PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 7978670

Cancelled elective surgery: an evaluation.

M J Lacqua·J T Evans
View original source ↗Export metadata ↓

Abstract

Cancelled elective surgical cases result in wasted operating room time and additional hospital expense. We prospectively reviewed 1063 scheduled cases that resulted in 184 (17%) cancellations. For outpatient surgery, urology had significantly more, and orthopedic and pediatric surgery significantly fewer cancellations. For inpatient surgery, plastic surgery had significantly more and orthopedic surgery and obstetrics and gynecology significantly fewer cancellations. Lack of medical clearance and outpatient "no shows" accounted for the majority of avoidable cancellations. Case cancellations can be decreased by improved preoperative patient evaluation, improved communication between physician and patient, and modified schedule design.

Explore related subjects

Ambulatory Surgical ProceduresAnesthesia Department, HospitalAppointments and SchedulesCommunicationElective Surgical ProceduresHumansNew YorkObstetrics and Gynecology Department, HospitalOperating RoomsOrthopedicsPatient AdmissionPatient DropoutsPediatricsPhysician-Patient RelationsProspective StudiesSurgery Department, HospitalSurgery, PlasticUrology Department, HospitalJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M J Lacqua, J T Evans. 1994. Cancelled elective surgery: an evaluation.. https://pubmed.ncbi.nlm.nih.gov/7978670/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

Ambulatory Surgical Procedures↗