Analyzing the Causes and Consequences of Non-Compliance with the Operating Program and Their Consequences

¹Department of Visceral Surgery, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Morocco

²Department of Anesthesiology and Intensive Care, Head of the Operating Room Theatre Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Morocco

³Department of Traumato Orthopedic Surgery, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Morocco

Corresponding author: Abou Elalaa Khalil, Department of Anesthesiology and Intensive Care, Head of the Operating Room Theatre Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Morocco; Email: [email protected]

Received Date: April 29, 2023

Published Date: June 3, 2023

Citation: Yousra O, et al. (2023). Analyzing the Causes and Consequences of Non-Compliance with the Operating Program and Their Consequences. Mathews J Nurs. 5(3):18.

Copyrights Yousra O, et al. © (2023).

ABSTRACT

Background: Surgical scheduling in hospitals is critical to optimize surgical activity and ensure quality of care. Surgical scheduling can be affected by a variety of factors leading to cancellation or delay of surgical procedures, which can result in financial and personal hardship for patients and their families. The aim of this study was to identify the incidence and causes of non-adherence to the surgical schedule in the operating room of the Mohammed V Military Teaching Hospital in Rabat, Morocco. Methods: We analyzed the medical records of patients admitted for surgery over a 12-month period. Data collected included the number of scheduled, cancelled, and added surgeries, epidemiological data of the patients, pathologies involved, reasons for cancellation and addition, and patient outcomes Results: Of the 3023 scheduled surgeries, 215 were cancelled (7.11%) and 167 were added (5.6%). The most frequently cancelled pathologies were orthopedic surgery, followed by visceral, gynecologic, otolaryngologic, and ophthalmologic surgeries. The most frequent reasons for cancellation were the occurrence of an infection, decompensation of a chronic pathology and lack of availability of the operating room. Orthopedic surgery was also the most affected in the added surgeries, mainly due to surgical emergencies. Discussion: The study results align with previous research on surgical cancellations and provide valuable information for improving surgical scheduling and reducing cancellations at the institution. Comparison with other studies suggests that organizational causes account for the majority of cancellations, and those complex surgeries and specialties may have higher cancellation rates. Lack of resource availability was identified as a major contributing factor, and possible solutions such as the implementation of waiting lists or more effective communication systems should be considered to reduce non-compliance rates. Conclusion: This review demonstrates that the main causes for surgery cancellation can be controlled by hospital managers, who can aim to improve areas such as patient flow and capacity management. Ultimately, this will improve the quality of health care delivered by hospitals.

Keywords: Non-compliance, Operating Program, cancellation, hospital management, patient outcomes, resource availability