Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in
  • My Cart

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • My Cart
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers

Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Quality Report

Reducing Cancelations on the Day of Scheduled Surgery at a Children’s Hospital

Jayant “Nick” Pratap, Anna M. Varughese, Patti Mercurio, Terri Lynch, Teresa Lonnemann, Andrea Ellis, John Rugg, W. Ray Stone and Cindi Bedinghaus
Pediatrics April 2015, peds.2014-2418; DOI: https://doi.org/10.1542/peds.2014-2418
Jayant “Nick” Pratap
aDepartments of Anesthesiology and Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anna M. Varughese
aDepartments of Anesthesiology and Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Patti Mercurio
bSame Day Surgery,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Terri Lynch
bSame Day Surgery,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Teresa Lonnemann
cAmbulatory Services and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrea Ellis
bSame Day Surgery,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Rugg
dPerioperative Administration, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
W. Ray Stone
dPerioperative Administration, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Cindi Bedinghaus
dPerioperative Administration, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • Comments
Loading
Download PDF

Abstract

BACKGROUND AND OBJECTIVES: Cancelation on the day of surgery (DoSC) represents a costly wastage of operating room (OR) time and causes inconvenience, emotional distress, and financial cost to families. A quality improvement project sought to reduce lost OR time due to cancelation.

METHODS: Key drivers of the process included effective 2-way communication with families, compliance with fasting rules, and decision-making on patient illness before the day of surgery. A multidisciplinary team conducted serial tests of change addressing the various key drivers. Interventions were simplified, colorful, personalized preoperative instruction sheets and text-message reminders to caregivers’ cellphones, as well as a defined institutional decision-making pathway to permit rescheduling before the day of surgery in case of patient illness concerns. After initial smaller-scale testing, the interventions were implemented across all patients and sites. Data were collected from the hospital information technology system and analyzed by using control charts and statistical process control methods.

RESULTS: Mean OR time lost due to DoSC was decreased from a baseline of 5.7 to 3.6 hours/day in testing with a subset of surgical services at the hospital’s base campus, and then from 6.6 hours to 5.5 hours/day when implemented across all services at both surgical sites.

CONCLUSIONS: By applying quality improvement methods, significant reductions were made in time lost due to DoSC. The impact can be significant by improving institutional resource utilization.

  • quality improvement
  • child
  • operating rooms
  • Accepted December 29, 2014.
  • Copyright © 2015 by the American Academy of Pediatrics

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Purchase access

You may purchase access to this article. This will require you to create an account if you don't already have one.

Offer Reprints

Next
Back to top

Advertising Disclaimer »

In this issue

Pediatrics
Vol. 147, Issue 3
1 Mar 2021
  • Table of Contents
  • Index by author
Next
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Reducing Cancelations on the Day of Scheduled Surgery at a Children’s Hospital
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Reducing Cancelations on the Day of Scheduled Surgery at a Children’s Hospital
Jayant “Nick” Pratap, Anna M. Varughese, Patti Mercurio, Terri Lynch, Teresa Lonnemann, Andrea Ellis, John Rugg, W. Ray Stone, Cindi Bedinghaus
Pediatrics Apr 2015, peds.2014-2418; DOI: 10.1542/peds.2014-2418

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Reducing Cancelations on the Day of Scheduled Surgery at a Children’s Hospital
Jayant “Nick” Pratap, Anna M. Varughese, Patti Mercurio, Terri Lynch, Teresa Lonnemann, Andrea Ellis, John Rugg, W. Ray Stone, Cindi Bedinghaus
Pediatrics Apr 2015, peds.2014-2418; DOI: 10.1542/peds.2014-2418
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Download PDF
Insight Alerts

Jump to section

  • Article
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Development of a Structured Regional Analgesia Program for Postoperative Pain Management
  • Improving Autism Screening and Referrals With Electronic Support and Evaluations in Primary Care
  • A Quality Improvement Initiative to Reduce Unnecessary Rapid Responses Using Early Warning Scores
Show more Quality Report

Similar Articles

Subjects

  • Surgery
    • Surgery
  • Administration/Practice Management
    • Quality Improvement
    • Administration/Practice Management

Keywords

  • quality improvement
  • child
  • operating rooms
  • Journal Info
  • Editorial Board
  • Editorial Policies
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Open Access
  • Reviewer Guidelines
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
American Academy of Pediatrics

© 2021 American Academy of Pediatrics