Cihoda Josiane Harumi, Alves Jessika Rojo, Fernandes Luciano Augusto, de Souza Neto Edmundo Pereira
Care Manag J. 2015;16(1):41-7. doi: 10.1891/1521-0987.16.1.41.
The aim of our study is to quantify the occurrence of suspension of scheduled surgeries in a Brazilian university hospital, trying to identify the causes of suspension of these operations and meet the medical specialties that most contributed to the cancellation.
This study takes the form of an exploratory, descriptive, and quantitative enquiry carried out by analyzing the database from 2008 to 2011 of the operating theater.
Of the 29,518 scheduled surgeries, 16.1% were cancelled. The patient was the main reason, accounting for more than 40% of all suspensions. When calculating the rate of surgery suspended from a specialty, dividing the number of cancelled surgeries in a specialty by the number of scheduled surgeries in the same, we found that otolaryngology is the specialty with the highest rate of 21.3%.
One of the main reasons in our sample why surgeries were cancelled is nonappearance of the patient. Improving communication between patient and hospital facilitates the client program and also contributes to avoid cancellations.
我们研究的目的是量化巴西一家大学医院中择期手术的取消发生率,试图确定这些手术取消的原因,并找出导致取消手术最多的医学专科。
本研究采用探索性、描述性和定量调查的形式,通过分析2008年至2011年手术室的数据库来开展。
在29518例择期手术中,16.1%被取消。患者是主要原因,占所有取消手术的40%以上。当计算某一专科的手术取消率(即某一专科取消手术的数量除以该专科择期手术的数量)时,我们发现耳鼻喉科的取消率最高,为21.3%。
在我们的样本中,手术取消的主要原因之一是患者未到场。改善患者与医院之间的沟通有助于患者管理计划,也有助于避免手术取消。