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[Cancellations in pediatric surgery].

G González Landa1, I Sánchez-Ruiz, J A San Sebastián

  • 1Servicio de Cirugía Infantil, Hospital de Cruces, Pza. de Cruces s/n, 48903 Baracaldo, Vizcaya.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|February 27, 2003
PubMed
Summary
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Implementing corrective measures significantly reduced surgical cancellations by improving patient information and scheduling. This led to a substantial decrease in cancellations, enhancing surgical schedule effectiveness.

Area of Science:

  • Healthcare Management
  • Surgical Operations
  • Quality Improvement

Background:

  • Surgical cancellations significantly impact the effectiveness of surgical schedules.
  • Proactive measures are crucial for optimizing operating room utilization.

Purpose of the Study:

  • To analyze the trends in surgical cancellations from 1994 to 1997.
  • To evaluate the impact of implemented corrective measures on reducing cancellations.

Main Methods:

  • A quality improvement program was initiated in 1994.
  • Key interventions included enhanced parent information, centralized scheduling, and fostering a culture of continuous improvement.
  • Cancellations were categorized as avoidable and unavoidable and analyzed by service and specialty.

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Main Results:

  • Surgical cancellations decreased significantly from 12.38% in 1992 to 3.35% in 1997.
  • Avoidable cancellations (e.g., no-shows, poor preparation) showed the most improvement.
  • Unavoidable cancellations due to intercurrent diseases also improved following enhanced pre-operative communication.

Conclusions:

  • Corrective measures, including realistic scheduling and improved communication, led to a significant reduction in surgical cancellations.
  • The study highlights the success of a multi-faceted approach to optimizing surgical schedules.
  • Continuous quality improvement initiatives are vital for efficient healthcare delivery.