Surgical cancellation rate

quality indicator at a public university hospital

Authors

  • Silvania Lopes Pinheiro Universidade Estadual do Oeste do Paraná - UNIOESTE, Programa de Residência em Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica. Cascavel, PR - Brasil. https://orcid.org/0009-0009-1661-4991
  • Raissa Ottes Vasconcelos Universidade Estadual do Oeste do Paraná - UNIOESTE, Programa de Residência em Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica. Cascavel, PR - Brasil. https://orcid.org/0000-0002-6526-2197
  • João Lucas Campos de Oliveira Universidade Estadual do Oeste do Paraná - UNIOESTE, Programa de Residência em Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica. Cascavel, PR - Brasil. https://orcid.org/0000-0002-1822-2360
  • Fabiana Gonçalves de Oliveira Azevedo Matos Universidade Estadual do Oeste do Paraná - UNIOESTE, Programa de Residência em Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica. Cascavel, PR - Brasil. https://orcid.org/0000-0002-5283-5363
  • Nelsi Salete Tonini Universidade Estadual do Oeste do Paraná - UNIOESTE, Programa de Residência em Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica. Cascavel, PR - Brasil. https://orcid.org/0000-0003-4704-7634
  • Débora Cristina Ignácio Alves Universidade Estadual do Oeste do Paraná - UNIOESTE, Programa de Residência em Gerenciamento de Enfermagem em Clínica Médica e Cirúrgica. Cascavel, PR - Brasil. https://orcid.org/0009-0005-9661-3710

DOI:

https://doi.org/10.5935/1415-2762.20170024

Keywords:

Surgical Procedures Operative, Surgicenters, Quality Indicators Health Care, Quality Management, Perioperative Nursing

Abstract

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.

Downloads

Download data is not yet available.

References

1. Vituri DW, Évora YDM. Gestão da Qualidade Total e enfermagem hospitalar: uma revisão integrativa de literatura. Rev Bras Enferm. 2015[cited 2016 Oct 02]68(5):945-52. Available from: http://dx.doi.org/10.1590/0034-7167.2015680525i

2. Galdino SV, Reis EMB, Santos CB, Soares FP, Lima FS, Piedade MACR, et al. Ferramentas de qualidade na gestão dos serviços de saúde: revisão integrativa de literatura. Rev Gest Saúde. 2016[cited 2016 Oct 02]7(Supl.1):1023-57. Available from: http://www.gestaoesaude.unb.br/index.php/gestaoesaude/article/view/1503/pdf

3. Pena MM, Silva EMS, Tronchin DMR, Melleiro MM. The use of the quality model of Parasuraman, Zeithaml and Berry in health services. Rev Esc Enferm USP. 2016[cited 2016 Oct 02]47(5):1227-32. Available from: http://dx.doi.org/10.1590/S0080-623420130000500030.

4. Vituri DW, Évora YDM. Reliability of indicators of nursing care quality: testinginterexaminer agreement and reliability. Rev Latino-Am Enferm. 2014[cited 2016 Oct 02]22(2):234-40. Available from: http://dx.doi.org/10.1590/0104-1169.3262.2407

5. Compromisso com a Qualidade Hospitalar (CQH). Caderno de indicadores CQH. 2009. [cited 2016 Oct 02]. Available from: http://www.cqh.org.br/portal/pag/doc.php?p_ndoc=127

6. Sousa SC, Akamine J. Aplicação de indicadores para análise de desempenho do centro cirúrgico. RAS. 2008[cited 2016 Oct 03]10(41):147-50. Available from: http://www.cqh.org.br/portal/pag/anexos/baixar.php?p_ndoc=214&p_nanexo=96

7. Sodré RLS, Fahl MAFE. Cancelamento de cirurgias em um hospital público na cidade de São Paulo. RAS. 2014[cited 2016 Oct 03]16(63):67-70. Available from: http://www.cqh.org.br/portal/pag/anexos/baixar.php?p_ndoc=1355&p_nanexo=611

8. Appavu ST, Shekaili SM, Sharif AN, Elawdy MM. The burdenof surgical cancellations and no-shows: quality management study from a large regionalhospital in Oman. Sultan Qaboos Univ Med J. 2016[cited 2016 Oct 03]16(3):298-302. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996291/#!po=3.57143

9. Sampaio CEP, Gonçalves RA, Júnior HC. Determination of surgery suspension factors and their constributions with nursing assistance. J Res Fundam Care online. 2016[cited 2016 Oct 03]8(3):4813-20. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/viewFile/4346/pdf_1

10. Perroca MG, Jericó MC, Facundin SD. Cancelamento cirúrgico em um hospital escola: implicações sobre o gerenciamento de custos. Rev Latino-Am Enferm. 2007[cited 2016 Oct 03]15(5):1018-24. Available from: http://www.scielo.br/pdf/rlae/v15n5/pt_v15n5a20.pdf

11. Perroca MG, Jericó MC, Facundin SD. Monitorando o cancelamento de procedimentos cirúrgicos: indicador de desempenho organizacional. Rev Esc Enferm USP. 2007 [cited 2016 Oct 03]41(1):113-9. Available from: http://www.scielo.br/pdf/reeusp/v41n1/v41n1a14.pdf

12. Macedo JM, Kano JA, Braga EM, Garcia MA, Caldeira SM. Cancelamento de cirurgias em um hospital universitário: causas e tempo de espera para novo procedimento. Rev SOBECC. 2013[cited 2016 Oct 03]18(1):26-34. Available from: http://www.sobecc.org.br/arquivos/artigos/2012/pdf/Artigos-Cientificos/Ano18_n1_jan_mar2013_cancelamento-de-cirurgias-em-um-hospital-universitario.pdf

13. Dahfar KO, Ulmalki MA, Felemban MA, Mahfouz ME, Baljoon MJ, Gazaz ZJ, et al. Cancellation of operations in Saudi Arabian hospitals: frequency, reasons and suggestions for improvements. Pak J Med Sci. 2015[cited 2016 Oct 03]31(5):1027-32. Available from: http://dx.doi.org/10.12669/pjms.315.7932

14. Fayed A, Elkouny A, Zoughaibi N, Wahabi HA. Elective surgery cancelation on day of surgery: an endless dilemma. Saudi J Anaesth. 2016[cited 2016 Oct 03]10(1):68-73. Available from: https://dx.doi.org/10.4103%2F1658-354X.169479

15. Kaddoum R, Fadlallah R, Hitti E, Jardali F, Eid G. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res. 2016[cited 2016 Oct 03]16(259):67-70. Available from: https://dx.doi.org/10.1186%2Fs12913-016-1475-6

16. Souza NVDO, Mauricio VC, Marques LC, Mello CV, Leite GFP. Determinantes para suspensões cirúrgicas em um hospital universitário. REME - Rev Min Enferm. 2010[cited 2016 Oct 03]14(1):82-7. Available from: http://www.reme.org.br/artigo/detalhes/91

17. Compromisso com a Qualidade Hospitalar (CQH). Indicadores hospitalar - ano 2013 - hospitais gerais selados pelo CQH. [cited 2016 Oct 02]. Available from: http://www.cqh.org.br/icqh/estat/ind/web.php

18. Locks MOH, Fernandez DLR, Amante LN, Hammerschmidt KSA, Sebold LF, Girondi JB. Assistência de enfermagem segura e qualificada: avaliação do risco cirúrgico no cuidado perioperatório ao idoso. Cogitare Enferm. 2016[cited 2016 Oct 03]21(3):1-7. Available from: http://dx.doi.org/10.5380/ce.v21i3.45265

19. Schofield WN, Rubin GL, Piza M, Lai YY, Sindhusake D, Fearnside MR, et al. Cancellation of operations on the day of intended surgery at a major Australian referral hospital. Med J Aust. 2005[cited 2016 Oct 03]182(12):612-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/15963016

20. Rosin J, Tres DP, Santos RP, Peres RR. Oliveira JLC. Desenvolvimento de competências gerenciais na enfermagem: experiência entre residentes. Rev Gest Saúde. 2016[cited 2016 Oct 03]7(1):231-46. Available from: http://www.gestaoesaude.unb.br/index.php/gestaoesaude/article/view/1461/pdf

Downloads

Published

2017-11-09

Issue

Vol. 21 (2017)

Section

Research

License

Copyright (c) 2017 Reme: Revista Mineira de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Pinheiro SL, Vasconcelos RO, Oliveira JLC de, Matos FG de OA, Tonini NS, Alves DCI. Surgical cancellation rate: quality indicator at a public university hospital. REME Rev Min Enferm. [Internet]. 2017 Nov. 9 [cited 2026 Jul. 22];21. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49877

Most read articles by the same author(s)