Abstract : Abstract
Background: Abolition of surgical procedures in hospitals occurs for various reasons, such as: Pre-surgery patient's preparation, patient's clinical problems, delay in the presence of the surgical team, change in the patient's schedule, patient admission problems, time constraints and priority of the procedure Emergency surgery. Since the abolition of surgical procedures is considered small in spite of the importance of the problem, this retrospective study was designed to determine the extent and factors associated with the abolition of surgical procedures on the day of surgery in the Shariati Hospital of Isfahan to cancel it by presenting its results are used for cost reduction and patient satisfaction by surgeons, anesthesiologists, nurses and hospital officials.
Methods: this cross-sectional and retrospective study was performed on all surgical data done in 1394 - 1395 in Isfahan Shariati Hospital. In addition to the type of surgery, information about the patient's hospitalization, patient's age, gender, and ultimately the reason for the abortion of the patient's surgery were also taken from the unit statistics and entered into the checklist for the study. Then, this information was classified according to the specific objectives of the study and analyzed by SPSS software version 20.
Results: The highest frequency of surgical abolition was related to the general surgery department (56.9%), then the urology department (14.4%) and the least abolition of surgery was in the women's department (3.3%). The most common cause of surgical abandonment was causes of patient (31.4%), then physician (21.2%) and the least cause was hospital (8.2%). There was no significant difference in the frequency of surgical cancellation due to the gender of the patients. The most common cause of surgical abolition was in general surgery department, patient (26.4%) and physician (25.3%); in the urology department it was patient (52.3%), in the women's department, the cause of anesthesia (50%), in Orthopedic department causes were different causes (35.9%), in nerve surgery department patient (32.3%) and physician (22.6%), and finally in other parts, patients (62.5%) and anesthesia (5.37%). This difference was statistically significant (P <0.001).
Conclusion: Due to the high causes of the patient and the surgeon to cancel the surgery, and that the most canceled surgeries were also in the general surgery department, they should use the work of the specialized teams to make the necessary changes to reduce the cases, or even In the monthly management sessions in the hospital, the reasons for canceling were minimized in order to minimize avoidable cases, in addition to maintaining hospital resources and optimizing the operating room time, it was also effective in reducing the anxiety and concern of patients and their families.