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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Updated: Mar 23, 2026

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
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Elective orthopaedic surgery cancellations: insights into avoidable and unavoidable causes, consequences, and

Sam Barrow1, Kailash Devalia2, Aysha Rajeev2

  • 1Newcastle University, Newcastle, United Kingdom.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|March 21, 2026
PubMed
Summary

Many elective orthopaedic surgery cancellations are avoidable. Improving patient communication and hospital logistics can reduce cancellations, saving resources and improving patient care.

Keywords:
AvoidableElectiveOrthopaedic SurgerySolutionsUnavoidable

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Area of Science:

  • Orthopaedic Surgery
  • Healthcare Management
  • Patient Safety

Background:

  • Surgical cancellations incur significant patient and hospital costs.
  • Elective orthopaedic surgery cancellations disrupt patient care and hospital resource allocation.

Purpose of the Study:

  • Identify reasons for elective orthopaedic surgery cancellations.
  • Propose interventions for avoidable cancellation factors.

Main Methods:

  • Retrospective analysis of elective orthopaedic cancellations within 7 days of surgery.
  • Categorization of cancellations into patient, clinical, and hospital factors.

Main Results:

  • 600 cancellations identified; 47% clinical, 25% patient, 28% hospital factors.
  • 48% of cancellations were avoidable; key reasons include patient non-attendance, surgeon unavailability, and lack of theatre time.
  • 25% of cancellations occurred on the day of surgery.

Conclusions:

  • Avoidable cancellations can be mitigated through enhanced patient and staff communication.
  • Addressing root causes of unavoidable cancellations is crucial for systemic improvement.