Mp21-05 Same Day Surgical Cancellations in Pediatric Urology: Identifying Trends for Quality Improvement

You have accessJournal of UrologyPediatrics II (MP21)1 May 2024MP21-05 SAME DAY SURGICAL CANCELLATIONS IN PEDIATRIC UROLOGY: IDENTIFYING TRENDS FOR QUALITY IMPROVEMENT Tyler L. Overholt, Anthony Atala, Steve J. Hodges, and Marc A. Colaco Tyler L. OverholtTyler L. Overholt , Anthony AtalaAnthony Atala , Steve J. HodgesSteve J. Hodges , and Marc A. ColacoMarc A. Colaco View All Author Informationhttps://doi.org/10.1097/01.JU.0001008844.84871.17.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Day of surgery cancellations present several challenges to workflow, resulting in delay of care for patients and revenue loss for physicians. Understanding trends in same-day cancellations may provide insight for quality improvement. Herein, we assessed same-day pediatric urology cancellations. METHODS: Same-day cancellations were prospectively identified at a tertiary institution from 10/01/2022-9/30/2023. Cases that were cancelled within 24 hours, but prior to the surgery date, were excluded. Demographics and peri-operative data were reviewed. The reason for cancellation as stated by the parent/legal guardian was recorded and placed in one of two categories: avoidable or unavoidable causes. Surgical rescheduling and lost operating room time were recorded. Descriptive and bivariate analyses were performed as indicated. RESULTS: Of 2,351 cases, 51 (2.2%) were cancelled on the surgery date. The majority (86.3%) were minor surgeries and summer was the most common time of year for cancellations (43.1%). A total of 66.7% of cases were for patients of a minority race, with 11.8% of families indicating need for translation services. Median distance lived from the surgical site was 22 (IQR 12-49) miles. The most common cancellation type was a complete no-show without stated reason from family (39.2%). Of those with reported reason for cancellation, 54.8% were cancelled for avoidable reasons (Figure 1). When comparing avoidable versus unavoidable reasons for cancellation, no significant differences were identified in terms of race (p=0.667), distance lived from the hospital (p=0.899), or type of surgery (p=0.325). Only 51.0% were rescheduled for a later date with median delay of 38 (IQR 28-63) days. A total of 59.33 hours of operating room time was lost during the study period from these cancellations. CONCLUSIONS: Same-day cancellations were identified in 2.2% of planned pediatric urology cases over a one-year period, with the majority of patients cancelled for avoidable reasons. Of cancelled cases, only 51.0% were actually rescheduled by the family with a median delay of over a month. Additionally, 2/3rd of patients identified as a minority race with 11.8% requiring translation services. This represents a vulnerable population who may require additional counseling for optimal patient and provider outcomes. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e330 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Tyler L. Overholt More articles by this author Anthony Atala More articles by this author Steve J. Hodges More articles by this author Marc A. Colaco More articles by this author Expand All Advertisement PDF downloadLoading ...