Al Talalwah Narmeen, McIltrot Kimberly H, Al Ghamdi Abdulaziz
J Perianesth Nurs. 2019 Apr;34(2):310-321. doi: 10.1016/j.jopan.2018.05.016. Epub 2018 Sep 11.
Cancellation of elective surgery negatively affects patient outcomes and the efficiency of the work environment. The purpose of this project was to analyze the cancellation of elective surgeries and identify the best evidence-based interventions to address cancellations in a tertiary hospital in the Middle East.
A quality improvement study design.
A retrospective review of cancellations conducted over two 3-month periods in 2016 and 2017.
In both phases of the audit, patient-related reasons were the leading cause of cancellations. Conducting a preoperative call 2 days before surgery and doing a weekly review of the surgery schedule reduced cancellations from 3.8% to 3.5%. Cancellations because of patient-related reasons reduced from 81% to 79.7% whereas cancellations because of hospital-related reasons reduced from 17.5% to 15.9%.
Cancellation of surgeries is a worldwide health care issue and without understanding the causes of cancellations, it is difficult to devise an effective intervention to address this issue.
择期手术取消会对患者预后和工作环境效率产生负面影响。本项目的目的是分析择期手术取消情况，并确定基于最佳证据的干预措施，以解决中东一家三级医院的手术取消问题。
一项质量改进研究设计。
对2016年和2017年两个为期3个月的时间段内的手术取消情况进行回顾性分析。
在审核的两个阶段，与患者相关的原因都是手术取消的主要原因。在手术前2天进行术前电话沟通，并每周对手术日程进行一次审查，使手术取消率从3.8%降至3.5%。因患者相关原因导致的手术取消率从81%降至79.7%，而因医院相关原因导致的手术取消率从17.5%降至15.9%。
手术取消是一个全球性的医疗保健问题，不了解手术取消的原因，就难以设计出有效的干预措施来解决这一问题。
