The Cancellation of Elective Operations: a Systematic Literature Review_West China Medical Journal

Authors：

 YanLing ¹ , GongRenrong ² , ShiYingkang ¹ ,  WenJin ¹

1. Research Institute of Hospital Management; West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Surgery; West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WenJin, Email: huaxiwenjin@163.com

Keywords：

Surgical cancellation; Elective operation; Medical resource

DOI：

10.7507/1002-0179.201600470

Video：

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Objective To provide reference for major hospital operating room management in China by summarizing the main results from articles involving cancellation of elective operations. Methods We systematically searched PubMed, China National Knowledge Infrastructure, VIP and Wanfang databases up to January 31, 2016. The main results of eligible articles were described. Results A total of 37 articles were included, one of which was not included for further qualitative analysis due to low quality. The research type of included studies were retrospective studies and prospective studies accounting for 62.16% and 27.03%, respectively. The research object and rate of cancelled operation were varied among studies (0.15%-40.80%). The causes of cancellation were divided into hospital-related factors, staff-related factors and patient-related factors. Conclusions The cancellation of elective surgery is an important influence factor for the quality of healthcare. Identifying avoidable areas and proposing relative suggestions are aimed to decrease the rate of cancellation.

Citation： YanLing, GongRenrong, ShiYingkang, WenJin. The Cancellation of Elective Operations: a Systematic Literature Review. West China Medical Journal, 2016, 31(10): 1710-1710. doi: 10.7507/1002-0179.201600470 Copy

1.	陶水华, 林梅.手术室资源管理的探讨[J].护士进修杂志, 2003, 18(1): 60-61.
2.	Healthcare Financial Management Association. Achieving operating room efficiency through process integration[J]. Healthc Financ Manage, 2003, 57(3): suppl 1-7 following 112.
3.	Mangan JL, Walsh C, Kernohan WG, et al. Total joint replacement: implication of cancelled operations for hospital costs and waiting list management[J]. Qual Health Care, 1992, 1(1): 34-37.
4.	Guyuron B, Zarandy S. Causes for cancellation of aesthetic and reconstructive procedures[J]. Plast Reconstr Surg, 1993, 92(4):662-668; discussion 669-670.
5.	Tait AR, Voepel-Lewis T, Munro HM, et al. Cancellation of pediatric outpatient surgery: economic and emotional implications for patients and their families[J]. J Clin Anesth, 1997, 9(3): 213-219.
6.	Fitzsimons MG, Dilley JD, Moser C, et al. Analysis of 43 intraoperative cardiac surgery case cancellations[J]. J Cardiothorac Vasc Anesth, 2016, 30(1): 19-22.
7.	徐芳, 刘力戈, 李伟荣.减少择期手术临时取消病例的做法与体会[J].中国医院管理, 2015, 35(2): 26-28.
8.	Sahraoui A, Elarref M. Bed crisis and elective surgery late cancellations: an approach using the theory of constraints[J]. Qatar Med J, 2014(1): 1-11.
9.	McKendrick DR, Cumming GP, Lee AJ. A 5-year observational study of cancellations in the operating room: does the introduction of preoperative preparation have an impact?[J]. Saudi J Anaesth, 2014, 8(Suppl 1): S8-S14.
10.	Kim KO, Lee J. Reasons for cancellation of elective surgery in a 500-bed teaching hospital: a prospective study[J]. Korean J Anesthesiol, 2014, 67(1): 66-67.
11.	Chang JH, Chen KW, Chen KB, et al. Case review analysis of operating room decisions to cancel surgery[J]. BMC Surg, 2014, 14(47): 47.
12.	Caesar U, Karlsson J, Olsson LE, et al. Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17, 625 consecutive cases[J]. Patient Saf Surg, 2014, 8(24): 24.
13.	侯艳玲, 马静, 马厚芝.择期手术当日停台原因及分析[J].华西医学, 2014, 29(4): 754-756.
14.	王筱君, 胡小灵, 郝雪梅. 1080例择期手术当日取消原因分析及管理对策[J].中国医学装备, 2014, 11(增刊1): 139-141.
15.	杨华.既定手术被取消的原因分析及对策[J].医药前沿, 2014(6): 379-380.
16.	Laisi J, Tohmo H, Keränen U. Surgery cancelation on the day of surgery in same-day admission in a Finnish hospital[J]. Scand J Surg, 2013, 102(3): 204-208.
17.	Dimitriadis PA, Iyer S, Evgeniou E. The challenge of cancellations on the day of surgery[J]. Int J Surg, 2013, 11(10): 1126-1130.
18.	Leslie RJ, Beiko D, van Vlymen J, et al. Day of surgery cancellation rates in urology: identification of modifiable factors[J]. Can Urol Assoc J, 2013, 7(5/6): 167-173.
19.	Kumar R, Gandhi R. Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital[J]. J Anaesthesiol Clin Pharmacol, 2012, 28(1): 66-69.
20.	Chiu CH, Lee A, Chui PT. Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: point prevalence and reasons[J]. Hong Kong Med J, 2012, 18(1): 5-10.
21.	王辉, 吴虎兵.择期手术取消影响因素分析[J].医院院长论坛, 2012, 9(3): 46-49.
22.	解秀涛, 常后婵, 钟爱玲, 等.择期手术临时取消的原因分析及管理对策[J].护理管理杂志, 2012, 12(5): 366-367.
23.	Schuster M, Neumann C, Neumann K, et al. The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study[J]. Anesth Analg, 2011, 113(3): 578-585.
24.	Mesmar M, Shatnawi NJ, Faori I, et al. Reasons for cancellation of elective operations at a major teaching referral hospital in Jordan[J]. East Mediterr Health J, 2011, 17(8): 651-655.
25.	Tung A, Dexter F, Jakubczyk S, et al. The limited value of sequencing cases based on their probability of cancellation[J]. Anesth Analg, 2010, 111(3): 749-756.
26.	Trentman TL, Mueller JT, Fassett SL, et al. Day of surgery cancellations in a tertiary care hospital: a one year review[J].J Anesth Clin Res, 2010, 1(3): 109-113.
27.	Sung WC, Chou AH, Liao CC, et al. Operation cancellation at Chang Gung Memorial Hospital[J]. Chang Gung Med J, 2010, 33(5): 568-575.
28.	Lau HK, Chen TH, Liou CM, et al. Retrospective analysis of surgery postponed or cancelled in the operating room[J]. J Clin Anesth, 2010, 22(4): 237-240.
29.	Bathla S, Mohta A, Gupta A, et al. Cancellation of elective cases in pediatric surgery: an audit[J]. J Indian Assoc Pediatr Surg, 2010, 15(3): 90-92.
30.	Bamashmus M, Haider T, Al-Kershy R. Why is cataract surgery canceled? A retrospective evaluation[J]. Eur J Ophthalmol, 2010, 20(1): 101-105.
31.	Haana V, Sethuraman K, Stephens L, et al. Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital[J]. ANZ J Surg, 2009, 79(9): 636-640.
32.	González-Arévalo A, Gómez-Arnau JI, delacruz FJ, et al. Causes for cancellation of elective surgical procedures in a Spanish general hospital[J]. Anaesthesia, 2009, 64(5): 487-493.
33.	Garg R, Bhalotra AR, Bhadoria P, et al. Reasons for cancellation of cases on the day of surgery-a prospective study[J]. Indian J Anaesth, 2009, 53(1): 35-39.
34.	Ahmed T, Khan M, Khan FA. Cancellation of surgery in patients attending the preoperative anaesthesia assessment clinic: a prospective audit[J]. J Pak Med Assoc, 2009, 59(8): 547-550.
35.	Seim AR, Fagerhaug T, Ryen SM, et al. Causes of cancellations on the day of surgery at two major university hospitals[J]. Surg Innov, 2009, 16(2): 173-180.
36.	Chamisa I. Why is surgery cancelled? A retrospective evaluation[J]. S Afr J Surg, 2008, 46(3): 79-81.
37.	Zafar A, Mufti TS, Griffin S, et al. Cancelled elective general surgical operations in Ayub Teaching Hospital[J]. J Ayub Med Coll Abbottabad, 2007, 19(3): 64-66.
38.	Sanjay P, Dodds A, Miller E, et al. Cancelled elective operations: an observational study from a district general hospital[J]. J Health Organ Manag, 2007, 21(1): 54-58.
39.	Perroca MG, Jericó Mde C, Facundin SD. Surgery cancelling at a teaching hopsital: implications for cost management[J]. Rev Lat Am Enfermagem, 2007, 15(5): 1018-1024.
40.	Oluwadiya KS, Olasinde AA, Olakulehin OA, et al. The causes and outcomes of cancellation of orthopaedic surgeries at the obafemi awolowo university teaching hospital complex ile-ife, Nigeria[J]. Niger Postgrad Med J, 2007, 14(1): 42-45.
41.	Schofield WN, Rubin GL, Piza M, et al. Cancellation of operations on the day of intended surgery at a major Australian referral hospital[J]. Med J Aust, 2005, 182(12): 612-615.
42.	Ivarsson B, Larsson S, Sjoberg T. Postponed or cancelled heart operations from the patient's perspective[J]. J Nurs Manag, 2004, 12(1): 28-36.
43.	Kennedy MJ. An exploratory study of the responses of the patient to the cancellation of his surgery[J]. Int J Nurs Stud, 1969, 6(3): 121-132.
44.	罗彩琴, 张振香, 陈青钦.骨科住院病人手术暂停的原因分析与护理管理[J].护理研究:下旬版, 2006(36): 3358-3360.

1. 陶水华, 林梅.手术室资源管理的探讨[J].护士进修杂志, 2003, 18(1): 60-61.
2. Healthcare Financial Management Association. Achieving operating room efficiency through process integration[J]. Healthc Financ Manage, 2003, 57(3): suppl 1-7 following 112.
3. Mangan JL, Walsh C, Kernohan WG, et al. Total joint replacement: implication of cancelled operations for hospital costs and waiting list management[J]. Qual Health Care, 1992, 1(1): 34-37.
4. Guyuron B, Zarandy S. Causes for cancellation of aesthetic and reconstructive procedures[J]. Plast Reconstr Surg, 1993, 92(4):662-668; discussion 669-670.
5. Tait AR, Voepel-Lewis T, Munro HM, et al. Cancellation of pediatric outpatient surgery: economic and emotional implications for patients and their families[J]. J Clin Anesth, 1997, 9(3): 213-219.
6. Fitzsimons MG, Dilley JD, Moser C, et al. Analysis of 43 intraoperative cardiac surgery case cancellations[J]. J Cardiothorac Vasc Anesth, 2016, 30(1): 19-22.
7. 徐芳, 刘力戈, 李伟荣.减少择期手术临时取消病例的做法与体会[J].中国医院管理, 2015, 35(2): 26-28.
8. Sahraoui A, Elarref M. Bed crisis and elective surgery late cancellations: an approach using the theory of constraints[J]. Qatar Med J, 2014(1): 1-11.
9. McKendrick DR, Cumming GP, Lee AJ. A 5-year observational study of cancellations in the operating room: does the introduction of preoperative preparation have an impact?[J]. Saudi J Anaesth, 2014, 8(Suppl 1): S8-S14.
10. Kim KO, Lee J. Reasons for cancellation of elective surgery in a 500-bed teaching hospital: a prospective study[J]. Korean J Anesthesiol, 2014, 67(1): 66-67.
11. Chang JH, Chen KW, Chen KB, et al. Case review analysis of operating room decisions to cancel surgery[J]. BMC Surg, 2014, 14(47): 47.
12. Caesar U, Karlsson J, Olsson LE, et al. Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17, 625 consecutive cases[J]. Patient Saf Surg, 2014, 8(24): 24.
13. 侯艳玲, 马静, 马厚芝.择期手术当日停台原因及分析[J].华西医学, 2014, 29(4): 754-756.
14. 王筱君, 胡小灵, 郝雪梅. 1080例择期手术当日取消原因分析及管理对策[J].中国医学装备, 2014, 11(增刊1): 139-141.
15. 杨华.既定手术被取消的原因分析及对策[J].医药前沿, 2014(6): 379-380.
16. Laisi J, Tohmo H, Keränen U. Surgery cancelation on the day of surgery in same-day admission in a Finnish hospital[J]. Scand J Surg, 2013, 102(3): 204-208.
17. Dimitriadis PA, Iyer S, Evgeniou E. The challenge of cancellations on the day of surgery[J]. Int J Surg, 2013, 11(10): 1126-1130.
18. Leslie RJ, Beiko D, van Vlymen J, et al. Day of surgery cancellation rates in urology: identification of modifiable factors[J]. Can Urol Assoc J, 2013, 7(5/6): 167-173.
19. Kumar R, Gandhi R. Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital[J]. J Anaesthesiol Clin Pharmacol, 2012, 28(1): 66-69.
20. Chiu CH, Lee A, Chui PT. Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: point prevalence and reasons[J]. Hong Kong Med J, 2012, 18(1): 5-10.
21. 王辉, 吴虎兵.择期手术取消影响因素分析[J].医院院长论坛, 2012, 9(3): 46-49.
22. 解秀涛, 常后婵, 钟爱玲, 等.择期手术临时取消的原因分析及管理对策[J].护理管理杂志, 2012, 12(5): 366-367.
23. Schuster M, Neumann C, Neumann K, et al. The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study[J]. Anesth Analg, 2011, 113(3): 578-585.
24. Mesmar M, Shatnawi NJ, Faori I, et al. Reasons for cancellation of elective operations at a major teaching referral hospital in Jordan[J]. East Mediterr Health J, 2011, 17(8): 651-655.
25. Tung A, Dexter F, Jakubczyk S, et al. The limited value of sequencing cases based on their probability of cancellation[J]. Anesth Analg, 2010, 111(3): 749-756.
26. Trentman TL, Mueller JT, Fassett SL, et al. Day of surgery cancellations in a tertiary care hospital: a one year review[J].J Anesth Clin Res, 2010, 1(3): 109-113.
27. Sung WC, Chou AH, Liao CC, et al. Operation cancellation at Chang Gung Memorial Hospital[J]. Chang Gung Med J, 2010, 33(5): 568-575.
28. Lau HK, Chen TH, Liou CM, et al. Retrospective analysis of surgery postponed or cancelled in the operating room[J]. J Clin Anesth, 2010, 22(4): 237-240.
29. Bathla S, Mohta A, Gupta A, et al. Cancellation of elective cases in pediatric surgery: an audit[J]. J Indian Assoc Pediatr Surg, 2010, 15(3): 90-92.
30. Bamashmus M, Haider T, Al-Kershy R. Why is cataract surgery canceled? A retrospective evaluation[J]. Eur J Ophthalmol, 2010, 20(1): 101-105.
31. Haana V, Sethuraman K, Stephens L, et al. Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital[J]. ANZ J Surg, 2009, 79(9): 636-640.
32. González-Arévalo A, Gómez-Arnau JI, delacruz FJ, et al. Causes for cancellation of elective surgical procedures in a Spanish general hospital[J]. Anaesthesia, 2009, 64(5): 487-493.
33. Garg R, Bhalotra AR, Bhadoria P, et al. Reasons for cancellation of cases on the day of surgery-a prospective study[J]. Indian J Anaesth, 2009, 53(1): 35-39.
34. Ahmed T, Khan M, Khan FA. Cancellation of surgery in patients attending the preoperative anaesthesia assessment clinic: a prospective audit[J]. J Pak Med Assoc, 2009, 59(8): 547-550.
35. Seim AR, Fagerhaug T, Ryen SM, et al. Causes of cancellations on the day of surgery at two major university hospitals[J]. Surg Innov, 2009, 16(2): 173-180.
36. Chamisa I. Why is surgery cancelled? A retrospective evaluation[J]. S Afr J Surg, 2008, 46(3): 79-81.
37. Zafar A, Mufti TS, Griffin S, et al. Cancelled elective general surgical operations in Ayub Teaching Hospital[J]. J Ayub Med Coll Abbottabad, 2007, 19(3): 64-66.
38. Sanjay P, Dodds A, Miller E, et al. Cancelled elective operations: an observational study from a district general hospital[J]. J Health Organ Manag, 2007, 21(1): 54-58.
39. Perroca MG, Jericó Mde C, Facundin SD. Surgery cancelling at a teaching hopsital: implications for cost management[J]. Rev Lat Am Enfermagem, 2007, 15(5): 1018-1024.
40. Oluwadiya KS, Olasinde AA, Olakulehin OA, et al. The causes and outcomes of cancellation of orthopaedic surgeries at the obafemi awolowo university teaching hospital complex ile-ife, Nigeria[J]. Niger Postgrad Med J, 2007, 14(1): 42-45.
41. Schofield WN, Rubin GL, Piza M, et al. Cancellation of operations on the day of intended surgery at a major Australian referral hospital[J]. Med J Aust, 2005, 182(12): 612-615.
42. Ivarsson B, Larsson S, Sjoberg T. Postponed or cancelled heart operations from the patient's perspective[J]. J Nurs Manag, 2004, 12(1): 28-36.
43. Kennedy MJ. An exploratory study of the responses of the patient to the cancellation of his surgery[J]. Int J Nurs Stud, 1969, 6(3): 121-132.
44. 罗彩琴, 张振香, 陈青钦.骨科住院病人手术暂停的原因分析与护理管理[J].护理研究:下旬版, 2006(36): 3358-3360.

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West China Medical Journal

The Cancellation of Elective Operations: a Systematic Literature Review

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