Causas de cancelación del turno quirúrgico, en un servicio de cirugía general / Causes of cancellation of the surgical turn, in a general surgery service

RESUMEN

La cancelación de procedimientos quirúrgicos en una sala de cirugía, afecta la productividad de la misma y ocasiona un impacto emocional en el paciente. Objetivo: determinar las principales causas de cancelación del turno quirúrgico, en el Servicio de Cirugía General del Hospital Dr. Francisco Antonio Rísquez, en el periodo 2006-2015. Métodos: se revisaron las planillas del plan quirúrgico diario de cirugía, en el área de quirófano y los libros de cancelación de acto quirúrgico del departamento de Cirugía del hospital. Resultados: en el Hospital "Dr. Francisco Antonio Risquez", se planificaron para acto quirúrgico del Servicio de Cirugía desde el 2006 al 2015; 2.872 pacientes, de los cuales se suspendieron 1.082 (37,67 %). Las causas específicas de las cancelaciones del turno quirúrgico fueron ausencia de anestesiólogos 613 pacientes (56,65%), prolongación del turno quirúrgico 132 (12,20%), crisis hipertensiva 81 (7,49%), aire acondicionado dañado 47 (4,34%), ascensor averiado 38 (3,51%), "otros" 36 (3,33%), falta de material quirúrgico 33 (3,05%), ausencia delespecialista en cirugía 31 (2,87%), maquina anestésica dañada 27 ( 2,50%), enfermedad aguda del paciente 20 (1,85%), área quirúrgica contaminada 14 (1,29%) y exámenes preoperatorios incompletos 10 (0,92%). Por causas atribuidas al personal médico 666 (61,55 %) casos, seguidas por las inherentes a la institución 306 (28,28 %) personas y 110 (10,17 %) suspensiones atribuibles al paciente. Conclusiones: el índice de suspensión de cirugías en el período evaluado en nuestro centro fue muy alto. Las principales causas de cancelación del turno quirúrgico fueron atribuibles al personal médico(AU)

ABSTRACT

the cancellation of surgical procedures in a surgery room affects the productivity of the same and causes an emotional impact on the patient. Objective: to determine the main causes of cancellation of surgical interventions in the department of General Surgery of "Dr. Francisco Antonio Rísquez" Hospital, during the period comprised between 2006 and 2015. Methods: the daily surgical schedule formats were revised, located on the fourth floor in the operating room area, as well as the books detailing the cancellation of interventions by the department of Surgery, located in the hospital's office of medical records. Results: in "Dr. Francisco Antonio Rísquez" Hospital, 2.872 patients were scheduled for intervention by the department of surgery between the years 2006 and 2015, of which 1.082 (37, 67%) The specific causes behind the cancellation of the interventions were absence of anesthesiologist 613 (56,65%), prolonged surgery times 132 (12,20%), hypertensive crisis 81 (7,49%), malfunctioning air conditioning 47 (4,34%), elevator out of order 38 (3,51%), others 36 (3,33%), lack of surgical equipment 33 (3,05%), absence of attending surgeon 31 (2,87%), patient with acute illness 27 (2,50%), non-operative anesthesia machinery 20 (1,85%), contaminated operating room 14 (1,29%) and incomplete preoperatory exams 10 (0,92%). Causes attributed to medical staff predominated by 666 (61, 55%) cases, followed by causes attributed to the hospital in 306 (28, 28%) people, and 110 (10, 17%) suspensions attributed to the patient. Conclusions: the rate of suspension of surgeries in our center was very high and therefore worrisome for all health personnel. The main causes of cancellation of the surgical shift were attributable to medical personnel(AU)