ArticlePatient safety in surgery2018
Incidence and causes of cancellations of elective operation on the intended day of surgery at a tertiary referral academic medical center in Ethiopia.
Article in Patient safety in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Effectiveness of primary repair for low anorectal malformations in Uganda.Pediatric surgery international · 2024Trial
- Magnitude and associated factors of elective surgical case cancellation in Woldia Comprehensive Specialized Hospital hybrid retrospective and prospective cross-sectional study, Amhara, Ethiopia, 2025.Annals of medicine and surgery (2012) · 2026Article
- Risk factors for catastrophic healthcare expenditure and high economic burden for children with anorectal malformations in Southwestern Uganda.International journal for equity in health · 2025Article
- Article
- Prevalence and Causes of Elective Surgery Cancellations After Patients are Taken to the Operating Room: A Prospective, Cross-Sectional Study.Turkish journal of anaesthesiology and reanimation · 2024Article
- Surgical System Efficiency and Operative Productivity in Public and Private Health Facilities in Ethiopia: A Cross-Sectional Evaluation.Global health, science and practice · 2024Article
- Case cancellations and associated factors on the day of surgery in hospitals of Wolaita Zone, South Ethiopia.BMC surgery · 2024Article
- Methods families use to raise funds for anorectal malformation treatment at a single public referral hospital in Southwestern Uganda.World journal of pediatric surgery · 2024Article
- Time to elective surgery and its predictors after first cancellation at Debremarkos Comprehensive Specialized Hospital, Northwest Ethiopia.PLOS global public health · 2024Article
- An In-Depth Analysis of Providers and Services of Cancellation in Anesthesia Reveals a Complex Picture after Systemic Analysis.Healthcare (Basel, Switzerland) · 2023Article
- Prevalence and Causes of Elective Surgical Cancellations: Findings from a Rural Tertiary Hospital in the Eastern Cape, South Africa.Healthcare (Basel, Switzerland) · 2023Article
- Cancellation of elective surgery and associated factors among patients scheduled for elective surgeries in public hospitals in Harari regional state, Eastern Ethiopia.Frontiers in medicine · 2023Article
- Gynaecologic oncology surgical cancellations in Zambia.Ecancermedicalscience · 2023Article
- Article
- Incidence and Risk Factors for Patient-related Short-term Cancellation of Elective Arthroscopic Surgery: A Case-matched Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals.World journal of surgery · 2022Article
- Operating room efficiency in a low resource setting: a pilot study from a large tertiary referral center in Ethiopia.Patient safety in surgery · 2022Article
- Magnitude and causes of cancelation for elective surgical procedures in Debre Tabor General hospital: A cross-sectional study.SAGE open medicine · 2021Article
- Prevalence and factors associated with cancellation and deferment of elective surgical cases at a rural private tertiary hospital in Western Uganda: a cross-sectional study.The Pan African medical journal · 2021Article
- Root causes of elective surgical case cancellation in Ethiopia: a systematic review and meta-analysis.Patient safety in surgery · 2020Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElective surgical case cancellation refers to any elective surgical case that is the list on the day prior to surgery but not operated upon as scheduled. Case cancellation has a major cause of psychological trauma to patients and their families. Despite little is known in Ethiopia. Therefore, this study aimed to assess incidence and reasons of cancellations of elective operation on the intended day of surgery at tertiary referral academic medical center in Ethiopia.
methodsA prospective hospital-based cross-sectional study design was conducted in a tertiary referral academic medical center in Ethiopia among 146 participants. A self-administered questionnaire with an observatory checklist was used for collecting data from the anesthetist, nurse, and surgeons.
resultIn this study, 462 patients were scheduled for elective surgical operations. Among those, nearly almost one-third 146 (31.6%) of the operations were cancelled and 316 (68.4%) patients were operated on their planned date. The most common reason for cancellation were surgeon related (35.8%), patient related (28.7%), management related (21.2%) and anesthesia related factors (14. 4%). The cancellation was mainly due to improper scheduling (20.5%%), unavailability of surgeons (8.9%), unavailability of oxygen and blood (8%) and equipment (5.5%). Orthopedic (28.8%) and general surgery (17.1%) were the commonest cancelled cases.
conclusionThe cancellation rate in our academic medical center remains high. Improper scheduling, unavailability of surgeons, medical illness, and unavailability of operating room equipment were the commonest reason for the cancellation of elective operation. Most cancellations were preventable. For this, proper preoperative assessment, proper scheduling, fulfilling necessary operating room equipment's and cross-matched blood by the hospital and other stakeholders, early clear communication with operating room team like surgeons was recommended.
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