Causes for and countermeasures against day surgery cancellations_West China Medical Journal

Authors：

LIU Qian ¹ , HUANG Mingjun ^1,2 , MA Hongsheng ¹ , MU Min ^1,2 ,  DAI Yan ^1,2

1. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Day Surgery Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DAI Yan, Email: dai1175@163.com

Keywords：

Day surgery; surgery cancellation; cause analysis; improvement measures

DOI：

10.7507/1002-0179.202112126

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the causes for day surgery cancellations before admission or on the same day of operation, and put forward targeted measures to improve the medical resource utilization and patient satisfaction. Methods The basic information and clinical data of patients who had been scheduled for surgery in the Day Surgery Center of West China Hospital, Sichuan University between January 2018 and September 2021 were collected. The reasons for the surgery cancellations before admission or on the same day of operation were analyzed. Results From January 2018 to September 2021, a total of 45176 patients were successfully scheduled for day surgery, and 44300 patients completed surgery as planned. A total of 876 operations (1.94%) were cancelled after being scheduled, including 546 (1.21%) before admission and 330 (0.73%) on the surgery day. Ranked from high to low according to the cancellation rates, the top five departments were Department of Dermatology, Department of Vascular Surgery, Department of Hepatobiliary Surgery, Department of Otorhinolaryngology, Head and Neck Surgery, and Department of Gastroenterology, with a cancellation rate of 3.38% (8/237), 2.90% (25/863), 2.85% (101/3548), 2.48% (171/6893), and 1.91% (260/13578), respectively. In the reasons for cancellations, patient factors accounted for 57.31% (502/876) and medical management factors accounted for 42.69% (374/876). Conclusions The cancellations of day surgery mainly occur before admission, and are mainly caused by patient factors. It is necessary to strengthen the preoperative education for day surgery patients, and enhance the communication and cooperation between surgery physicians, nurses and technicians, in order to reduce the operation cancellation rate and make reasonable and efficient use of medical resources.

Citation： LIU Qian, HUANG Mingjun, MA Hongsheng, MU Min, DAI Yan. Causes for and countermeasures against day surgery cancellations. West China Medical Journal, 2022, 37(9): 1352-1357. doi: 10.7507/1002-0179.202112126 Copy

1.	戴燕, 黃明君. 日間手術護理管理的實踐. 中國護理管理, 2021, 21(6): 951-956.
2.	Lionel R, Karim KM, Martin N, et al. Laparoscopic sleeve gastrectomy as day case surgery: a review of the literature. Surg Obes Relat Dis, 2019, 15(7): 1211-1217.
3.	李燦萍, 黃壽獎, 王東披, 等. 小兒日間手術標準化管理實踐與探索. 中華醫院管理雜志, 2019, 35(3): 209-212.
4.	Williams OM, Faboya OM, Omisanjo OA. Parental post-operative telephone follow-up after paediatric day case surgery. World J Surg, 2021, 45(10): 3222-3229.
5.	張雨晨, 戴燕, 宋應寒. 日間手術護理質量敏感指標體系的構建. 華西醫學, 2021, 36(2): 220-224.
6.	何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
7.	劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 2016, 30(10A): 3466-3469.
8.	傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432, 2462.
9.	蔣麗莎, 馬洪升. 日間手術評價與監控指標初探. 華西醫學, 2019, 34(2): 202-205.
10.	Lee CM, Rodgers C, Oh AK, et al. Reducing surgery cancellations at a pediatric ambulatory surgery center. AORN J, 2017, 105(4): 384-391.
11.	Hariharan S, Chen D, Merritt-Charles L. Evaluation of the utilization of the preanaesthetic clinics in a university teaching hospital. BMC Health Serv Res, 2006, 23(6): 59.
12.	王萍, 陳程. 日間手術護患流程化溝通模式應用. 解放軍醫院管理雜志, 2021, 28(1): 82-85.
13.	Xu L, Ma Y, Wang S, et al. Incidence of gastrointestinal stromal tumor in Chinese urban population: a national population-based study. Cancer Med, 2021, 10(2): 737-744.
14.	Guo CG, Cheung KS, Zhang F, et al. Incidences, temporal trends and risks of hospitalisation for gastrointestinal bleeding in new or chronic low-dose aspirin users after treatment for Helicobacter pylori: a territory-wide cohort study. Gut, 2020, 69(3): 445-452.
15.	柳小卉, 柳存勖, 劉亞萍, 等. 日間手術當日取消的原因分析及對策. 東南國防醫藥, 2021, 23(3): 320-323.
16.	陸京伯, 蒲佐. 日間手術在治療下肢靜脈曲張中的應用. 血管與腔內血管外科雜志, 2020, 6(2): 112-115.
17.	李詩涵, 劉芳, 杜姣姣, 等. 日間手術患者當日取消手術原因分析及改進建議. 中國衛生質量管理, 2019, 26(4): 45-47.
18.	陶玉瓊, 趙少華, 崔紀林. FOCUS-PDCA 程序在分散式日間手術模式圍術期護理中的應用. 武警后勤學院學報(醫學版), 2021, 30(2): 29-33.
19.	孔慶健, 朱新偉, 周璞, 等. 日間手術中心管理模式的實踐. 中國衛生質量管理, 2009, 16(1): 26-29.
20.	徐潔. 獨立日間手術中心的中國前路. 中國醫院院長, 2018(18): 60-61.
21.	雷甜甜, 宋應寒, 呂修和, 等. 集中管理模式下的消化道息肉日間手術管理實踐. 中華醫院管理雜志, 2020, 36(2): 136-139.

1. 戴燕, 黃明君. 日間手術護理管理的實踐. 中國護理管理, 2021, 21(6): 951-956.
2. Lionel R, Karim KM, Martin N, et al. Laparoscopic sleeve gastrectomy as day case surgery: a review of the literature. Surg Obes Relat Dis, 2019, 15(7): 1211-1217.
3. 李燦萍, 黃壽獎, 王東披, 等. 小兒日間手術標準化管理實踐與探索. 中華醫院管理雜志, 2019, 35(3): 209-212.
4. Williams OM, Faboya OM, Omisanjo OA. Parental post-operative telephone follow-up after paediatric day case surgery. World J Surg, 2021, 45(10): 3222-3229.
5. 張雨晨, 戴燕, 宋應寒. 日間手術護理質量敏感指標體系的構建. 華西醫學, 2021, 36(2): 220-224.
6. 何瓊, 張靜, 周維強, 等. 湖南省某院日間手術實施現狀分析. 中國病案, 2017, 18(2): 56-59.
7. 劉常清, 任宏飛, 李繼平, 等. 日間手術管理模式與發展現狀. 護理研究, 2016, 30(10A): 3466-3469.
8. 傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432, 2462.
9. 蔣麗莎, 馬洪升. 日間手術評價與監控指標初探. 華西醫學, 2019, 34(2): 202-205.
10. Lee CM, Rodgers C, Oh AK, et al. Reducing surgery cancellations at a pediatric ambulatory surgery center. AORN J, 2017, 105(4): 384-391.
11. Hariharan S, Chen D, Merritt-Charles L. Evaluation of the utilization of the preanaesthetic clinics in a university teaching hospital. BMC Health Serv Res, 2006, 23(6): 59.
12. 王萍, 陳程. 日間手術護患流程化溝通模式應用. 解放軍醫院管理雜志, 2021, 28(1): 82-85.
13. Xu L, Ma Y, Wang S, et al. Incidence of gastrointestinal stromal tumor in Chinese urban population: a national population-based study. Cancer Med, 2021, 10(2): 737-744.
14. Guo CG, Cheung KS, Zhang F, et al. Incidences, temporal trends and risks of hospitalisation for gastrointestinal bleeding in new or chronic low-dose aspirin users after treatment for Helicobacter pylori: a territory-wide cohort study. Gut, 2020, 69(3): 445-452.
15. 柳小卉, 柳存勖, 劉亞萍, 等. 日間手術當日取消的原因分析及對策. 東南國防醫藥, 2021, 23(3): 320-323.
16. 陸京伯, 蒲佐. 日間手術在治療下肢靜脈曲張中的應用. 血管與腔內血管外科雜志, 2020, 6(2): 112-115.
17. 李詩涵, 劉芳, 杜姣姣, 等. 日間手術患者當日取消手術原因分析及改進建議. 中國衛生質量管理, 2019, 26(4): 45-47.
18. 陶玉瓊, 趙少華, 崔紀林. FOCUS-PDCA 程序在分散式日間手術模式圍術期護理中的應用. 武警后勤學院學報(醫學版), 2021, 30(2): 29-33.
19. 孔慶健, 朱新偉, 周璞, 等. 日間手術中心管理模式的實踐. 中國衛生質量管理, 2009, 16(1): 26-29.
20. 徐潔. 獨立日間手術中心的中國前路. 中國醫院院長, 2018(18): 60-61.
21. 雷甜甜, 宋應寒, 呂修和, 等. 集中管理模式下的消化道息肉日間手術管理實踐. 中華醫院管理雜志, 2020, 36(2): 136-139.

West China Medical Journal

Causes for and countermeasures against day surgery cancellations

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content