A new pathway for elective surgery to reduce cancellation rates.
BACKGROUND
The cancellation of planned surgeries causes prolonged wait times, harm to patients, and is a waste of scarce resources. To reduce high cancellation rates in a Norwegian general hospital, the pathway for elective surgery was redesigned. The changes included earlier clinical assessment of patients, better planning and documentation systems, and increased involvement of patients in the scheduling of surgeries. This study evaluated the outcomes of this new pathway for elective surgery and explored which factors affected the outcomes.


METHODS
We collected the number of planned operations, performed operations, and cancellations per month from the hospital's patient administrative system. We then used Student's t-test to analyze differences in cancellation rates (CRs) before and after interventions and a u-chart to analyze whether the improvements were sustained. We also conducted semi-structured interviews with employees of the hospital to explore the changes in the surgical pathway and the factors that facilitated these changes.


RESULTS
The mean CR was reduced from 8.5% to 4.9% (95% CI for mean reduction 2.6-4.5, p < 0.001). The reduction in the CR was sustained over a period of 26 months after the interventions. The median number of operations performed per month increased by 17% (p = 0.04). A clear improvement strategy, involvement of frontline clinicians, introduction of an electronic scheduling system, and engagement of middle managers were important factors for the success of the interventions.


CONCLUSIONS
The redesign of the old clinical pathway contributed to a sustained reduction in cancellations and an increased number of performed operations.
Institute of Social Science, Sogn og Fjordane University College, Sogndal, Norway. einar.hovlid@hisf.no
Einar
E
Hovlid
Oddbjørn
O
Bukve
Kjell
K
Haug
Aslak Bjarne
AB
Aslaksen
Christian
C
von Plessen
D001071:Appointments and Schedules; D017598:Efficiency, Organizational; D017558:Elective Surgical Procedures / Q000592:standards / Q000706:statistics & numerical data* / Q000639:trends; D006302:Health Services Research; D006751:Hospital Information Systems; D006801:Humans; D007407:Interviews as Topic; D009664:Norway; D009873:Operating Rooms / Q000706:statistics & numerical data; D010559:Personnel Management / Q000592:standards; D010564:Personnel, Hospital / Q000523:psychology; D017064:Process Assessment, Health Care / Q000379:methods; D019035:Rural Health Services; D013503:Surgery Department, Hospital / Q000458:organization & administration; D017749:Total Quality Management; D014850:Waiting Lists; D000078329:Workforce