Can preoperative anesthesia consultation clinic help to reduce operating room cancellation rate of cardiac surgery on the day of surgery?

نویسندگان

  • Rasoul Farasatkish
  • Nahid Aghdaii
  • Rasoul Azarfarin
  • Froozan Yazdanian
چکیده

BACKGROUND Many surgical procedures are delayed or cancelled due to inadequate preoperative assessment and preparation. Case cancellations can be decreased by improved preoperative patient evaluation, improved communication between physician and patient, and modified schedule design. Because of importance of the high cost associated with operating room cancellations; healthcare providers have exerted efforts to decrease case cancellations on the day of surgery. The aim of this study was to evaluate the role of"pre-anesthesia consultation clinic" in reducing operating room cancellation. METHODS We prospectively studied cancellation rate in 1716 scheduled cases for open heart surgery during a 4 months period in a teaching hospital. Of the 1716 patients, 866 cases were scheduled for operation before establishment of pre-anesthesia consultation clinic (Group 1) and 850 cases were scheduled after establishment of those clinics (Group 2). The data collected included patient age, ASA physical status and date of the preoperative assessment. RESULTS Of the 1716 patients studied, 15.03% of cases were cancelled in the two groups. Cancellation rate in Group 1 was 146 (16.8%) and cancellation rate in Group 2 was 113 (13.29%). This difference was statistically significant (p = 0.046). The most common cause of cancellation in the two groups was incomplete medical work-up (32%) [group 1 (19.8%) more than group 2 (12.6%)]. CONCLUSION Since the most common cause of cancellation in the two groups was incomplete medical work-up, then visitation of patients to the pre-anesthesia consultation clinic would minimize cancellation rate on the day of surgery.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Outpatient Pre-Anesthesla Consultation: Can an Expert System Help ?

Current medical reimbursement realities may limit the time an anesthesiologist can spend assessing complicated patients preoperatively. Third-party payers increasingly demand admission of sick patients for complex operative procedures on the day of surgery. These patients are often evaluated and counseled in outpatient preanesthesia consultation clinics several days before surgery by busy, semi...

متن کامل

بررسی میزان و علل لغو اعمال جراحی : شناسائی حوزه های قابل بهبود 

Background: Operating room efficiency is a major determinant of hospital cost. Maximizing throughput, while maintaining quality, is therefore paramount to maintenance of financial viability. Cancellation of surgery may increase a hospital's cost and affect the efficiency of operating room and waste of resources. This study was conducted to determine the rate and causes of canceled surgeries, an...

متن کامل

Dynamics of Elective Case Cancellation for Inpatient and Outpatient in an Academic Center.

BACKGROUND Unexpected surgical cancellation is common and can have significant adverse effects. Cancellation rates vary because of a lack of a standard definition, different patient populations and study methodology. We hypothesized that case cancellation has a different pattern in a dedicated ambulatory surgical center compared to a general operating room (OR) setting in a large academic cente...

متن کامل

کاهش لغو اعمال جراحی در یک بیمارستان: گزارش کوتاه

Background: Operation theatre in a hospital requires considerable human and physical resources to deliver surgery services on an agreed schedule. However, operation theatres are sometimes underutilized due to avoidable last minute cancellations of operations. Cancellation of operations on the day of intended surgery results in operation theatre planning difficulties, hospital inefficiency and r...

متن کامل

The Effect of Aromatherapy With Rosemary Essential Oil On Anxiety, Stress, Depression and Preoperative Physiological Parameters in Candidates for General Surgery

Introduction: Anxiety and stress is one of the most common problems of patients before surgery. The aim of this study was to determine the effect of aromatherapy with rosemary essential oil on anxiety, stress, depression and preoperative physiological parameters in candidates for general surgery. Methods: In this clinical trial, 60 general surgery candidates referred to Ayatollah Kashani Shahr...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Middle East journal of anaesthesiology

دوره 20 1  شماره 

صفحات  -

تاریخ انتشار 2009