Surgical cancellation rate
quality indicator at a public university hospital
DOI:
https://doi.org/10.5935/1415-2762.20170024Keywords:
Surgical Procedures Operative, Surgicenters, Quality Indicators Health Care, Quality Management, Perioperative NursingAbstract
The objective of the study was to identify the surgical cancellation rate in a public university hospital, as well as characterize the surgeries and the
reasons for suspension. This is a descriptive, cross-sectional, retrospective and documentary research. The study was based on surgical schedules
and medical records of patients assisted at the Surgical Center Unit of a public teaching hospital in the countryside of Paraná, Brazil. The population
came from the total number (n = 2828) of surgical procedures scheduled between April and November 2013 and the sample analyzed corresponded
to all interventions that were canceled (n = 522), regardless of the reason. Data were tabulated and analyzed through descriptive statistics, using
percentage values. An overall rate of surgical cancellation of 18.45% was obtained through an equation of a hospital quality/productivity program.
Prevalence of cancellations General Surgery (25.48%); Orthopedics (23.57%); and Neurosurgery (20.11%) were observed. The most frequent reasons
for suspension were related to those inherent to human resources (61.38%) and inefficient surgical planning (21.45%). We conclude that the identified
rate was discreetly high. It is necessary to monitor the human capital responsible for the planning and realization of surgeries.
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