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Background Emergency surgery is unplanned by definition and patients are scheduled for surgery with minimal preparation. Delays and cancellations were entered into the planning system under one of 47 possible codes and they were merged into three categories; organisational, medical and patient-related reasons. This adds up to a total number of 10, delays for the actual patients. The produced surgeries totalled 33, and cases on the waiting list did not undergo surgery at the current clinic. The proportions of delays and delayed patients did not change across the 7 years that were studied Fig.

Open image in new window. The two most frequent reasons within the organisational group were that another emergency surgery was given higher priority and the unexpected prolongation of on-going surgery.

Missing OR equipment was the least frequent reason. Together, the medical and the patient-related causes had fewer delays than the organisational causes. The reasons for cancellation of emergency surgery were proportionally the same also when cancellations occurred several times. Table 1 Waiting time to surgery for all delayed emergency patients — Limitations There are several limitations to this study. Acknowledgements Mrs. Funding Not applicable. Competing interests The authors declare that they have no competing interests.

Cancelled elective surgery: an evaluation. Am Surg. PubMed Google Scholar. Epstein RH, Dexter F. Rescheduling of previously cancelled surgical cases does not increase variability in operating room workload when cases are scheduled based on maximizing efficiency of use of operating room time. Anesth Analg. Thomson PJ. Cancelled operations.

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A current problem in oral and maxillofacial surgery. Br Dent J. Retrospective analysis of surgery postponed or cancelled in the operating room. J Clin Anesth. Causes for cancellation of elective surgical procedures in a Spanish general hospital. Analysing day-of-surgery cancellation rates - reply. Anaesth Intensive Care.

Google Scholar. Case cancellation rates measured by surgical service differ whether based on the number of cases or the number of minutes cancelled. Hovlid E, Bukve O. A qualitative study of contextual factors' impact on measures to reduce surgery cancellations. A new pathway for elective surgery to reduce cancellation rates.

Patient reactions to cancelled or postponed heart operations.

J Nurs Manag. Postponed or cancelled heart operations from the patient's perspective. Patient anxiety while on a waiting list for coronary artery bypass surgery: a qualitative and quantitative analysis. Heart Lung. Waiting for coronary artery bypass surgery: a qualitative analysis. J Adv Nurs. Fear and anxiety in patients awaiting coronary artery bypass grafting. Surviving the wait: defining support while awaiting breast cancer surgery. Hansson, M G. Clin Ethics , 6 : Use of operating room information system data to predict the impact of reducing turnover times on staffing costs.

Siegmueller C, Herden-Kirchhoff O.

Measuring operating theatre list efficiency requires acknowledgement of costs. Late cancellations in ENT surgery - reasons and costs [25].


Clin Otolaryngol. Surgery cancelling at a teaching hospital: implications for cost management. Rev Lat Am Enfermagem. Theatre sending: how long does it take and what is the cost of late starts? Gynecol Surg. CrossRef Google Scholar. Operating room planning and scheduling: a literature review. Eur J Oper Res. Rosen AC, Dexter F. Lessons from evidence-based operating room management in balancing the needs for efficient, effective and ethical healthcare.

Surgical timing of treating injured extremities. J Bone Joint Surg Am. Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17, consecutive cases. Patient Saf Surgery. Decreasing delays in urgent and expedited surgery in a university teaching hospital through audit and communication between peri-operative and surgical directorates. Leppaniemi A, Jousela I.

Emergency Orthopaedic Surgery

A traffic-light coding system to organize emergency surgery across surgical disciplines. Br J Surg. Int J Qual Health Care. Acta Orthop Traumatol Turc. The effect of hospital size and surgical service on case cancellation in elective surgery: results from a prospective multicenter study. Hong Kong Med. Surgery cancelation on the day of surgery in same-day admission in a finnish hospital.

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Emergency department management of selected orthopedic injuries.

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