Exemplos de uso de Surgery cancellations em Inglês e suas traduções para o Português
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The variables to characterize the surgery cancellations were.
In regard to surgery cancellations, the nurse should also use strategies to minimize them, analyzing the causes generating the problem.
Children and older adults, in the extremities of the age groups,represented 61.86% of the surgery cancellations.
The peak of surgery cancellations for non-clinical reasons, in May 2012, is related to the Institution's employees strike Figure 1.
Table 3 shows that the users in the extremities of the age groups children andolder adults correspond to 61.86% of the surgery cancellations.
The objective of this study was to characterize elective surgery cancellations, regarding clinical and non-clinical reasons, as well as to verify the seasonal influence and the estimation of reduction of the index.
Users in the extremities of the age groups children andolder adults have been pointed out by other investigations as the most affected by surgery cancellations.
Retrospective and descriptive study, conducted in 2014,with secondary data regarding surgery cancellations in a Public Hospital of the State of São Paulo.
To assess the influence of seasonality on surgery cancellations, the database was used, covering all elective surgeries canceled in a period of four years 01/01/2010 to 12/31/2013.
In the present study,Pediatric Surgery was the specialty with the highest percentage of surgery cancellations, probably a peculiarity of the institution.
Of the surgery cancellations for non-clinical reasons did not allow an accurate interpretation, due to unclear motives or lack of justification, represented by the reasons"at the request of the surgeon/change of approach" and"not informed";
Studies have indicated seasonality of surgical cancellations, such as winter months having higher rates of surgery cancellations.
From the analysis of the results emerged the percentage of surgery cancellations in the service under study 6.79%, considerably lower than that presented by German hospitals 12.4% and Brazilian hospitals 16.1% a 17.3% with the same university hospitals characteristics.
When the anesthesiologist takes responsibility for preoperative tests, he can get a more appropriate clinical profile andconsequently reduce surgery cancellations due to inadequate laboratory evaluation.
The main contribution of this studyis the demonstration that, even if the institution has a rate of surgery cancellations lower than expected, it is still possible to reduce it in order to increase the users' access to treatment, improving the use of public resources.
This might apprehend the interactive process of the actors involved, revealing to them and to the managers the challenges andthe recommendations for the reduction of the percentage of surgery cancellations in the institution.
This fact can be observed through the data:23.20% of the 46.40% of surgery cancellations for"non-clinical reasons" cannot be accurately interpreted due to unclear motives or lack of justification, represented by the reasons"at the request of the surgeon/conduct alteration" 17.93%, and"not informed" 5,27.
However, since a new data collection instrument including reasons for cancellation hasbeen implemented since 2013, data from 12 months 01/01/2013 a 12/31/2013 were analyzed to characterize elective surgery cancellations regarding their clinical or non-clinical reasons.
Another important aspect was that surgery cancellations impacted directly on the assessment of hospital efficiency, since it is considered that an efficient surgical department should have a low rate of surgeries cancellation, otherwise it might become an underused sector, with the consequent increases in surgical demand and costs.
Furthermore, regarding the"non-clinical reasons" in this same instrument, even thoughthere is a list of items to allow professionals to categorize surgery cancellations, some of them did not favor expressing the specificity of the cancellation, hindering a more accurate interpretation of the data.
Among the strategies proposed by the literature to reduce surgery cancellations are: pre-anesthetic or preoperative consultations; telephone confirmation of patient attendance two days before the procedure; restructuring of the work process, involving healthcare staff, information technology and mid-level professionals.
Indirect benefits of pain management may also be obtained, as evidenced by a study observing the increase in costs with the use of drugs as from the implementation of an acute pain management service in post-anesthetic care unit PACU; however, symptoms have improved in a shorter period and there has been further optimization of PACU beds,with fewer surgery cancellations due to lack of vacancy in this sector.
This contribution may be considered challenging,since there is a study reporting 69.9% of the surgery cancellations presented no justification, which is considered by the authors as concerning because it restricts the managers' knowledge about the reasons for cancellations and, consequently, also restricts the possibility of investments in appropriate solutions.
Another situation observed was surgery cancellation, which should not happen.
Abnormal findings obtained in routine tests are relatively frequent, buthardly these results lead to modifications of surgical techniques or even surgery cancellation.
Besides the psychological repercussions caused by the delay in treatment, patients andrelatives also complain about financial losses related to the surgery cancellation.
The rate of elective surgery cancellation was lower than those of other national and international hospitals, with similar characteristics, with a reduction estimate of 6.79% to 1.36%;
Surgery cancellation hours: morning 7:00 a.m. to 1:00 p.m., afternoon 1:00 p.m. to 7:00 p.m. and"following" subsequent surgeries to be performed in an operating room by the same surgeon or specialist;
In this context of surgery cancellation, we can verify the repercussions in the organization and also consider what directly affects patients and families, who prepare themselves psychologically, physically, and financially to face the stressful situation generated by the fear of an unknown event to handle.
The efficiency of the services delivered by the SC can be characterized by monitoring surgeries' punctuality, minimum time between each surgery, flexibility in the utilization of available ORs, capacity to attend to emergencies or additional surgeries, in addition to a low rate of surgery cancellation and a high rate of utilization of ORs.