Operating rooms (OR) generate significant revenue for the hospital. Therefore, the
OR productivity is essential for institutional success.
1
Hospital systems must ensure adequate availability of resources to maintain the efficiency
for day-to-day operations of the OR.
2
,3
In this regard, case cancellations on the day of surgery can impede the productivity
of the OR by thwarting efficient resource utilization. This translates to financial
loss borne by the hospitals, with estimated $1700 to $2025 (dollars in 2009) per case.
4
,
5
,
6
It also incurs significant physical and psychological distress in the patients.
7
As the financial strains resulting from the national economic crisis and extraordinary
circumstances such as the global pandemic become evident in the functioning of hospitals
with current resource limitations, critical evaluation of productivity impedance factors
is required. As such, case cancellations provide one such area of examination and
subsequent improvement to save future costs to the patient and the hospital systems.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Impact of a funds flow model on surgeon productivity at one academic medical center.Surg. Pract. Sci. 2022; 9100079
- Longitudinal evaluation of the surgical workforce experience during the Covid-19 pandemic.Am J Surg. 2022; 224: 1199-1206
- Emergencies do not shut down during a pandemic: COVID pandemic impact on Acute Care Surgery volume and mortality at a level I trauma center.Am J Surg. 2022; 224: 1409-1416
- The impact of pre-operative assessment clinics on elective surgical case cancellations.Surgeon. 2009; 7: 76-78
- Elective surgical case cancellation in the Veterans Health Administration system: identifying areas for improvement.Am J Surg. 2009; 198: 600-606
- Hospital profitability per hour of operating room time can vary among surgeons.Anesth Analg. 2001; 93: 669-675
- Equal oncologic results for laparoscopic and open resection of adrenal metastases.J Surg Res. 2007; 140: 159-164
- Global prevalence and reasons for case cancellation on the intended day of surgery: a systematic review and meta-analysis.Int J Surg Open. 2020; 26: 55-63
- Preoperative clinic visits reduce operating room cancellations and delays.Anesthesiology. 2005; 103: 855-859
- Dynamics of elective case cancellation for inpatient and outpatient in an academic center.J Anesth Clin Res. 2013; 4: 314
- The need for increasing female leadership in surgical departments.Am J Surg. 2022; 224: 1332-1333
Article info
Publication history
Published online: February 24, 2023
Accepted:
February 24,
2023
Received:
February 22,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
