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Causes of Cancellations on the Day of Surgery at Two Major University Hospitals
Andreas R. Seim*,
Tom Fagerhaug,
Sveinung Ryen,
Paige Curran,
Ola Sæther,
Hans Myhre,
and
Warren Sandberg
* To whom correspondence should be addressed. E-mail: andreas.seim{at}sintef.no.
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Abstract |
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Cancellations of elective cases on the day of surgery waste valuable operating-room time. The authors studied cancellations at an American hospital and a Norwegian university hospital to test (a) whether the quality of hospital administrative data on cancellations is sufficient for meaningful comparative analysis and (b) whether causes of cancellations at these 2 major academic hospitals are comparable. Large retrospective cause-of-cancellation data sets were obtained from each hospital. The authors then prospectively established root causes of cancellations by on-site investigation and interviews of the hospital personnel involved. The surgical department at the Norwegian hospital cancelled 14.58% of cases in 2003 and 16.07% in 2004. The American hospital cancelled 16.52% of all cases between May 1, 2003, and April 30, 2004. Administrative data may give a rough picture of causes of cancellations. However, most findings at either of the hospitals do not translate easily to the other.
First published on May 21, 2009, doi:10.1177/1553350609335035
Surgical Innovation 2009;16:173.
A more recent version of this article appeared on June 1, 2009
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