From: Causes of cancellations on the day of surgery at a Tertiary Teaching Hospital
Patient (n = 46 or 17.6 %) • Patient did not show up for surgery (n = 29) • Patient changed mind about surgery (n = 7) • Patient had a panic attack (n = 1) • Patient refused surgery (n = 4) • Patient’s family refused surgery (n = 2) • Patient left against medical advice (n = 1) • Patient Postponed (n = 2) | Resource/Facility (n = 52 or 19.9 %) • OR behind schedule (n = 23) • Equipment broken or not available (n = 6) • Implant(s) not available (n = 1) • Emergency/life-saving case prioritized (n = 3) • Scheduling error (n = 5) • Staff miscommunication (n = 13) • Pre-operative instruction not communicated properly to patient (n = 1) |
Workup/Medical condition (n = 85 or 32.6 %) • Change in medical status (n = 31) • Incomplete Surgical-work up (n = 4) • Incomplete Medical evaluation (n = 34) • Abnormal test (n = 5) • Change in treatment plan (n = 6) • Difficult unobtainable IV access (n = 1) • Pre-operative instructions not followed properly (n = 4) | Surgeon (n = 7 or 2.7 %) • Surgeon not available (n = 4) • Surgeon sick (n = 1) • Surgeon was operating in another hospital (n = 1) • Surgeon was travelling (n = 1) |
Admission (n = 50 or 19.2 %) • No Financial Clearance (n = 43) • Papers not ready (n = 7) | Bed (n = 21 or 8 %) • No private bed available (n = 3) • No government-contracted bed available (n = 17) • No cardiac surgery unit bed (n = 1) |