![]() ![]() The literature suggests that most cancellations can be avoided by redesigning work processes, improving planning and coordination, and performing earlier clinical pre-assessment of patients. ![]() Because the reasons for cancellations are multi-factorial, interventions to reduce cancellations need to take into account the complexity of the problem. Common causes for cancellations are related to patients’ medical conditions, inadequate medical pre-assessment, overbooking of lists, facility shortcomings, and patient non-attendance. they are related to patients, organizational issues and clinical staff. Reducing cancellations is a complex task because the causes are multifactorial, i.e. Theoretical basis for interventions to reduce cancellations The purpose of the current study was to explore patient experiences with the interventions to reduce the cancellations. We have previously reported the case of a Norwegian district general hospital that redesigned its pathway for elective surgery and achieved a sustained reduction in cancellations. To our knowledge, the effects of interventions to reduce cancellations have not been explored from the perspective of those who are affected by them - the patients. Interventions to reduce cancellations have been evaluated from a management and a medical perspective focusing on cost, length of stay, improved efficiency, and reduced post-operative complications. Previous research has addressed how cancellations can be reduced through earlier and better clinical pre-assessment and improved surgical scheduling. Further, the cancellation and the extra waiting time may cause physical and emotional distress. Patients are directly affected by cancellations they increase waiting times and may lead to harmful delays of operations. High cancellation rates may indicate that scarce health resources are being used ineffectively, thereby increasing costs. The cancellation of planned surgeries is a well-recognized quality problem. Thus apart from improving surgical logistics, the pathway became more patient-centered. Unanticipated consequences were that the telephone reminder created a personalized dialogue and centralization of surgical preparation and discharge processes improved continuity of care. ![]() Patients appreciated the effects of interventions to reduce cancellations, because they increased their autonomy. We identified three common themes summarizing patients’ positive experiences with the effects of the interventions: the importance of being involved in scheduling time for surgery, individualized preparation before the hospital admission, and relationships with few clinicians during their hospital stay. Through a process of coding and condensing, we identified themes of patient experience. We performed a content analysis of the interviews using a theory-based coding scheme. We conducted a comparative, qualitative case study by interviewing 8 patients who had experienced the redesigned pathway, and 8 patients who had experienced the original pathway. We studied how patients experienced interventions to reduce cancellations. In our case a hospital had experienced high cancellation rates and therefore redesigned their pathway for elective surgery to reduce cancelations. Previous studies have evaluated interventions to reduce cancellations from medical and management perspectives these have focused on cost, length of stay, improved efficiency, and reduced post-operative complications. doi:10.4135/9781412963909.The cancellation of planned surgery harms patients, increases waiting times and wastes scarce health resources. Hyperresearch (software) In:HyperRESEARCH (software) The SAGE encyclopedia of qualitative research methods Thousand Oaks, CA: SAGE Publications, Inc. Edited by Thousand Oaks: SAGE Publications, Inc., 2008, pp. "HyperRESEARCH (Software)." The SAGE Encyclopedia of Qualitative Research Methods. The SAGE Encyclopedia of Qualitative Research Methods, Thousand Oaks, CA: SAGE Publications, Inc. Thousand Oaks, CA: SAGE Publications, Inc., 2008. "HyperRESEARCH (Software)." In The SAGE Encyclopedia of Qualitative Research Methods, edited by Given, Lisa M., 408-408. In The SAGE encyclopedia of qualitative research methods (pp. ![]()
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