Magnitude of Case Cancellation and Associated Factors Among Elective Surgical Cases in Tikur Anbesa Specialized Hospitalhospital, Addis Ababa, Ethiopia, 2016
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Date
2016-06
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Addis Abeba University
Abstract
BACK GROUND: Elective surgical case cancellation refers to any elective surgical case that is
booked into the operation theatre list on the day prior to surgery, but is not operated upon as
scheduled. Elective surgical case cancellation is common and can have significant adverse
effects. The cancellation of planned surgeries causes prolonged wait times, harm to patients, and
is a waste of scarce resources. Reasons for cancellations are complex because they are related to
patients, organizational issues, and clinical staff.
OBJECTIVE: To assess magnitude of case cancellation and reasons for case cancellation
among elective surgical cases in Tikur Anbesa specialized hospital from February 1 to March 1,
2016 G.C.
METHODS: A cross sectional study design was conducted. All elective surgical cases were
included in the study. Data was collected by using pretested structured questionnaires and
entered in to SPSS version 20 for analysis and cleaning up. P=0.05 value and/95% C.I was used
to judge significant of association. The result of study was explained by narratives, tables and
graphs.
RESULTS: During the study 369 patients were scheduled for elective surgical operations,
244 (66.1%) patients were operated on their planned date and 125 (33.9%) operations were
cancelled. The mean age was 27.9 ± 19.3 years, with male to female ratio of 1.67:1. The main
reasons for cancellation were shortage of time related (39.2%), management related (21.48%)
and patient related (20%)
CONCLUSION: Cancellation of elective surgical procedures on the scheduled day of surgery
was high during the study. Most of the reasons were shortage of time and management related
and patient related were the least reason. Most of the reasons were avoidable.
RECOMMENDATION: Implementation of patient preoperative assessment should be applied.
A team approach ensuring presence of policies and procedures for improving and ensuring
realistic scheduling of patient lists, reducing time spent preparing and cleaning the operating
room and better handling resources should be applied
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Keywords
Surgical Cases