Evaluating the Effective Factors on Cancelling Surgical Operations in Shahid Kamyab Hospital of Mashhad, 2012-2013, and Developing Management Strategies to Reduce these Factors

Document Type : Original Article


1 Faculty of Management and Economic, Islamic Azad University Science and Research Branch, Tehran, Iran.

2 Faculty of Management and Social Sciences, Islamic Azad University North Tehran Branch, Tehran, Iran.

3 School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Shahid Kamyab Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.


Background: One of the main factors in determining hospital costs is the efficiency of operating rooms, and great resources are allocated to management and timely surgical operation. Cancelling surgical operations is one of the main causes leading to inefficiency and wasting the resources. This study is conducted to consider the rate and reasons of cancelling surgical operations in Mashhad Shahid Kamyab hospital.

Material and Method: This study is a retrospective cross-sectional study. Here the data is collected from HIS software and is categorized under five surgical services: orthopedics, neurosurgery, general surgery, facial and ENT surgery.
Cancelling causes of surgical operations are divided into six types: patient-related problems, surgeon-related problems, paraclinical test results, operating rooms, anesthesia and hospital.
Result: In present study, of 13674 preplanned surgical operations, %8 was related to orthopedic surgical operations, %4.2 to ENT, %3.5 to facial surgeries and %1.1 to neurology, respectively.
The most frequent causes of surgery cancellation are clinical problems (%2.21), patient’s refusal to pay (%19.1), surgeon-related problems (%11.4) and the least common ones are related to paraclinical test results (%1.1).

Conclusion: In this study, in regard that most causes of cancelling surgical operations are related to patient, it is suggested that patient evaluation be performed by surgeon and anesthesiologist before the operation, so that they can prevent clinical problems during operation, offer insurance strategies and solve problems relating to surgical costs of needy patients; especially accidental patients.