Scheduled Elective Surgical Case Cancellation in Siriraj: Evaluation and Identification of the Reasons

Scheduled Elective Surgical Case Cancellation in Siriraj Hospital, a Thai University Hospital: Evaluation and Identification of the Reasons

A retrospective cross-sectional analytic study to evaluation and identification of the reasons about Scheduled elective surgical case cancellation in Siriraj Hospital, reason of cancellation will be extracted from hospital medical record of each case, reviewed and divided into 2 groups, with SiPAC and without SiPAC consultation. Primary outcomes are the incidence of cancelled case and causes of the cancellation and secondary outcome that will be identified for areas of improvement.

Study Overview

• Status: Completed
• Conditions: Peer Review, Research

Detailed Description

After approval by the Siriraj Institutional Review Board. All data of case cancellation on scheduled elective surgical procedures will be retrieved from database of the department of Anesthesiology, Faculty of Medicine Siriraj Hospital. Then, reason of cancellation will be extracted from hospital medical record of each case. All cases will be checked in database of SiPAC, department of Anesthesiology, Faculty of Medicine Siriraj Hospital to confirm whether each patient was preoperatively consulted. All patients having cancellation on scheduled elective surgery in the period of one year will be reviewed. Exclusion criteria is 1) patients having emergency or urgency surgery which means patients' names were not appeared in the surgical schedules 2) having missing key medical information.

Admission records and patient charts will be reviewed and divided into 2 groups, with SiPAC and without SiPAC consultation. Primary outcomes are the incidence of cancelled case and causes of the cancellation which will be recorded and categorized into 6 groups including 1) patient issue such as surgery refusal, no show on the day of surgery, transport problems 2) facility such as equipment needs, improper estimate case time, case bumps 3) Surgeon unavailable, due to administrative schedules and other problems or changed line of management respectively 4) anesthesiologist fail to adequately prepare the patient, lead to some misunderstanding communication such as NPO violation, preoperative drug error 5) medical condition that may impact the patient's ability to endure anesthesia techniques or surgical procedure 6) miscellaneous. The results compared between in patients with and without SiPAC consultation will be analyzed as a secondary outcome that will be identified for areas of improvement.

• Study Type: Observational
• Enrollment (Actual): 2760

Contacts and Locations

Study Locations

• Thailand
  • Bangkok
    • Bangkoknoi, Bangkok, Thailand, 10700
      • Siriraj Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All data of case cancellation on scheduled elective surgical procedures will be retrieved from database of the department of Anesthesiology, Faculty of Medicine Siriraj Hospital.

Description

Inclusion Criteria:

• all data of case cancellation on scheduled elective surgical procedures

Exclusion Criteria:

• patients having emergency or urgency surgery which means patients' names were not appeared in the surgical schedules

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Reasons of case cancellation; will be recorded and categorized into 6 groups including; patient issue such as surgery refusal, no show on the day of surgery, transport problems; facility such as equipment needs, improper estimate case time, case bumps; Surgeon unavailable, due to administrative schedules and other problems or changed line of management respectively; anesthesiologist fail to adequately prepare the patient, lead to some misunderstanding communication such as NPO violation, preoperative drug error; medical condition that may impact the patient's ability to endure anesthesia techniques or surgical procedure; miscellaneous.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Reasons of case cancellation	all caused of the cancellation will be recorded and categorized into 6 groups	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Incidence of case cancellation	Incidence of case cancellation	1 year

Collaborators and Investigators

• Sponsor: Siriraj Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2016
• Primary Completion (Actual): December 1, 2017
• Study Completion (Actual): February 1, 2018

Study Registration Dates

• First Submitted: June 24, 2016
• First Submitted That Met QC Criteria: June 27, 2016
• First Posted (Estimate): June 28, 2016

Study Record Updates

• Last Update Posted (Actual): February 19, 2018
• Last Update Submitted That Met QC Criteria: February 16, 2018
• Last Verified: February 1, 2018

More Information

Terms related to this study

• Keywords: Surgical case cancellation; Pre-operative assessment clinic
• Other Study ID Numbers: SIRB305

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO