Key result
Preoperative cancellations affect ~3.6% of elective surgeries, driven primarily by deteriorating patient condition.
Observational (n=28,988)
No
Inadequate medication management remains a persistent cause of last-minute surgery cancellations, highlighting the need for pharmacist involvement in perioperative care centers.
Medication cessation failures persist as a cancellation driver in elective surgery; hypothesis-generating for pharmacist roles in perioperative care without practice change.
We retrospectively studied the reasons for cancellation of elective operation within two days pre-operatively, except the cases younger than 20 years, for obstetrics and emergency surgery from Jan-uary 2011 to December 2016. During the observation period, 1,036 cases were cancelled. Reasons for cancellation were “deterioration of patient condition” or “change in the indications of the operation” in 578 cases. “Personal schedule change in either surgeon or patient” was the reason in 284 cases. “Rea-sons related to preoperative assessment” was cited in 92 cases and reasons were “unknown” in 82 cases. Among the preoperative-related reasons, the number of insufficient risk assessments de-creased. On the other hand, the number of failures in cessation of medication were static. Perioperative pharmacists are not stationed in our center. To reduce the cancellation of operations, a station of a pharmacist in our perioperative management center is necessary.
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Taguchi et al. (2019) conducted an observational in Elective surgery (n=28,988). Preoperative assessment and medication management was evaluated on Reasons for cancellation of elective operation within 2 days preoperatively. Among 28,988 scheduled adult elective operations, 1,036 (3.57%) were cancelled within 2 days preoperatively, mostly due to deteriorating patient condition (578 cases), while failures in preoperative medication cessation remained a persistent issue.
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