Zafar Arshad, Mufti Tariq Saeed, Griffin Samson, Ahmed Sajjad, Ansari Johar Ali
Department of Surgery, Ayub Medical College, Abbottabad.
J Ayub Med Coll Abbottabad. 2007 Jul-Sep;19(3):64-6.
Cancellation of operations in hospitals is a significant problem with far reaching consequences. This study was planned to evaluate reasons for cancellation of elective surgical operation on the day of surgery in Ayub Teaching Hospital, Abbottabad.
From July 2006 to June 2007 the medical records of all the patients who had their operations cancelled on the day of surgery in all the three General Surgical units of Ayub Teaching Hospital, Abbottabad were audited prospectively. The number of operation cancelled and reasons for cancellations were documented.
3756 patients were scheduled for surgery during the study period. 2820 (75%) patients were operated upon. 936 (25%) operations were cancelled out of which 338 (36%) were cancelled due to shortage of time, 296 (31.6%) were cancelled due to medical reasons, 152 (16.2%) were cancelled due to shortage of beds while 55 (5.8%) were cancelled due to shortage of anaesthetists. Three operation lists were lost completely. The Anaesthetist cancelled 43%, Surgeon 39% while 18% of operations were cancelled due organizational reasons.
Cancellation of patients on operation lists occupy a substantial population (25%) of cases. Majority of cancellation were due to reasons other than patients medical conditions. Better management could have avoided most of these cancellations.
医院手术取消是一个严重问题，会产生深远影响。本研究旨在评估阿伯塔巴德阿尤布教学医院择期手术在手术当天取消的原因。
对2006年7月至2007年6月期间在阿伯塔巴德阿尤布教学医院所有三个普通外科科室手术当天取消手术的所有患者的病历进行前瞻性审核。记录取消手术的数量及取消原因。
研究期间计划进行手术的患者有3756例。2820例（75%）患者接受了手术。936例（25%）手术被取消，其中338例（36%）因时间不足取消，296例（31.6%）因医疗原因取消，152例（16.2%）因床位短缺取消，55例（5.8%）因麻醉师短缺取消。三个手术安排表完全丢失。麻醉师取消了43%的手术，外科医生取消了39%，18%的手术因组织原因取消。
手术安排表上患者的取消占相当大比例（25%）。大多数取消是由于患者病情以外的原因。更好的管理本可避免大多数此类取消情况。
