Key result
Scheduling and preoperative workflow interventions significantly reduced ophthalmology surgical cancellation rates from 35% to 7% (p=0.014).
Why the study?
Preventable causes of ophthalmology surgical case cancellations were identified to implement interventions aimed at improving operating room utilization at a Veterans Affairs Medical Center.
Do scheduling and preoperative interventions reduce surgical cancellations in ophthalmology cases at a VA Medical Center?
Observational (n=269)
No
Do scheduling and preoperative interventions reduce surgical cancellations in ophthalmology cases at a VA Medical Center?
Implementing electronic scheduling and updated preoperative processes significantly reduced ophthalmology surgical cancellations and improved operating room utilization at a VA Medical Center.
May support workflow optimization in VA ophthalmology; hypothesis-generating and requires prospective validation before broader adoption.
Preventable causes of ophthalmology surgical case cancellations were identified, and interventions were implemented to improve operating room utilization at our Veterans Affairs (VA) Medical Center. A retrospective review of 269 patients with cancellations from 2013 to 2015 was performed. Interventions implemented from September 2014 to March 2015 were evaluated followed by in-depth chart reviews to identify demographics and wait-time intervals. Interventions included scheduling surgeries electronically, by specialty, and with predetermined attending coverage. In addition, the preoperative templates and technology to obtain preoperative measurements were updated. Cancellation rates dropped significantly from 35% to 7% (p = .014). Preventable causes of cancellations decreased from 28% to 5% (p = .005). Operating room utilization increased significantly with 264 more scheduled cases in 2015 than in 2013 (485 vs. 749, p < .001), and surgery wait time trended downward. These findings may support the use of similar interventions at other VA medical centers or similar hospitals with the goal of improving quality of care through decreased cancellations and cost.
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Dawson et al. (2019) conducted an observational in Ophthalmology surgical cases (n=269). Scheduling and preoperative workflow interventions vs. Pre-intervention period was evaluated on Cancellation rates (p=0.014). Scheduling and preoperative workflow interventions significantly reduced ophthalmology surgical cancellation rates from 35% to 7% (p=0.014).
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