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The Burden of Surgical Cancellations: A Quality Improvement Study on the Importance of Preoperative Assessment

Curēus (Palo Alto, CA), 2022-01, Vol.14 (1), p.e21731-e21731 [Peer Reviewed Journal]

Copyright © 2022, Pattnaik et al. ;Copyright © 2022, Pattnaik et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright © 2022, Pattnaik et al. 2022 Pattnaik et al. ;ISSN: 2168-8184 ;EISSN: 2168-8184 ;DOI: 10.7759/cureus.21731 ;PMID: 35251804

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  • Title:
    The Burden of Surgical Cancellations: A Quality Improvement Study on the Importance of Preoperative Assessment
  • Author: Pattnaik, Saphalya ; Dixit, Sheetal K ; Bishnoi, Vandana
  • Subjects: Anesthesia ; Audit cycles ; Audits ; Blood pressure ; Blood tests ; Comorbidity ; Data collection ; Departments ; Elective surgery ; Fever ; General Surgery ; Health Policy ; Hospitals ; Hypertension ; Medical referrals ; Nosocomial infections ; Nursing ; Ophthalmology ; Optimization ; Orthopedics ; Patients ; Quality Improvement ; Severe acute respiratory syndrome coronavirus 2 ; Surgeons
  • Is Part Of: Curēus (Palo Alto, CA), 2022-01, Vol.14 (1), p.e21731-e21731
  • Description: Background The operating room (OR) is a critical facility that consumes a significant percentage of the hospital's resources, so it must be used judiciously. Surgical cancellation is a chief cause of OR underutilization. The purpose of this study was to hold medical concerns accountable for surgical cancellations at a large tertiary care hospital in Maharashtra, India. Methods The Plan, Do, Study, and Act (PDSA) cycle is a tool for analyzing change and learning via action. We used this method to determine the origins of errors, identify key points, and test change interventions such as an individually tailored anesthetic plan, provision of a pre-anesthesia evaluation clinic in the outpatient department, reevaluating patients, and rechecking the preoperative checklist. This study was undertaken as a part of a quality improvement project at our hospital in India. All elective surgical operations scheduled between January and November 2020 were included, and canceled procedures were investigated to identify potential reasons. Results During the auditing period, 7,709 elective operations were scheduled; 68 (0.88%) of them were canceled. After piloting interventions, the rate of cancellations dropped from 1.08% to 0.67% in the succeeding cycle. A root cause analysis of the data revealed that there was a 7.1% decrease in cancellations due to hypertension, a 3.8% decrease due to insufficient routine blood tests, and a 1.9% decrease in the inappropriate preoperative workup, while we saw an increase in fever (5.5%) and blood sugar level (1.9%) discrepancies. Conclusions Dr. D. Y. Patil Hospital & Research Centre in Pune, India, had cancellations in scheduled ORs due to associated medical co-morbidity that were potentially reducible post-intervention and could be replicated for application in various tertiary care hospitals. Regular monthly audits, quality improvement projects, and the designation of an organized system may enhance the proper utilization of the OR which could potentially save funds, preserve resources, alleviate the burden of patients, and reduce cancellations to a minimum.
  • Publisher: United States: Cureus Inc
  • Language: English
  • Identifier: ISSN: 2168-8184
    EISSN: 2168-8184
    DOI: 10.7759/cureus.21731
    PMID: 35251804
  • Source: PubMed Central
    Coronavirus Research Database
    ProQuest Central
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