Author/Authors :
-، - نويسنده Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Ebrahimipour, Hossein , -، - نويسنده Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Shirdel, Arash , -، - نويسنده Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Rahimi, Mohammad Esmaeil , -، - نويسنده Department of Medical Records and Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. Meraji, Marzieh , -، - نويسنده Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Hooshmand, Elaheh , -، - نويسنده Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Pourtaleb, Arefe , -، - نويسنده Department Stats, Khatam-al-Anbia Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Mohammad Pour, Ebrahim , -، - نويسنده Executive Management, Khatam-al-Anbia Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Dehghani, Ali , -، - نويسنده Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Vafaee Najar, Ali
Abstract :
Introduction: Operations cancellation at the last minute is one of the main reasons of inefficiency and waste of resources in Hospitals. This study aims to investigate the reasons and the frequency of operations cancellations in Khatam-al-Anbia Eye Hospital (Mashhad-Iran) in 2013. Materials and Methods:In this descriptive and cross-sectional study, all canceled scheduled operations in 2013 in Khatam-al-Anbiya Eye Hospital were investigated and the data were recorded in a checklist. Study variables included: 1) the number of planned operations, 2) the number of canceled operations, 3) age, 4) gender and 5) the reason of operation cancellation. Data were analyzed using descriptive statistics and SPSS16. Results: Of 16512 operations scheduled during 2013, 329 cases (1.99 percent) were canceled. The reason of cancellation was not mentioned in (28.6 percent) of cases. Other reasons of operations cancellation included, in the order of importance, high-risk underlying disease (22.5%), medical advice ignorance from the patientʹs behalf (10.6%), change in clinical status (7.9%), prolongation of previous operations (7%), patient’s dissatisfaction (5.8%), Patientsʹ incomplete Nil Per Os (NPO) time (5.5%), inadequate equipment (4.6%), lack of lab tests and consultations (2.7%), diagnosis change (2.4%), surgeonʹs absence (1.8%), and incomplete admission documents (0.6%). Conclusion: In a high percentage of canceled cases, the reasons of operation cancellations had not been mentioned in the patient’s file. A significant portion of theses cancellations can be attributed to the patientsʹ incomplete cooperation. Cancellations can be significantly reduced through providing the patient with enough instructions and explanations.
