Elective Surgery Cancellations During the Time Between Scheduling and Operation

Abstract

Surgery cancellations cause harm to patients, extra work for preoperative staff, and financial loss for organizations. Day of surgery cancellations are a widely used indicator for operative effectiveness, but there is a lack of knowledge concerning the effects of cancellations during earlier stages of a patient's preoperative waiting period. The purpose of this study was to measure the reasons, frequencies, and timing of elective surgery cancellations after scheduling. Qualitative prospective follow-up study. Data were collected during a 2-month period in 13 operative specialties by a semistructured follow-up form and analyzed by inductive content analyses and statistical methods. Most of the cancellations occurred before the day of surgery and appeared because patients were not in a suitable condition for the planned operation or because of lack of organizational resources. More attention should be focused on patients' suitability and organizational resources in earlier stages of preoperative period.