Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

More than one third of booked operations are re-booked

04.09.2014

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.

Operational improvements

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

Contact:
Elisabeth Hansson Olofsson, senior lecturer at the University of Gothenburg’s Sahlgrenska Academy
elisabeth.hansson@orthop.gu.se

Ulla Caesar, doctoral student at the University of Gothenburg’s Sahlgrenska Academy, ulla.caesar@gu.se

Weitere Informationen:

http://sahlgrenska.gu.se/english/news_and_events/news/News_Detail/more-than-one-...

Henrik Axlid | idw - Informationsdienst Wissenschaft

Further reports about: Gothenburg Orthopaedics Sahlgrenska Sweden improvements

More articles from Health and Medicine:

nachricht The end of pneumonia? New vaccine offers hope
23.10.2017 | University at Buffalo

nachricht Scientists track ovarian cancers to site of origin: Fallopian tubes
23.10.2017 | Johns Hopkins Medicine

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Salmonella as a tumour medication

HZI researchers developed a bacterial strain that can be used in cancer therapy

Salmonellae are dangerous pathogens that enter the body via contaminated food and can cause severe infections. But these bacteria are also known to target...

Im Focus: Neutron star merger directly observed for the first time

University of Maryland researchers contribute to historic detection of gravitational waves and light created by event

On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...

Im Focus: Breaking: the first light from two neutron stars merging

Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.

Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....

Im Focus: Smart sensors for efficient processes

Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).

When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...

Im Focus: Cold molecules on collision course

Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.

How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

3rd Symposium on Driving Simulation

23.10.2017 | Event News

ASEAN Member States discuss the future role of renewable energy

17.10.2017 | Event News

World Health Summit 2017: International experts set the course for the future of Global Health

10.10.2017 | Event News

 
Latest News

Microfluidics probe 'cholesterol' of the oil industry

23.10.2017 | Life Sciences

Gamma rays will reach beyond the limits of light

23.10.2017 | Physics and Astronomy

The end of pneumonia? New vaccine offers hope

23.10.2017 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>