Shiferaw, Addis (2016) Magnitude of Case Cancellation and Associated Factors among Elective Surgical Cases in Tikur Anbesa Specialized Hospitalhospital, Addis Ababa, Ethiopia, 2016. Masters thesis, Addis Ababa University.
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Abstract
BACK GROUND: Elective surgical case cancellation refers to any elective surgical case that is booked into the operation theatre list on the day prior to surgery, but is not operated upon as scheduled. Elective surgical case cancellation is common and can have significant adverse effects. The cancellation of planned surgeries causes prolonged wait times, harm to patients, and is a waste of scarce resources. Reasons for cancellations are complex because they are related to patients, organizational issues, and clinical staff. OBJECTIVE: To assess magnitude of case cancellation and reasons for case cancellation among elective surgical cases in Tikur Anbesa specialized hospital from February 1 to March 1, 2016 G.C. METHODS: A cross sectional study design was conducted. All elective surgical cases were included in the study. Data was collected by using pretested structured questionnaires and entered in to SPSS version 20 for analysis and cleaning up. P=0.05 value and/95% C.I was used to judge significant of association. The result of study was explained by narratives, tables and graphs. RESULTS: During the study 369 patients were scheduled for elective surgical operations, 244 (66.1%) patients were operated on their planned date and 125 (33.9%) operations were cancelled. The mean age was 27.9 ± 19.3 years, with male to female ratio of 1.67:1. The main reasons for cancellation were shortage of time related (39.2%), management related (21.48%) and patient related (20%) CONCLUSION: Cancellation of elective surgical procedures on the scheduled day of surgery was high during the study. Most of the reasons were shortage of time and management related and patient related were the least reason. Most of the reasons were avoidable. RECOMMENDATION: Implementation of patient preoperative assessment should be applied. A team approach ensuring presence of policies and procedures for improving and ensuring realistic scheduling of patient lists, reducing time spent preparing and cleaning the operating room and better handling resources should be applied.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | Q Science > Q Science (General) |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 27 Jun 2018 07:31 |
| Last Modified: | 27 Jun 2018 07:31 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5958 |
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