Retrospective analysis for the reasons for surgeries cancellation in the operating room in St John eye hospital, Palestine: Gaza
Fadi Tyseer Alijla
Study Objective: This study aims to reduce cancelation rate in the operations rooms (OR), among analyzing the reasons for cancellation of surgeries, and to determine the effect on patient outcomes. Design: Retrospective analysis, applying open coding thematic analysis for theatre records. Measurements: A retrospective analysis of cancellations of scheduled elective and urgent operations was done using theatre records from January 2017 to November 2019. The reasons for cancellation were examined and classified into eleven main canceling reason groups which are (Medically unfit, pre op not complete, infected wound, need GA, Change plan, eye Discharge, un-cooperative, High IOP, Logistic shortage, Refused to sign, Gaza Crisis). Main Results and Conclusion: The total numbers of surgeries for the study period were 3831 operations, and 8.53 % were cancelled or postponed (327 cases). Lack of medical clearance and Unfit for surgery (51.3%) was the most common reason for cancellation then Change the plan of treatment by the surgeon (14.3%) either risk outweighed the benefits of surgery, or alternative treatments were used. So that, improving the preoperative evaluations may have significant effect to reduce the number of cancellations after the patient has entered the operating room.
Fadi Tyseer Alijla. Retrospective analysis for the reasons for surgeries cancellation in the operating room in St John eye hospital, Palestine: Gaza. International Journal of Medical and Health Research, Volume 6, Issue 3, 2020, Pages 06-09