More than one third of all planned orthopaedic surgery procedures are re-booked, postponed or cancelled completely. The most common reasons are cancellation at the patient’s own request or emergency cases having to be prioritised. These are the findings of a study carried out by the Sahlgrenska Academy, University of Gothenburg, Sweden in association with Sahlgrenska University Hospital.
Postponed or cancelled operations are a problem both for the individual patient, who may have to wait longer for treatment, and for the hospital providing treatment in the form of poorer use of resources.
The Department of Orthopaedics at Sahlgrenska University Hospital in Mölndal has now – together with researchers from the University of Gothenburg’s Sahlgrenska Academy – initiated a research study to map the occurrence of, and identify the reasons for, planned operations being rebooked for new times, postponed until an unspecified time or cancelled completely.
39 percent are cancelled
The study, which reviewed 17,625 booked operations between 2007 and 2011, shows that 39 percent of all planned procedures for joint replacement, arthroscopy or foot and ankle surgery were cancelled or rebooked at least once.
The most common reasons for operations not being carried out as planned were cancellations at the patients’ own request for various reasons (33%), the clinic being forced to purchase care from another care-giver due to the treatment guarantee (29%), incomplete pre-operative patient preparation (12%) and emergency patients being prioritised (9%).
Not unique to Sweden
“Many surgical departments carry out planned and emergency procedures in parallel,” says Ulla Caesar, a doctoral student at the Sahlgrenska Academy. “This leads to planned operations often having to be rebooked, postponed or ‘bought’ from another care-giver since emergency operations have to be prioritised. This situation is not unique to Gothenburg and Sweden. Instead, it is probably a general problem for surgical care at all Swedish hospitals.”
According to the researchers, having to rebook or cancel operations is sometimes unavoidable. However, the Sahlgrenska Academy study shows that many cancellations could be avoided by ensuring that patients are better prepared and informed before the procedure.
“Here, one good solution would be to apply person-centred care to a greater degree, making the patient more involved in and responsible for his or her own treatment,” adds Elisabeth Hansson Olofsson, a researcher at the Sahlgrenska Academy. “Another solution discussed in the study would be to have separate surgical departments for emergency and planned care.
The study has been carried out using an application developed in-house, in which all electronic documentation, such as patient notes and various registers, can be combined and compiled. The results will now provide important data for operational improvements.
“Today, we have fewer rebookings than during the studied period,” concludes Magnus Karlsson, Head of Orthopaedics at Sahlgrenska University Hospital. “Unfortunately, however, I fear that we will continue to experience a very large proportion of rebookings as long as patients are unable to book the time of their operations themselves. I believe that patients having a say in the time of their operations would be a significant success factor, making patients feel more involved.”
The article Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases was published in the journal Patient Safety in Surgery in June.
Link to article: http://www.pssjournal.com/content/8/1/24
Elisabeth Hansson Olofsson, senior lecturer at the University of Gothenburg’s Sahlgrenska Academy
Ulla Caesar, doctoral student at the University of Gothenburg’s Sahlgrenska Academy, firstname.lastname@example.org
Henrik Axlid | idw - Informationsdienst Wissenschaft
Modeling NAFLD with human pluripotent stem cell derived immature hepatocyte like cells
30.06.2016 | Heinrich-Heine University Duesseldorf
Heat for wounds – water-filtered infrared-A (wIRA) assists wound healing
30.06.2016 | Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften
Since the completion of the human genome an important goal has been to elucidate the function of the now known proteins: a new molecular method enables the investigation of the function for thousands of proteins in parallel. Applying this new method, an international team of researchers with leading participation of the Technical University of Munich (TUM) was able to identify hundreds of previously unknown interactions among proteins.
The human genome and those of most common crops have been decoded for many years. Soon it will be possible to sequence your personal genome for less than 1000...
3D printing revolutionized the manufacturing of complex shapes in the last few years. Using additive depositing of materials, where individual dots or lines...
R2D2, a joint project to analyze and development high-TRL processes and technologies for manufacture of flexible organic light-emitting diodes (OLEDs) funded by the German Federal Ministry of Education and Research (BMBF) has been successfully completed.
In contrast to point light sources like LEDs made of inorganic semiconductor crystals, organic light-emitting diodes (OLEDs) are light-emitting surfaces. Their...
High resolution rotational spectroscopy reveals an unprecedented number of conformations of an odorant molecule – a new world record!
In a recent publication in the journal Physical Chemistry Chemical Physics, researchers from the Max Planck Institute for the Structure and Dynamics of Matter...
Strands of cow cartilage substitute for ink in a 3D bioprinting process that may one day create cartilage patches for worn out joints, according to a team of engineers. "Our goal is to create tissue that can be used to replace large amounts of worn out tissue or design patches," said Ibrahim T. Ozbolat, associate professor of engineering science and mechanics. "Those who have osteoarthritis in their joints suffer a lot. We need a new alternative treatment for this."
Cartilage is a good tissue to target for scale-up bioprinting because it is made up of only one cell type and has no blood vessels within the tissue. It is...
30.06.2016 | Event News
28.06.2016 | Event News
09.06.2016 | Event News
30.06.2016 | Health and Medicine
30.06.2016 | Life Sciences
30.06.2016 | Physics and Astronomy