Abstract
Operative care is one of the major areas of healthcare services as over 310 million surgeries are conducted yearly. Surgery cancellations is a widely used indicator when evaluating the quality of preoperative care. Cancellations cause financial lost for organizations, however there is only limited research about the costs. The aim of this study was to evaluate the cost of elective day of surgery (DOS) cancellations in 13 operative specialties at a university hospital in Finland between September 1, 2015 and May 31, 2016 after a structured preoperative protocol was implemented to practice and a cancellation rate of 4.7% was recognized. Procedure prices conducted the data for the research and were collected from the hospital’s invoicing system. Financial loss and savings of cancellations were calculated from the total cost of procedures. As a result the total cost of DOS cancellations during the nine-month time period was 953,374.27 euros and mean loss of a single cancelled operation was 2,459.91 euros. The total of material savings for the hospital were 106,917.33 euros. As a conclusion, DOS cancellations cause unnecessary wastage, and financial aspects should be followed and evaluated systematically by setting goals and providing continuing developments.
Highlights
Operative care is one of the major areas of healthcare services as over 310 million surgeries are conducted yearly
The hospital sector is the largest component of health care spending in the Organization for Economic Co-operation Cancellation occurrences vary widely across health care organizations; the highest rate may be more than 700 times higher and Development (OECD) and European Union (EU) countries.[1]
Researchers have been careful in measuring the economic impact of these changes, 2.2 Research site evaluation based on cost is recommended.[16,26]
Summary
Operative care is one of the major areas of healthcare services as over 310 million surgeries are conducted yearly. The aim of this study was to evaluate the cost of elective day of surgery (DOS) cancellations in 13 operative specialties at a university hospital in Finland between September 1, 2015 and May 31, 2016 after a structured preoperative protocol was implemented to practice and a cancellation rate of 4.7% was recognized. As a result the total cost of DOS cancellations during the nine-month time period was 953,374.27 euros and mean loss of a single cancelled operation was 2,459.91 euros. The hospital sector is the largest component of health care spending in the Organization for Economic Co-operation Cancellation occurrences vary widely across health care organizations; the highest rate may be more than 700 times higher and Development (OECD) and European Union (EU) countries.[1] Surgery is one of the major areas of healthcare serthan the lowest.[7] Studies published since 2016 report varivices. A single cancellation causes personal and The development of surgical processes is encouraged as a ISSN 1927-6990 E-ISSN 1927-7008 jha.sciedupress.com
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