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American Journal of Medical Quality
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The Causes of Cancelled Elective Surgery

Roger Hand, M.D.

The Section of General Internal Medicine, Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois 60612

Philip Levin, B.S.

The Section of General Internal Medicine, Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois 60612

Alex Stanziola, B.S.

The Section of General Internal Medicine, Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois 60612

We reviewed causes of cancelled elective surgery in a community hospital. Over a 6-month period, during which 4100 operating room procedures were completed, cancellations occurred in 13% of cases scheduled for outpatient surgery, 9% of cases sched uled for admission the same day, and 17% of cases scheduled for inpatient surgery. Dental procedures had significantly higher rates of cancellation among outpatient procedures, and cardiovascular surgical procedures had significantly higher rates among in patient procedures. Chart review of cancelled inpa tient cases showed 43% due to administrative reasons with unsigned consent the most common cause. Med ical factors were responsible in the remaining cases, with reevaluation of the surgical condition and asso ciated medical illnesses equally common as reasons in this category. Appreciation of the usual reasons for cancellation can improve utilization by permitting administrators and providers to anticipate those cases in which problems might arise so that additional at tention can be paid to them.

American Journal of Medical Quality, Vol. 5, No. 1, 2-6 (1990)
DOI: 10.1177/0885713x9000500102
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