Yousef Almuhanna, MD1, Maryyam Alshatti1, Fatima Alotaibi2. 1KIMS, 2Kuwait University
Background: Mubarak Alkabeer University Hospital serves as the main public secondary hospital for citizens living within the Hawali governate, State of Kuwait, accommodating for 915,000 Kuwaitis and non-Kuwaitis alike. Functioning as a teaching hospital due to the diverse medical and surgical fields that it encompasses, it includes general medical and surgical wards, with their susceptibilities. General, Urological, and Orthopedic surgeries are conducted within the surgical operating theaters, each with their designated rooms. Operation cancellation is evident in our main theatre.
Objective: To assess and evaluate factors related to cancelling scheduled surgeries.
Methods: A retrospective study was conducted within a 6 year-span; January 1st 2010 to December 31st 2015. The operations were elective cases, surgeries were mainly of the general surgical field. A cancelled surgery specific incident report document was filled upon cancelling a case.
Results: A total of 3,275 patients were electively operated within a 6 year time period. The number one reason for operation cancellation was due to the fact that the patient was not admitted. Percentages are as follows: 2010 (106/411)14.5%, 2011 (84/431) 11.5%, 2012 (110/493) 15.1%, 2013 (141/637) 19.3%, 2014 (115/597)15.8% , and in 2015 (183/706) 25.8% patient were unattended to operatively due to this sole reason, making it the most common cause for failure to progress with the patient's management. The second most common reason on average within these years were due to an overrun list however, this wasn't the case in 2011 and 2013. In 2011 (42/431), other reasons were the most common cause, whether that was due to unavailable beds, equipment failure, unavailable staff/equipment etc. In 2013, 63 patient's refused surgery, making it the second most common cause during that year. The third most common cause ranged from patient refusal in 2011 (4.9%) and 2012 (5.3%). In 2010 and 2013 other was listed as the most common cause with 39 (5.3%) and 38 (5.2%) patient's had their operations cancelled respectively. In 2014 and 2015 unavailable beds was the third most common cause having values of 7.3% and 8.9% each.
Conclusion: Patients who failed to show up ranked top in delaying/ cancelling surgeries. Reasons are unknown but we believe it could be due to seeking alternative earlier appointments. Further analysis is being conducted to delineate each year’s factors, aiming at shortening waiting time for their elective procedures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80810
Program Number: P640
Presentation Session: Poster (Non CME)
Presentation Type: Poster