Back to Search
Start Over
Same-Day Cancellation in Vascular Surgery: 10-Year Review at a Large Tertiary Care Center
- Source :
- Annals of Vascular Surgery. 62:349-355
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background Same-day cancellation of vascular surgical procedures is an undesirable occurrence with multi-faceted implications into patient’s healthcare. Numerous factors play a role in same-day cancellations, ranging from medical causes, patient factors, or administrative and scheduling conflicts. Methods A retrospective review of the medical records database at our large, tertiary academic referral center from 2007-2017 was performed to identify patients scheduled for vascular surgical procedures who experienced same-day cancellation. Results Of the 17,887 scheduled vascular surgical procedures during the study period, 361 (2%) of patients experienced same-day cancellations. Seventy-five percent of cancellations were determined to be non-foreseeable, 12.5% foreseeable, and 12.5% indeterminate. The most common reasons for cancellation were medical (55%), patient initiated cancellation (12%), procedure no longer required (10%), and administrative or scheduling conflicts (10%). Twenty-six (7.3%) patients, died within 30 days following their cancelled vascular operation. The majority of patients (70%) eventually received the planned operation, with a mean interval of 45.5 ± 135.8 days between cancellation and performance of said procedure. Conclusions At our institution, same-day cancellations of vascular surgical procedures were infrequent (2%). Most cancellations were due to medical reasons. While the majority of cancellations were determined to be non-foreseeable, emphasizing foreseeable cancellations may provide opportunities to improve patient care, enhance satisfaction, and reduce future cancellations.
- Subjects :
- Adult
Male
Operating Rooms
medicine.medical_specialty
Time Factors
Adolescent
Databases, Factual
Minnesota
030204 cardiovascular system & hematology
Tertiary care
Time-to-Treatment
030218 nuclear medicine & medical imaging
Tertiary Care Centers
Appointments and Schedules
Young Adult
03 medical and health sciences
0302 clinical medicine
Health care
Humans
Medicine
health care economics and organizations
Aged
Retrospective Studies
Patient factors
Aged, 80 and over
Academic Medical Centers
Retrospective review
business.industry
General surgery
Medical record
General Medicine
Middle Aged
Vascular surgery
Surgical procedures
Referral center
Female
Surgery
Cardiology and Cardiovascular Medicine
business
Vascular Surgical Procedures
human activities
Subjects
Details
- ISSN :
- 08905096
- Volume :
- 62
- Database :
- OpenAIRE
- Journal :
- Annals of Vascular Surgery
- Accession number :
- edsair.doi.dedup.....e3559ce6386065dff1ecd096e1764f3c