Causas de cancelación de cirugía programada en una clínica lll nivel en Cali en el primer trimestre 2020

Abstract

The surgery service has a great impact within a health institution, since it is not only a great generator of resources but also affects quality results. This is why the cancellation of scheduled surgeries must be controlled and monitored continuously, as it brings a great impact to the institution both operational and financial, as well as low opportunity and quality in the services that are offered. Objective: It is to determine the reasons why scheduled surgeries are suspended in a III LEVEL IPS in the city of Cali during the first quarter of 2020. Materials and Methods: Retrospective descriptive cross-sectional study with 2,120 scheduled surgeries, of which 110 procedures were canceled. The information was obtained from the database generated by the surgical coordination of the institution under study, where the different causes of cancellation of the procedures were reviewed. Results: It was evidenced that 70.91% were attributed to causes of the patient, 12.73% to Administrative causes, 12.73% to causes of the Pandemic and 3.64% due to the Specialist. The specialties with the highest failure rate were Orthopedics and General Surgery. Conclusions: Taking into account the results obtained in this study, it can be concluded that the causes of cancellation of scheduled surgery that were identified are preventable and that they show organizational failures in the follow-up prior to the surgical procedure that require improvement at the administrative and healthcare level, achieving better patient safety and quality.