Rate and Cause Analysis of Surgical Case Cancellation Related to Medications in a University Hospital
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Abstract
Objectives: To determine the rate and cause of surgical case cancellation related to medications in elective surgery, and to analyze drug groups being the causes of surgery case cancellation. Methods: A retrospective study was conducted from January 1, 2014 to December 31, 2020. Data and reasons for case cancellation related to medication were retrieved from the Operative Scheduling System (OSS) of the Hospital. The reasons for cancellation and detail on medication group-related cancellations were analyzed. All cancellation causes were classified as patient factors and/or factors related to system within the Hospital. Results: Number of patients participating in this study was 321. The rate of surgical case cancellation related to medications in elective surgery was 2.7%. The cancellation rate related to antiplatelets accounted for 83%of the cases, while that related to anticoagulants was 4%. Dietary supplements, herbs and vitamins accounted for 10.9% of the cancellation cases. The reasons for cancellations related to patients factor alone accounted for 29.9% of the cases (patients did not stop taking medicine before proceeding an operation with documented evidences in medical records that an advice was given by medical personnel). The reasons for cancellations involved factors related to system within the Hospital accounted for 64.5% (no documented evidences in medical records for recommendations on drug discontinuation and its management, while 5.6% of surgical case cancellations were caused by both patient factors and factors related to system within the Hospital. Conclusion: The medication associated case cancellation in elective surgery is considered preventable. Strategies to reduce surgical cancellation include medication reconciliation, screening of medications with potential high-risk of bleeding during surgery, and clear communication to patients that they must discontinue particular medications, dietary supplements, herbs and vitamins before having surgery within a certain time frame.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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