I chose an article from the Journal of PeriAnesthesia Nursing, called Reducing Preventable Surgical Cancellations: Improving the Preoperative Anesthesia Interview process. I can relate to this particular article because we have frequent surgery cancellations due to a number of factors and I thought my hospital could make improvements in the pre-op interview process as the group in the article did. And I really hope I have attached these documents properly.
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This will be a great article and information for a journal club. I think showing and discussing the impacts of the unscheduled surgery cancellations as well has the costs could significantly help with buy-in. In addition, late patient surgery cancellation can be disruptive to the team. “Factors Associated With Late Surgical Cancellations in Pediatric Plastic and Oral Surgery” is another complimentary study that focused on identifying factors associated with late cancellations in a tertiary pediatric surgical practice.
Researchers from Children’s Hospital Describe Findings in Oral Surgery (Factors Associated With Late Surgical Cancellations in Pediatric Plastic and Oral Surgery). (2018). Medical Devices & Surgical Technology Week, 1063.
Hi Duke. Thanks so much for the complimentary article. I am having a very difficult time finding other articles for my systemic search.
This is a great article highlighting information that can be used in pre-op settings. The pre-op interview is very important for patients undergoing surgical procedures. For example, the answers to questions can affect the type of anesthetic used during the patient’s procedure. An article I found said that the pre op interview has been shown to reduce patient anxiety before surgery, as well as decrease post op pain and the length of the hospital stay (Kim, 2012). It allows the patient to have all the information on expectations of pain post operatively and gives the patient that sense of control over the knowledge that they have.
When patients have a better understanding of what to expect for that surgery day, there is a better chance of them showing up for their surgery having followed the correct instructions for that day, such as arriving NPO or not taking certain medications the day of surgery. This would decrease the number of surgery cancellations that are related to patients not knowing or following correct pre-op instructions for surgery.
Source:
Kim J. H. (2012). Preoperative evaluation of a surgical patient; preanesthetic interview by anesthesiology residents. Korean journal of anesthesiology, 62(3), 207–208. https://doi.org/10.4097/kjae.2012.62.3.207
Yes Sadie. We have numerous surgery cancellations at my hospital. We cannot reach every one of our patients because we have only one pre-op phone nurse, who has another job, which is making follow up phone calls for dismissed patients. He is very overburdened, and those calls come before our pre-op phone calls do. Not only do we not have enough manpower for the job, we also have poor communication with the physician’s offices about our expectations of the patient prior to surgery. The patients that do get reached are very grateful for the details and education they receive pre-op.
We too work hard to decrease DOS cancellations. We have implemented a pre-admission screening unit to call the patient prior to day a surgery to obtain history, clearances, and attempt to resolve issues prior to DOS. It has helped us tremendously.
“DOS cancellation is a world-wide problem with reported incidences ranging from less than 1 % to over 23 %”.
Kaddoum, R., Fadlallah, R., Hitti, E., El-Jardali, F., & El Eid, G. (2016). Causes of cancellations on the day of surgery at a Tertiary Teaching Hospital. BMC health services research, 16, 259. https://doi.org/10.1186/s12913-016-1475-6