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The effect of hospital size and surgical service on case cancellation in elective surgery

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The effect of hospital size and surgical service on case cancellation in elective surgery : results from a prospective multicenter study. / Schuster, Martin; Neumann, Christian; Neumann, Konrad; Braun, Jan; Geldner, Goetz; Martin, Joerg; Spies, Claudia; Bauer, Martin; CASCAES Study Group ; Salzwedel, Cornelie.

in: ANESTH ANALG, Jahrgang 113, Nr. 3, 01.09.2011, S. 578-85.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Schuster, M, Neumann, C, Neumann, K, Braun, J, Geldner, G, Martin, J, Spies, C, Bauer, M, CASCAES Study Group & Salzwedel, C 2011, 'The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study', ANESTH ANALG, Jg. 113, Nr. 3, S. 578-85. https://doi.org/10.1213/ANE.0b013e318222be4d

APA

Schuster, M., Neumann, C., Neumann, K., Braun, J., Geldner, G., Martin, J., Spies, C., Bauer, M., CASCAES Study Group, & Salzwedel, C. (2011). The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study. ANESTH ANALG, 113(3), 578-85. https://doi.org/10.1213/ANE.0b013e318222be4d

Vancouver

Schuster M, Neumann C, Neumann K, Braun J, Geldner G, Martin J et al. The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study. ANESTH ANALG. 2011 Sep 1;113(3):578-85. https://doi.org/10.1213/ANE.0b013e318222be4d

Bibtex

@article{bf7a941b0cf1483eb80a2aabede0595e,
title = "The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study",
abstract = "BACKGROUND: Short-term case cancellation causes frustration for anesthesiologists, surgeons, and patients and leads to suboptimal use of operating room (OR) resources. In many facilities, >10% of all cases are cancelled on the day of surgery, thereby causing major problems for OR management and anesthesia departments. The effect of hospital type and service type on case cancellation rate is unclear.METHODS: In 25 hospitals of different types (university hospitals, large community hospitals, and mid- to small-size community hospitals) we studied all elective surgical cases of the following subspecialties over a period of 2 weeks: general surgery, trauma/orthopedics, urology, and gynecology. Case cancellation was defined as any patient who had been scheduled to be operated on the next day, but cancelled after the finalization of the OR plan on the day before surgery. A list of possible cancellation reasons was provided for standardized documentation.RESULTS: A total of 6009 anesthesia cases of 82 different anesthesia services were recorded during the study period. Services in university hospitals had cancellation rates 2.23 (95% confidence interval [CI] = 1.49 to 3.34) times higher than mid- to small-size community hospitals 12.4% (95% CI = 11.0% to 13.8%) versus 5.0% (95% CI = 4.0% to 6.2%). Of the surgical services, general surgical services had a significantly (1.78, 95% CI = 1.25 to 2.53) higher cancellation rate than did gynecology services-11.0% (95% CI = 9.7% to 12.5%) versus 6.6% (95% CI = 5.1% to 8.4%).CONCLUSIONS: When benchmarking cancellation rates among hospitals, comparisons should control for academic institutions having higher incidences of case cancellation than nonacademic hospitals and general surgery services having higher incidences than other services.",
keywords = "Adult, Aged, Appointments and Schedules, Female, Germany, Hospital Bed Capacity, Hospitals, Community, Hospitals, University, Humans, Male, Middle Aged, Monte Carlo Method, Operating Room Information Systems, Prospective Studies, Regression Analysis, Specialties, Surgical, Surgical Procedures, Elective, Surgical Procedures, Operative, Time Factors",
author = "Martin Schuster and Christian Neumann and Konrad Neumann and Jan Braun and Goetz Geldner and Joerg Martin and Claudia Spies and Martin Bauer and {CASCAES Study Group} and Cornelie Salzwedel",
year = "2011",
month = sep,
day = "1",
doi = "10.1213/ANE.0b013e318222be4d",
language = "English",
volume = "113",
pages = "578--85",
journal = "ANESTH ANALG",
issn = "0003-2999",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

RIS

TY - JOUR

T1 - The effect of hospital size and surgical service on case cancellation in elective surgery

T2 - results from a prospective multicenter study

AU - Schuster, Martin

AU - Neumann, Christian

AU - Neumann, Konrad

AU - Braun, Jan

AU - Geldner, Goetz

AU - Martin, Joerg

AU - Spies, Claudia

AU - Bauer, Martin

AU - CASCAES Study Group

AU - Salzwedel, Cornelie

PY - 2011/9/1

Y1 - 2011/9/1

N2 - BACKGROUND: Short-term case cancellation causes frustration for anesthesiologists, surgeons, and patients and leads to suboptimal use of operating room (OR) resources. In many facilities, >10% of all cases are cancelled on the day of surgery, thereby causing major problems for OR management and anesthesia departments. The effect of hospital type and service type on case cancellation rate is unclear.METHODS: In 25 hospitals of different types (university hospitals, large community hospitals, and mid- to small-size community hospitals) we studied all elective surgical cases of the following subspecialties over a period of 2 weeks: general surgery, trauma/orthopedics, urology, and gynecology. Case cancellation was defined as any patient who had been scheduled to be operated on the next day, but cancelled after the finalization of the OR plan on the day before surgery. A list of possible cancellation reasons was provided for standardized documentation.RESULTS: A total of 6009 anesthesia cases of 82 different anesthesia services were recorded during the study period. Services in university hospitals had cancellation rates 2.23 (95% confidence interval [CI] = 1.49 to 3.34) times higher than mid- to small-size community hospitals 12.4% (95% CI = 11.0% to 13.8%) versus 5.0% (95% CI = 4.0% to 6.2%). Of the surgical services, general surgical services had a significantly (1.78, 95% CI = 1.25 to 2.53) higher cancellation rate than did gynecology services-11.0% (95% CI = 9.7% to 12.5%) versus 6.6% (95% CI = 5.1% to 8.4%).CONCLUSIONS: When benchmarking cancellation rates among hospitals, comparisons should control for academic institutions having higher incidences of case cancellation than nonacademic hospitals and general surgery services having higher incidences than other services.

AB - BACKGROUND: Short-term case cancellation causes frustration for anesthesiologists, surgeons, and patients and leads to suboptimal use of operating room (OR) resources. In many facilities, >10% of all cases are cancelled on the day of surgery, thereby causing major problems for OR management and anesthesia departments. The effect of hospital type and service type on case cancellation rate is unclear.METHODS: In 25 hospitals of different types (university hospitals, large community hospitals, and mid- to small-size community hospitals) we studied all elective surgical cases of the following subspecialties over a period of 2 weeks: general surgery, trauma/orthopedics, urology, and gynecology. Case cancellation was defined as any patient who had been scheduled to be operated on the next day, but cancelled after the finalization of the OR plan on the day before surgery. A list of possible cancellation reasons was provided for standardized documentation.RESULTS: A total of 6009 anesthesia cases of 82 different anesthesia services were recorded during the study period. Services in university hospitals had cancellation rates 2.23 (95% confidence interval [CI] = 1.49 to 3.34) times higher than mid- to small-size community hospitals 12.4% (95% CI = 11.0% to 13.8%) versus 5.0% (95% CI = 4.0% to 6.2%). Of the surgical services, general surgical services had a significantly (1.78, 95% CI = 1.25 to 2.53) higher cancellation rate than did gynecology services-11.0% (95% CI = 9.7% to 12.5%) versus 6.6% (95% CI = 5.1% to 8.4%).CONCLUSIONS: When benchmarking cancellation rates among hospitals, comparisons should control for academic institutions having higher incidences of case cancellation than nonacademic hospitals and general surgery services having higher incidences than other services.

KW - Adult

KW - Aged

KW - Appointments and Schedules

KW - Female

KW - Germany

KW - Hospital Bed Capacity

KW - Hospitals, Community

KW - Hospitals, University

KW - Humans

KW - Male

KW - Middle Aged

KW - Monte Carlo Method

KW - Operating Room Information Systems

KW - Prospective Studies

KW - Regression Analysis

KW - Specialties, Surgical

KW - Surgical Procedures, Elective

KW - Surgical Procedures, Operative

KW - Time Factors

U2 - 10.1213/ANE.0b013e318222be4d

DO - 10.1213/ANE.0b013e318222be4d

M3 - SCORING: Journal article

C2 - 21680860

VL - 113

SP - 578

EP - 585

JO - ANESTH ANALG

JF - ANESTH ANALG

SN - 0003-2999

IS - 3

ER -