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Characteristics and costs of surgical scheduling errors
Rebecca L Wu1, Arthur H Aufses
1Department of Surgery, Mount Sinai Medical Center, 1 Gustave L. Levy Place, New York, NY 10029, USA. rebecca.wu@mssm.edu
American Journal of Surgery
|September 27, 2012
Summary
Surgical scheduling errors, though rare, cause significant operating room delays and costs. Improving the booking process is crucial for patient safety and efficiency.
Area of Science:
- Healthcare Management
- Patient Safety
- Surgical Operations
Background:
- Surgical errors, including wrong-site procedures, can originate during the scheduling phase.
- The frequency and impact of surgical booking errors remain largely unquantified.
Purpose of the Study:
- To determine the frequency and types of surgical scheduling errors.
- To assess the impact of these errors on operating room delays and costs.
Main Methods:
- Analysis of all reported surgical scheduling errors from January 1, 2011, to July 31, 2011.
- Conducting focus groups with operating room nurses to discuss delays attributed to scheduling errors.
Main Results:
- 151 (0.86%) booking errors occurred out of 17,606 surgeries.
- Most common errors included wrong side (36%), incomplete information (25%), and wrong approach (17%).
- Incomplete and wrong-approach bookings led to average delays of 20 minutes and costs exceeding $320.
Conclusions:
- Surgical scheduling errors, while infrequent, disrupt operating room dynamics, leading to delays and significant costs.
- Further research is needed to develop enhanced scheduling tools for improved accuracy and efficiency.
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