Abstract
To characterize cancellations of elective surgeries according to clinical and non-clinical reasons, as well as to verify seasonal influence and determine the estimated reduction of the index. Quantitative, descriptive and retrospective study with secondary data extracted from the Public Hospital of the State of São Paulo database. Out of the 8,443 (100%) elective surgeries scheduled, 7,870 (93.21%) were performed and 573 (6.79%) were canceled. Out of these 573 (100%) people, 48.33% were canceled for clinical reasons and 46.40% were for non-clinical reasons. Among the non-clinical reasons for surgery cancellations, those related to medical reasons stood out: at the request of the surgeon/change of approach (17.93%), followed by non-hospitalized patient (8.96%). There was no indication of seasonality regarding the reasons for cancellation in the assessed period. Although the rate of elective surgeries cancellations is lower than that of other hospitals with similar characteristics, it is still possible to reduce it from 6.79% to 1.36%, considering that 80% of the reasons for cancellation are avoidable.
Highlights
Surgery cancellation is an indicator in the assessment of the quality of care provided by the hospital service[1], signaling a deficiency in the administrative plan of the Surgery Center (SC)(2)
Absolute and relative number of elective surgery cancellations according to reasons for cancellation categorized by the Public Hospital of the State of São Paulo, Brazil, 2013
The rate of elective surgery cancellation was lower than those of other national and international hospitals, with similar characteristics, with a reduction estimate of 6.79% to 1.36%;
Summary
Surgery cancellation is an indicator in the assessment of the quality of care provided by the hospital service[1], signaling a deficiency in the administrative plan of the Surgery Center (SC)(2). It is, an event considered avoidable most of the times, if attended by those responsible for the unit[1,2,3]. It is an event that must be assessed, considering its negative repercussions involving the patient, and the family[4], the institution and even the healthcare team[5] This event is responsible for breaking the bond of trust between patient and institution[1], causing psychological distress due to the disappointment of not getting the treatment entrusted to the institution[6]. The most affected among the team working in the SC are anesthesiologists and nurses; studies have demonstrated experiences with feelings of shame, sadness and frustration related to the cancellation of procedures[8], since they are the ones who notify the patients
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