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Avoidable causes of cancellation in elective orthopaedic surgery
M Wildner1, C Bulstrode, J Spivey
1Nuffield Orthopaedic Centre, Headington, Oxford.
Health Trends
|December 10, 1990
Summary
Over 6% of elective orthopaedic surgery patients were cancelled due to unsuitability. Improving general practitioner liaison and implementing preadmission clinics can significantly reduce these cancellations.
Area of Science:
- Orthopaedic Surgery
- Healthcare Management
Background:
- Elective orthopaedic surgery units aim for efficient patient throughput.
- Patient cancellations impact resource allocation and patient care.
Purpose of the Study:
- To audit the causes of elective orthopaedic surgery cancellations.
- To identify strategies for reducing patient cancellations.
Main Methods:
- Retrospective audit of surgical cancellations in an orthopaedic unit.
- Analysis of reasons for patient unsuitability for elective surgery.
Main Results:
- Over 6% of elective surgery patients were cancelled due to unsuitability.
- Key reasons included medical unsuitability and incorrect surgical indications.
Conclusions:
- Enhanced liaison with general practitioners is crucial.
- Establishing preadmission clinics can mitigate cancellations.
- Centralizing surgical booking by consultants can improve accuracy.