Abstract
Back ground: Elective surgery is a term used for non-emergency surgery which is medically Necessary, but which can be delayed for at least 24 hours. Elective surgery is usually performed in an operating theatre or procedure room under some form of Anesthesia by a surgeon. Operation theatre requires considerable human resources and expenditure from Hospital budget. Objective: To assess the magnitude of cancelation of elective operations and associated factors among elective surgical patients at Arsi University, Assella Referral and Teaching Hospital. Method: a cross sectional hospital based study was conducted at Arsi University, Assella Referral and Teaching Hospital from April 20 to June 1, 2018. The total sample size was 112 elective surgical patients Who was planned to have a surgery at ATRH. The data was collected by reviewing the daily schedule lists for elective surgery with a predesigned form. The data was analyzed using SPSS software version 20. Result: a total of 112 patients were planned to be operated during our study period; from those 36 (32.2%) was canceled. Rate of cancelation in male and female is 36.6%, 27% respectively. surgery department has the highest number of cancelation procedures 19 (52.7%) The most common reasons for cancellations were administration related from surgical side and shortage of time 17 (47.2%), medical reasons 9 (25%) and inadequate preparation of the patient 7 (16.6%). Conclusion: Cancellation of elective surgical procedures on the scheduled day of surgery was high during the study. Most of the reasons were shortage of time and management related, medical reasons and inadequate preparation of patient. Most of the reasons were avoidable.
Highlights
Elective surgery is a term used for non-emergency surgery which is medically necessary, but which can be delayed for at least 24 hours
Patients requiring emergency surgery will not be placed on the elective surgery list
Elective surgery is usually performed in an operating theatre or procedure room under some form of anesthesia by a surgeon [1]
Summary
Elective surgery is a term used for non-emergency surgery which is medically necessary, but which can be delayed for at least 24 hours. Patients requiring emergency surgery will not be placed on the elective surgery list. Elective surgery is usually performed in an operating theatre or procedure room under some form of anesthesia by a surgeon [1]. Cancellation of elective planned surgical case is a known quality problem in healthcare system that harms patients and wastes resources, leading to increase healthcare costs. A high cancellation rate for elective surgical procedures makes it difficult to accomplish this. Cancellation reduces operating room efficiency and increases costs [3, 4]. Cancellation of operations in hospitals is a significant problem with far reaching consequences [5]
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