ABSTRACT
Hospital admission for surgery is an important event for patients. Canceling surgical procedures produce several unpleasant results for patients such as waste of time, including payment. The aim of this study is to identify the prevalence and causes of canceling surgical procedures, in order to achieve problem solving methods. This is a descriptive cross-sectional study. Statistical data regarding all surgical procedures [without sampling] performed during 2006 to 2007, were recorded in a checklist. Study variables were identified based on surgical procedures that were canceled during this study. Data was analyzed using SPSS software and statistical analysis tests. Of 4,711 scheduled patients, 510 [109%] surgical operations were canceled. The highest number of patient candidates for surgical operation was related to gynecology, orthopedic, urology, while the least were related to reconstructive and vascular surgery groups respectively. The most canceled surgical procedures were related to neurosurgical operation 32/4% [68 from 207 cases] while the least canceled cases belonged to gynecology 4/4% [48 from 1094 cases]. The results of our study showed that 54/2% of canceled cases were preventable. The results of this study and similar studies demonstrate that traditional pre-operative preparation for surgical scheduling, day before surgery is in need of serious consideration. We recommend a fundamental change by discarding traditional methods and creating a new committee including specialized bed or resource groups, monthly management meetings to discuss causes of canceling surgical procedures, in order to reduce its occurrence. Thus, decreasing the rate of canceling surgical operations can save hospital financial resources, preventing time wasted, while reducing anxiety in patients and their family
Subject(s)
Humans , Efficiency, Organizational , Cost Control , Surgical Procedures, Operative , Prevalence , Anxiety , Cross-Sectional StudiesABSTRACT
Anesthesiologists have become the first priority since they can play an important role in crisis situations to support respiratory and cardiac urgencies. In this survey, the effects of the resident anesthesiologists were studied on the death of patients having been hospitalized in the Intensive Care Unit of Imam Khomeini training and treatment center, Sari from 2000 to August 2004. In this survey, the subjects of the "case group" [passed-away patients during the residency of the anesthesiologist] have been compared to the subjects of the "control group" [having no resident anesthesiologist]. The following variables were considered for analysis: age, gender, hospitalization reasons, the original ward, reason of and the service of reference to the Intensive Care Unit, the cause of death, hospitalization period in the original ward and Intensive Care Unit, as well as the number of the visits paid by anesthesiologist. Other interfering variables [such as facilities] were not taken into account, since they had been the same for both groups. Data were analyzed using the SPSS software and the descriptive and analytical [X2,Z,T] statistical tests. The findings of this survey showed that men have died more than women [61.9% vs 38.1%] in the intensive care unit. The total hospitalization period reduced from 14 to 11 days, having an anesthesiologist residing in this ward. It was revealed that the presence of an anesthesiologist reduced the death rate from 24% to 14%. According to the findings of this survey, it has been revealed that the presence of an anesthesiologist can have an outstanding effect on the reduction of the death rate. It is taken for granted that choosing patients must be done in accordance with Classic Indications since there are limited number of beds in ICU and the admission request for different patients. In equal situations, those patients who have better opportunity and less mortality probability and better prognosis in this unit have priority