CANCELAMENTOS CIR�RGICOS ELETIVOS EM UM HOSPITAL P�BLICO DO INTERIOR DE GOIÁS

Abstract

ABSTRACT

OBJECTIVE: TO IDENTIFY THE CAUSES INVOLVED IN THE CANCELLATIONS OF ELECTIVE SURGERIES IN A PUBLIC HOSPITAL IN THE INTERIOR OF THE STATE OF GOI�S. METHOD: DESCRIPTIVE, RETROSPECTIVE AND QUANTITATIVE STUDY, DEVELOPED THOUGH THE ANALYSIS OF PRINTED AND FILED MEDICAL RECORDS IN THE BILLING ROOM OF THE HOSPITAL UNIT SELECTED FOR STUDY, REFERRING TO THE TOTAL NUMBER OF ELECTIVE SURGERIES CANCELED IN THE PERIOD FROM JANUARY TO DECEMBER OF  2018 AND 2019. THE HOSPITAL IN QUESTION IN A SERVICE CENTER FOR RESIDENTS OF SMALLER NEIGHBORING CITIES, LACKING HOSPITALS AND OTHER PUBLIC HEALTH SERVICES THAT WORK IN SECONDARY AN/OR TERTIARY HEALTH CARE. RESULTS: THE VALUE OF THE CANCELLATION FEE FOR THE YEARS ANALYZED WAS AROUND 5%. CANCELLATIONS WERE DIVIDED INTO: RELATED TO THE PATIENT, RELATED TO MATERIALS AND EQUIPMENT AND RELATED TO THE INSTITUTION, WITH THOSE RELATED TO THE PATIENT BEING PREVALENT DUE TO THE PATIENT HYPERTENSIVE PEAKS IN THE PREOPERATIVE PERIOD (7.56%). CANCELLATIONS OCCURRED MOSTLY IN THE AFTERNOON, THE MEAN AGE OF PATIENTS AT THE TIME OF CANCELLATIONS WAS 47 YEARS  AND THE WERE NO SIGNIFICANT GENDER DISPARITIES. CONCLUSIONS: EFFECTIVE COMMUNICATION BETWEEN THE HOSPITAL�€™S CARE AND ADMINISTRATIVE STAFF, AS  WITH THE PATIENT, CAN MAKE IT POSSIBLE TO REDUCE SURGICAL CANCELLATIONS BY FOCUSING ON METHODOLOGICAL AND SAFE CARE.