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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Surgical Operations

Background:

  • Surgical interventions may be canceled and rescheduled for various reasons.
  • Rescheduling carries specific risks and can cause adverse events associated with care (AEAC).
  • Analyzing AEAC causes helps professionals propose solutions to prevent recurrence.

Purpose of the Study:

  • To conduct a retrospective analysis of AEAC linked to rescheduled surgical interventions.
  • To identify the causes and consequences of AEAC in rescheduled surgeries.
  • To propose recommendations for mitigating risks associated with surgical rescheduling.

Main Methods:

  • Retrospective descriptive analysis of AEAC reported during accreditation.
  • A multidisciplinary working group was formed to identify solutions.
  • Analysis of 215 AEAC related to rescheduling.

Main Results:

  • Rescheduling intervals ranged from days to years.
  • Immediate causes included medical device unavailability (57), patient clinical status deterioration (46), and treatment non-cessation (28).
  • Most AEAC (194) resulted in further cancellations (64), surgical modifications (54), or postoperative complications (15).

Conclusions:

  • Recommendations were proposed to better manage rescheduling risks.
  • Key strategies include patient information, follow-up, inter-professional coordination (checklists), and heightened vigilance for high-risk elements (devices, medications, tests).