ArticleCanadian journal of surgery. Journal canadien de chirurgie2013
Reducing elective general surgery cancellations at a Canadian hospital.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 40 citations in OpenAlex.
- Improving service efficiency and throughput of cardiac surgery patients using Monte Carlo simulation: a queueing setting.Scientific reports · 2022Article
- Neural Networks Modeling for Prediction of Required Resources for Personalized Endourologic Treatment of Urolithiasis.Journal of personalized medicine · 2022Article
- Incidence and Reasons for a Surgical Cancellation at a Hospital in Rwanda.Rwanda journal of medicine and health sciences · 2021Article
- Simulation-based evaluation of operating room management policies.BMC health services research · 2021Article
- Cancellation of elective surgery: rates, reasons and effect on patient satisfaction.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Key Experimental Factors of Machine Learning-Based Identification of Surgery Cancellations.Journal of healthcare engineering · 2021Article
- An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey.PloS one · 2020Article
- Contributing factors of elective surgical case cancellation: a retrospective cross-sectional study at a single-site hospital.BMC surgery · 2017Article
- Due time driven surgery scheduling.Health care management science · 2017Article
- Delivering timely surgery in Canadian hospitals.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Canadian hospitals, which are typically financed by global annual budgets, overuse of operating rooms is a financial risk that is frequently managed by cancelling elective surgical procedures. It is uncertain how different scheduling rules affect the rate of elective surgery cancellations.
methodsWe used discrete event simulation modelling to represent perioperative processes at a hospital in Toronto, Canada. We tested the effects of the following 3 scenarios on the number of surgical cancellations: scheduling surgeons' operating days based on their patients' average length of stay in hospital, sequencing surgical procedures by average duration and variance, and increasing the number of postsurgical ward beds.
resultsThe number of elective cancellations was reduced by scheduling surgeons whose patients had shorter average lengths of stay in hospital earlier in the week, sequencing shorter surgeries and those with less variance in duration earlier in the day, and by adding up to 2 additional beds to the postsurgical ward.
conclusionDiscrete event simulation modelling can be used to develop strategies for improving efficiency in operating rooms.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.