Role of the Perioperative Care Center and Reasons for Cancelling Elective Operation

Abstract

We retrospectively studied the reasons for cancellation of elective operation within two days preoperatively, except the cases younger than 20 years, for obstetrics and emergency surgery from January 2011 to December 2016. During the observation period, 1,036 cases were cancelled. Reasons for cancellation were “deterioration of patient condition” or “change in the indications of the operation” in 578 cases. “Personal schedule change in either surgeon or patient” was the reason in 284 cases. “Reasons related to preoperative assessment” was cited in 92 cases and reasons were “unknown” in 82 cases. Among the preoperative-related reasons, the number of insufficient risk assessments decreased. On the other hand, the number of failures in cessation of medication were static. Perioperative pharmacists are not stationed in our center. To reduce the cancellation of operations, a station of a pharmacist in our perioperative management center is necessary.