Al Talalwah N, McIltrot KH. Cancellation of Surgeries: Integrative Review.
J Perianesth Nurs 2018;
34:86-96. [PMID:
29678319 DOI:
10.1016/j.jopan.2017.09.012]
[Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 08/19/2017] [Accepted: 09/22/2017] [Indexed: 10/17/2022]
Abstract
PURPOSE
To analyze cancellations of surgeries and identify evidence-based interventions to address this issue.
DESIGN
Integrative literature review.
METHODS
An integrative literature search was conducted in four databases: CINAHL, PubMed, Embase, and Cochrane and included literature sources dated January 2011 to January 2016. The complete list of search terms consisted of the following: ambulatory surgery, day surgery center, elective surgical procedure, elective operation, elective surgery, schedule, access to care, surgery cancellation, operation cancellation, and surgery delay.
FINDINGS
Twenty-three literature sources were identified. Evidence included one randomized controlled trial and multiple studies. Causes of cancellations were classified into three categories: hospital-related reasons, patient-related reasons, and surgeon-related reasons. Evidence confirmed most cancellations were avoidable.
CONCLUSIONS
Cancellation of scheduled surgeries has a significant impact on patients' health, resources, cost, and quality of care. It is difficult to devise a solution without understanding the cause of cancellations.
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