The effect of increasing operating room capacity on day-of-surgery cancellation

S. Z. Yoon, S. I. Lee, H. W. Lee, H. J. Lim, S. M. Yoon, Seong Ho Chang

    Research output: Contribution to journalArticlepeer-review

    16 Citations (Scopus)

    Abstract

    Several studies have been conducted to evaluate the utilisation of the operating room, a fixed resource, in terms of conditions that prevent day-of-surgery cancellation due to deficient operative capacity. In this study, we surveyed the causes and overall rates of elective surgery cancellation and then compared the number of cancellations that occurred before and after the installation of additional operating rooms. We surveyed all patients undergoing elective surgery for 100 days prior to and after the installation of additional operating rooms. The causes for cancellations were divided into six categories: departmental issues, abnormal laboratory results, patient denial, inadequate preparation, over-booking and other issues. The departmental causes were further divided into four categories: ward overflow, scheduling date errors, unavailable surgeons and other issues. The number of overall cancelled cases and scheduled cases increased following the increase in operating room capacity, although this increase was not statistically significant. However, the cancellation ratio rose significantly after the operating room capacity was increased. The primary reasons for cancellation prior to the increase in operating room capacity were departmental issues, over-booking and abnormal laboratory data, in that order. After the operating room capacity was increased, the primary reasons for cancellation were departmental issues, abnormal laboratory data and over-booking, in that order. Taken together, the results of this study indicate that increased operating room capacity can prevent cancellation due to over-booking. However, the numbers of cancellations due to ward overflow exceeded the numbers of cancellations that occurred as a result of over-booking. In conclusion, increasing the operating room capacity is not an appropriate option for preventing the cancellation of operations.

    Original languageEnglish
    Pages (from-to)261-266
    Number of pages6
    JournalAnaesthesia and Intensive Care
    Volume37
    Issue number2
    DOIs
    Publication statusPublished - 2009 Mar

    Keywords

    • Anaesthesia
    • Cancellation
    • Costs
    • Operating room

    ASJC Scopus subject areas

    • Critical Care and Intensive Care Medicine
    • Anesthesiology and Pain Medicine

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