Magnitude Of Case Cancellation And Associated Factors Among Elective Surgical Cases In Tikur Anbesa Specialized Hospitalhospital Addis Ababa Ethiopia 2016

BACK GROUND: Elective surgical case cancellation refers to any elective surgical case that isrnbooked into the operation theatre list on the day prior to surgery, but is not operated upon asrnscheduled. Elective surgical case cancellation is common and can have significant adverserneffects. The cancellation of planned surgeries causes prolonged wait times, harm to patients, andrnis a waste of scarce resources. Reasons for cancellations are complex because they are related tornpatients, organizational issues, and clinical staff.rnOBJECTIVE: To assess magnitude of case cancellation and reasons for case cancellationrnamong elective surgical cases in Tikur Anbesa specialized hospital from February 1 to March 1,rn2016 G.C.rnMETHODS: A cross sectional study design was conducted. All elective surgical cases werernincluded in the study. Data was collected by using pretested structured questionnaires andrnentered in to SPSS version 20 for analysis and cleaning up. P=0.05 value and/95% C.I was usedrnto judge significant of association. The result of study was explained by narratives, tables andrngraphs.rnRESULTS: During the study 369 patients were scheduled for elective surgical operations,rn244 (66.1%) patients were operated on their planned date and 125 (33.9%) operations wererncancelled. The mean age was 27.9 ± 19.3 years, with male to female ratio of 1.67:1. The mainrnreasons for cancellation were shortage of time related (39.2%), management related (21.48%)rnand patient related (20%)rnCONCLUSION: Cancellation of elective surgical procedures on the scheduled day of surgeryrnwas high during the study. Most of the reasons were shortage of time and management relatedrnand patient related were the least reason. Most of the reasons were avoidable.rnRECOMMENDATION: Implementation of patient preoperative assessment should be applied.rnA team approach ensuring presence of policies and procedures for improving and ensuringrnrealistic scheduling of patient lists, reducing time spent preparing and cleaning the operatingrnroom and better handling resources should be applied

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