010. Methods: We performed a descriptive, cross-sectional in a population of 1007 patients surgically scheduled between February and April 2010, of which 133 were suspended elective surgery, was electively. We used diary that takes in the surgery department, dealing with monthly systematically and instruments developed according to current regulatory framework. The data analysis was performed using SPSS-15. Results: canceled: 13.2% of surgeries that were scheduled were the most frequent causes of patient contraindications by 36,1%, followed by extension of the previous surgery in 11,3% and in the same percentage of patient non-attendance. Conclusion: The cancellation of surgeries in the unit under investigation was due to potentially preventable causes, reflecting an economic impact on the perception of resources by the institution, which involves there organization of services with process standardization.Downloads
References
República de Colombia, Ministerio de la Protección Social, Guía Técnica “Buenas prácticas clínicas para la seguridad del paciente en la atención en salud, Versión 1. 2010. Disponible en: www.minprotecciónso-cial.gov.co/sogc
Sung W, Chou A, Liao C, Yang M, Chang C. Operation Cancellation at Chang Gung Memorial Hospital. Chang Gung Med J [Seriada en línea] 2010;33 (5):568-575. Disponible en: http://memo.cgu.edu.tw/ cgmj/3305/330511.pdfConsultado: Abril 2 de 2011.
República de Colombia, Ministerio de la Protección Social: Monitoreo al Sistema General de Seguridad Social en Salud. Disponible en: http://www.minsalud. gov.co/Documentos%20y%20Publica-ciones/BOLETIN%20SALUD.pdf Consultado el 26 de julio de 2011.
Perroca MG, Jericó MC, Facundin SD. Cancelamento cirúrgico em um hospital escola: implicações sobre o gerenciamento de custos. Rev. Latino-Am. Enfermo. [Internet] 2007b set/out [acesso en 2011 Set 11]; 15(5):1018- 24. Disponible en: http://www.scielo.br/pdf/rlae/v15n5/pt_v15n5a20. pdf. Consultado septiembre de 2011.
Tauseef A, Mueenullah K, Fauzia A. Cancellation of surgery in patients attending the preoperative anaesthesia assessment clinic: A prospective audit. J Pak Med Assoc[Seriada en línea] 2009;59(8):547-550. Disponible en: http://www.jpma.org.pk/ PdfDownload/1776.pdf Consultado: Abril 2 de 2011.
Rakesh G, Anju R, Poonam B, Nishkarsh G, Raktima A. Reasons for Cancellation of Cases on the Day of Surgery–A Prospective Study. Indian Journal of Anaesthesia [Seriada en línea] 2009;53(1):35-39. Disponible en: http://www.mja.com.au/public/ issues/182_12_200605/sch10857_ fm.html Consultado: Abril 2 de 2011.
Schofield W, Rubin G, Piza M, Lai Y, Sindhusake D, Fearnside M, Kineberg P. Cancellation of operations on the day of intended surgery at a major Australian referral hospital. Medical Journal of Australia 2005; 182:612-615. Disponible en: http://www.mja.com.au/public/issues/182_12_200605/sch10857_ fm.html Consultado: Abril 2 de 2011.
Galan M, Carvalho J, Diná S. Surgery cancelling at teaching hospital: implications for cost management. Rev Lat Am Emfermagem 2007:15: 1018- 1024. Disponible en: http://www.scielo.br/pdf/rlae/v15n5/v15n5a20. pdf Consultado: Abril 1 de 2011.
Cregan. The easiest cut: managing elective surgery in the public sector. Medical Journal of Australia [Seriada en línea] 2005; 182: 605-606. Disponible en: http://www.mja.com. au/public/issues/182_12_200605/ cre10216_fm.html Consultado: Abril 1 de 2011.
Jonnalagadda R, Walrond E, Hariharan S, Walrond M, Prasad C. Evaluation of the reasons for cancellation sand delays of surgical procedures in a developing country International Journal of Clinical Practice 2005; 59:716-720. Disponible en: http://faculty.ksu.edu.sa/dawlatly/Publishin-gImages/cancellation%201.pdfConsultado: Abril 2 de 2011.
Hussain A, Khan F. Anaesthetic reasons for cancellation of elective surgical inpatients on the day of surgery in a teaching hospital. J Pak Med Assoc 2005; 55: 374-378. Disponible en: http://www.jpma.org.pk/PdfDown¬load/851.pdf Consultado: Abril 1 de 2011.
Ferschl M, Tung A, Sweitzer B, Huo D, Glick D. Preoperative clinic visits reduce operating room cancellations and delays. Anesthesiology 2005; 103:855-859. Disponible en: http:// journals.lww.com/anesthesiology/ Abstract/2005/10000/Preoperative_Clinic_Visits_Reduce_Opera¬ting_Room. 25.aspx Consultado: Abril 2 de 2011.
.png)
