• J. Perianesth. Nurs. · Feb 2019

    Review

    Cancellation of Surgeries: Integrative Review.

    • Narmeen Al Talalwah and Kimberly H McIltrot.
    • J. Perianesth. Nurs. 2019 Feb 1; 34 (1): 86-96.

    PurposeTo analyze cancellations of surgeries and identify evidence-based interventions to address this issue.DesignIntegrative literature review.MethodsAn integrative literature search was conducted in four databases: CINAHL, PubMed, Embase, and Cochrane and included literature sources dated January 2011 to January 2016. The complete list of search terms consisted of the following: ambulatory surgery, day surgery center, elective surgical procedure, elective operation, elective surgery, schedule, access to care, surgery cancellation, operation cancellation, and surgery delay.FindingsTwenty-three literature sources were identified. Evidence included one randomized controlled trial and multiple studies. Causes of cancellations were classified into three categories: hospital-related reasons, patient-related reasons, and surgeon-related reasons. Evidence confirmed most cancellations were avoidable.ConclusionsCancellation of scheduled surgeries has a significant impact on patients' health, resources, cost, and quality of care. It is difficult to devise a solution without understanding the cause of cancellations.Copyright © 2018 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

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