Cancellation of pediatric outpatient surgery: economic and emotional implications for patients and their families

Journal of Clinical Anesthesia
A R TaitP I Reynolds

Abstract

To determine the cause and timing of case cancellation in a pediatric outpatient surgical population, and to examine the economic and emotional impact of such cancellations on patients and their families. Questionnaire survey. Outpatient surgery unit of a large university children's hospital. 127 parents of children whose elective outpatient surgery had been cancelled. A total of 200 questionnaires were mailed to the parents of children who had their outpatient surgery cancelled. Of those children whose surgery had been cancelled, 34.6% were due to upper respiratory infections (URIs), 30.7% for other medical reasons, and the balance for scheduling errors, because the child had not fasted, or for difficulties with transportation. The majority of surgeries (58.3%) were cancelled prior to their scheduled surgery date. However, 18.9% were cancelled on the day of surgery prior to leaving for the hospital and 22.8% were cancelled on arrival at the outpatient surgery clinic. Of those patients whose surgeries were not cancelled until they arrived at the hospital, 38.5% of mothers and 50.0% of fathers missed a day of work and, of these, 53.3% and 42.1%, respectively, went unpaid for the work day missed. The mean number of miles driven (...Continue Reading

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