Scheduled Elective Surgical Case Cancellation in Siriraj: Evaluation and Identification of the Reasons

Peer Review, Research Clinical Trial

Official title:

Scheduled Elective Surgical Case Cancellation in Siriraj Hospital, a Thai University Hospital: Evaluation and Identification of the Reasons

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02816281
• Other study ID #: SIRB305
• Status: Completed
• Phase: N/A
• First received: June 24, 2016
• Last updated: February 16, 2018
• Start date: November 2016
• Est. completion date: February 2018

Study information

• Verified date: February 2018
• Source: Siriraj Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

A retrospective cross-sectional analytic study to evaluation and identification of the reasons about Scheduled elective surgical case cancellation in Siriraj Hospital, reason of cancellation will be extracted from hospital medical record of each case, reviewed and divided into 2 groups, with SiPAC and without SiPAC consultation. Primary outcomes are the incidence of cancelled case and causes of the cancellation and secondary outcome that will be identified for areas of improvement.

Description:

After approval by the Siriraj Institutional Review Board. All data of case cancellation on scheduled elective surgical procedures will be retrieved from database of the department of Anesthesiology, Faculty of Medicine Siriraj Hospital. Then, reason of cancellation will be extracted from hospital medical record of each case. All cases will be checked in database of SiPAC, department of Anesthesiology, Faculty of Medicine Siriraj Hospital to confirm whether each patient was preoperatively consulted. All patients having cancellation on scheduled elective surgery in the period of one year will be reviewed. Exclusion criteria is 1) patients having emergency or urgency surgery which means patients' names were not appeared in the surgical schedules 2) having missing key medical information.

Admission records and patient charts will be reviewed and divided into 2 groups, with SiPAC and without SiPAC consultation. Primary outcomes are the incidence of cancelled case and causes of the cancellation which will be recorded and categorized into 6 groups including 1) patient issue such as surgery refusal, no show on the day of surgery, transport problems 2) facility such as equipment needs, improper estimate case time, case bumps 3) Surgeon unavailable, due to administrative schedules and other problems or changed line of management respectively 4) anesthesiologist fail to adequately prepare the patient, lead to some misunderstanding communication such as NPO violation, preoperative drug error 5) medical condition that may impact the patient's ability to endure anesthesia techniques or surgical procedure 6) miscellaneous. The results compared between in patients with and without SiPAC consultation will be analyzed as a secondary outcome that will be identified for areas of improvement.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2760
• Est. completion date: February 2018
• Est. primary completion date: December 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• all data of case cancellation on scheduled elective surgical procedures

Exclusion Criteria:

• patients having emergency or urgency surgery which means patients' names were not appeared in the surgical schedules

Related Conditions & MeSH terms

• Peer Review, Research

Locations

Country	Name	City	State
Thailand	Siriraj hospital	Bangkoknoi	Bangkok

Sponsors (1)

Lead Sponsor	Collaborator
Siriraj Hospital

Country where clinical trial is conducted

Thailand, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Reasons of case cancellation	all caused of the cancellation will be recorded and categorized into 6 groups	1 year
Secondary	Incidence of case cancellation	Incidence of case cancellation	1 year