Magnitude and causes of elective surgical case Cancellation in jimma university medical center from May 1,2022 – october 30, 2022, jimma, south-west Ethiopia

Abstract

Background: Cancellations of elective surgical cases are recognized as a major cause of emotional trauma to patients and families. Elective surgical case cancellation is a common problem and can cause pronged waiting time, waste resources, and affect patient satisfaction Objective: The aim of this study was to assess the magnitude and causes of cancellation of elective surgical operations and to suggest the appropriate solutions for better patient management and effective utilization of resources. Methods: A prospective cross-sectional study design was conducted at Jimma university medical center from May 1- October 30, 2022. All elective surgical cases scheduled but canceled due to some reason (n=398) to undergo elective surgical procedures were included in this study. Result: A total of 1943 patients were scheduled for elective surgical operations. Of these, 398(20.48%) were canceled. About 243(61.06 %) of males and 155(38.94 %) of females were canceled respectively. Orthopedic surgery had the highest rate of cancellations 87(21.86%) followed by General surgery 72(18.09%). lack of time 95 cases (23.87%) and unavailability of Oxygen and Blood 82 cases (20.65%) were the main causes of cancellation. Conclusion and Recommendation: Lack of time and unavailability of oxygen and blood were the main causes of the Cancellation of elective surgical operations in our hospital during the study period. Concerned bodies should bring a sustainable change and improvement to prevent unnecessary cancellations and enhance cost effectiveness through communications, careful preoperative planning, and efficient utilization of time management and available hospital resources.