IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i1-2p288-305.html
   My bibliography  Save this article

The impact of a structured preoperative protocol on day of surgery cancellations

Author

Listed:
  • Elina Turunen
  • Merja Miettinen
  • Leena Setälä
  • Katri Vehviläinen‐Julkunen

Abstract

Aims and objectives To evaluate the impact of implementing an evidence‐based, structured preoperative protocol on day of surgery cancellations in 13 operative specialties. Background Surgery cancellations cause unnecessary harm for patients and organisations as many cancellations could be prevented. Preoperative care has developed in recent years, and several preoperative interventions have been introduced. However, the optimal model for organising preoperative care remains unknown. Cancellations are a commonly used indicator when evaluating the success of preoperative care. Design Observational study with two study phases: before and after. Methods The cancellation data were collected from the hospital register from 1 September 2013–31 May 2014 (n = 591) and from September 2015–May 2016 (n = 542). The compliance rate of the preoperative protocol was evaluated in group sessions (n = 13) during spring 2016 using the participation of preoperative healthcare professionals (n = 49). The data were analysed statistically. Results Cancellation rates varied between 1.6%–9.7% (in the first phase) and between 1.5%–7.7% (in the second phase). A remarkable decrease was found in patients who failed to attend their scheduled procedures. The mean of compliance to the preoperative protocol across all specialties was 82.3%. A correlation between the rate of cancellation and the rate of compliance with the preoperative protocol was found. Conclusions A preoperative protocol promotes the scheduled arrival of surgical patients to the hospital and therefore decreases cancellation rates. Relevance to clinical practice An evidence‐based preoperative care protocol should be introduced for all healthcare professionals working in preoperative care to ensure smooth, safe and high‐quality care for surgical patients.

Suggested Citation

  • Elina Turunen & Merja Miettinen & Leena Setälä & Katri Vehviläinen‐Julkunen, 2018. "The impact of a structured preoperative protocol on day of surgery cancellations," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 288-305, January.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:288-305
    DOI: 10.1111/jocn.13896
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13896
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.13896?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Elina Turunen & Merja Miettinen & Leena Setälä & Katri Vehviläinen‐Julkunen, 2017. "An integrative review of a preoperative nursing care structure," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 915-930, April.
    2. Unknown, 2005. "Table of Contents," International Food and Agribusiness Management Review, International Food and Agribusiness Management Association, vol. 8(1), pages 1-1.
    3. Unknown, 2005. "Table of Contents," 2005 Conference: Slovenia in the EU - Challenges for Agriculture, Food Science and Rural Affairs, November 10-11, 2005, Moravske Toplice, Slovenia 183805, Slovenian Association of Agricultural Economists (DAES).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shunli Yao, 2007. "Chinese Foreign Trade Performance and the China-US Trade 1995 – 2004 - A Graphical Analysis Based on China Customs Statistics," Trade Working Papers 22716, East Asian Bureau of Economic Research.
    2. Minh Ha-Duong & Ngo To Nhien, 2019. "Renewable Energy Law and Auctions in Vietnam," CIRED Working Papers hal-03088132, HAL.
    3. Marcel Ciprian Pop, 2011. "Book Review on Rural Tourism – Treaty by Puiu Nistoreanu and Marinela Gheres (coord.), C.H. Beck Publishing House, Bucharest, 2010," International Journal of Economic Practices and Theories, Academy of Economic Studies - Bucharest, Romania, vol. 1(1), pages 44-50, July.
    4. Fenske, James, 2014. "Imachi Nkwu: Trade and the Commons," The Journal of Economic History, Cambridge University Press, vol. 74(1), pages 39-68, March.
    5. Iweta Opolska, 2016. "Liberalisation of the gas industry in Europe.Does the European Union support efficacious regulatory solutions?," Ekonomia journal, Faculty of Economic Sciences, University of Warsaw, vol. 44.
    6. Anders Peder Højer Karlsen & Mik Wetterslev & Signe Elisa Hansen & Morten Sejer Hansen & Ole Mathiesen & Jørgen B Dahl, 2017. "Postoperative pain treatment after total knee arthroplasty: A systematic review," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-53, March.
    7. Kaoru YAMAGUCHI, . "Study on ASIAN Potential of Biofuel Market," Books, Economic Research Institute for ASEAN and East Asia (ERIA), number 2013-rpr-20 edited by Kaoru YAMAGUCHI, January.
    8. Alexander Kuhlmann & Henning Krüger & Susanne Seidinger & Andreas Hahn, 2020. "Cost-effectiveness and budget impact of the microprocessor-controlled knee C-Leg in transfemoral amputees with and without diabetes mellitus," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(3), pages 437-449, April.
    9. Mirjam Gruber, 2022. "The Integration of Local Actors in Policy Implementation: The Case of Organic Farming in Costa Rica," Sustainability, MDPI, vol. 14(12), pages 1-23, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:288-305. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.