Al Talalwah Narmeen, McIltrot Kimberly H
J Perianesth Nurs. 2019 Feb;34(1):86-96. doi: 10.1016/j.jopan.2017.09.012. Epub 2018 Apr 17.
To analyze cancellations of surgeries and identify evidence-based interventions to address this issue.
Integrative literature review.
An integrative literature search was conducted in four databases: CINAHL, PubMed, Embase, and Cochrane and included literature sources dated January 2011 to January 2016. The complete list of search terms consisted of the following: ambulatory surgery, day surgery center, elective surgical procedure, elective operation, elective surgery, schedule, access to care, surgery cancellation, operation cancellation, and surgery delay.
Twenty-three literature sources were identified. Evidence included one randomized controlled trial and multiple studies. Causes of cancellations were classified into three categories: hospital-related reasons, patient-related reasons, and surgeon-related reasons. Evidence confirmed most cancellations were avoidable.
Cancellation of scheduled surgeries has a significant impact on patients' health, resources, cost, and quality of care. It is difficult to devise a solution without understanding the cause of cancellations.
分析手术取消情况并确定基于证据的干预措施以解决该问题。
整合文献综述。
在四个数据库（CINAHL、PubMed、Embase和Cochrane）中进行整合文献检索，纳入2011年1月至2016年1月的文献来源。检索词完整列表如下：门诊手术、日间手术中心、择期外科手术、择期手术、择期外科、日程安排、医疗服务可及性、手术取消、手术延期。
识别出23篇文献来源。证据包括一项随机对照试验和多项研究。取消原因分为三类：医院相关原因、患者相关原因和外科医生相关原因。证据证实大多数取消情况是可避免的。
预定手术的取消对患者健康、资源、成本和医疗质量有重大影响。在不了解取消原因的情况下很难设计出解决方案。
