The impact of quality management on reducing canceled elective operations: a participatory action research
Journal of Health in the Field,
,
25 دی 2016
چکیده
Background and Aims: Surgery operations cancellation causes problems in operation theatre planning and results in hospital inefficiency as well as resource wastage. In addition, it causes stress for both patients and their relatives.This study aimed to examine the impact of quality management on surgery operations cancellation in Vali-e-asr hospital’s operating theatre department (Tehran) in 2014-2015.
Materials and Methods: In this participatory action research, the reasons for surgery operations cancellation were identified using a checklist. These reasons were assessed and an action plan was developed for cancellation reduction. The plan was implemented using the action research cycle. SPSS software (version 22) was used for data analysis. Ethical issues such as respect for patients and staff and the confidentiality of information were all considered.
Results: Patients failing to turn up, lack of ICU beds availability, and prolonged previous surgeries were the most common causes of surgery operations cancellation. Surgery operations were increased by 15 percent and surgery operations cancellation was reduced by 14.6 percent through the implementation of quality management strategy. Standardization of processes, proper planning, using HIS based operation list, recruiting more staff and giving more information to patients helped reducing the surgery operations cancellation.
Conclusion: Formation of quality improvement team, using an appropriate quality management model and its appropriate implementation can help enhance hospital departments’ productivity and reduce surgery operations cancellation.
Keywords: Quality management, surgery operations cancellation, hospital, action research
مراجع
Mosadeghrad AM. Essentials of healthcare organization and management, Tehran: Dibagran Tehran 2015 (InPersian).
Mosadeghrad AM. Handbook of hospital professional organization and management (1), Tehran: Dibagran Tehran 2004 (In Persian).
WHO. World health report 2013: Research for universal health coverage. 2013.
Dadaş S, Eti-aslan F. The causes and consequences of cancellations in planned orthopaedic surgery: the reactions of patients and their families. Journal of Orthopaedic Nursing 2004; 8(1):11-19.
Kumar R, Gandhi R. Reasons for cancellation of operation on the day of intended surgery in a multidisciplinary 500 bedded hospital. Journal of Anaesthesiology Clinical Pharmacology 2012; 28(1):66.
Schofield WN, Rubin GL, Piza M, Lai YY, Sindhusake D, Fearnside MR. Cancellation of operations on the day of intended surgery at a major Australian referral hospital. The Medical Journal of Australia 2005; 182(12):612-15.
Tait AR, Voepel-Lewis T, Munro HM, Gutstein HB, Reynolds PI. Cancellation of pediatric outpatient surgery: Economic and emotional implications for patients and their families. Journal of Clinical Anesthesia 1997; 9(3):213- 19.
Ivarsson B, Ola Kimblad P, Sjöberg T, Larsson S. Patient reactions to cancelled or postponed heart operations. Journal of Nursing Management 2002; 10(2):75-81.
González-Arévalo A, Gómez-Arnau J, DelaCruz F, Marzal J, Ramírez S, Corral E, et al. Causes for cancellation of elective surgical procedures in a Spanish general hospital. Anaesthesia 2009; 64(5):487-93.
Mahouri A, Nourouzinia H, Heshmati F, Ghanadi A. The effectiveness of dexamethasone on prevention of postoperative shivering after general anesthesia. Urmia Medical Journal 2009; 20(1):62-66 (In Persian).
Ramezankhani A, Markazi Moghaddam N, Haji Fathali A, Jafari H, Heidari Mnfared M, Mohammadnia M. The rate and causes of surgery cancellation: Identifying areas for improvement. Journal of Hospital 2010; 8(3):27-34
(In Persian).
Zare M, Amrollahi M. Study of Cancelled Elective Surgical Operations. Journal of Shahid Sadoughi University of Medical Sciences 2004; 12(2):22-28 (In Persian).
Zamani Kiasari A, Kabirzadeh A, Bagherian Farahabadi E, Hasanzadeh F, Mohseni SB, Mirzaei Z. Evaluating the prevalence of canceling surgical operations, including its influencing factors at Imam Khomeini hospital in Sari
during 2006-2007. Journal of Mazandaran University of Medical Sciences 2008; 18(65):52-62 (In Persian).
Mosadeghrad AM. Handbook of hospital professional organization and management (2), Tehran: Dibagran Tehran 2004 (In Persian)
Mosadeghrad AM. Towards a theory of quality management: An integration of strategic management, qualitymanagement and project management. International Journal of Modelling in Operations Management 2012;2(1):89-118.
Mosadeghrad AM. Verification of a quality management theory: Using a Delphi study. International Journal of Health Policy and Management 2013;1(4):261-71.
Mosadeghrad AM. Implementing strategic collaborative quality management in healthcare sector. International Journal of Strategic Change Management 2012; 4(3-4):203-28.
Chiu CH, Lee A, Chui PT. Cancellation of elective operations on the day of intended surgery in a Hong Kong hospital: Point prevalence and reasons. Hong Kong Medical Journal 2012; 18(1):5-10.
Hussain AM, Khan FA. Anesthetic reasons for cancellation of elective surgical inpatients on the day of surgery in a teaching hospital. The Journal of the Pakistan Medical Association 2005; 55(9):374-78.
- Hand R, Levin P, Stanziola A. The Causes of Cancelled Elective Surgery. American Journal of Medical Quality 1990; 5(1):2-6.
Mosadeghrad AM. Essentials of Total Quality Management in healthcare: A meta-analysis. International Journal of Health Care Quality Assurance 2014; 27(6):544-58.
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