Maximize Operating Room Capacity by Intervening an Avoidable Cancelation at St. Peter Specialized Hospital
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Date
2018-06
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Addis Ababa Universty
Abstract
Background: 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 the frequency, to identify reasons for cancellation and to intervening potentially avoidable causes of cancellation and observe the impacts of intervention made in St. peter specialized hospital.
Methods: -The study took place at St. peter specialized hospital. This is a pre and post intervention study from February1/2010 to May 30/2010 E.C. All adult patients that underwent elective surgery in operation room with in the study period were including.
Total number of cancellations as well as cause of cancellation was noted.
Implementation: The most feasible intervention was addressing reasons of cancellation due to shortage of OR material (Guan, cape, drape).
Result: -At Pre intervention period highly cancellation caused by shortage of surgical material (guan, Cape & drape). Plan was purchased each 100 of OR guan, drape & cape. Now all are ready for work.
Conclusion: Cancellation of surgeries is significant problem in this hospital Reasons for cancellation identified was four categories. Whereas only one was selected for intervention in these study after taking impact, feasibility, cost effectiveness, time constraints into consideration.
The highest present for reasons for cancellation were seen due to shortage of operation room material in pre-intervention period.
Recommendation: As shortage of OR material (guan, cape and drape) which scores high in pre intervention, needs further in depth assessment and also other root causes should be addressed to see the desired changes.
OR performance evaluation should be included in routine monitoring and
hospitals clinical audit system.
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Avoid cancellation