Purpose: To investigate rate of theater cancelation and impact on pediatric surgical cases at Princes Marina Hospital
Method: The research conducted was a retrospective review of elective cases booked in Princess Marina Hospital, from 1st June 2024 to 30th November 2024. It was a quantitative review of data in theatre logbooks, theatre booking book and patient files and qualitative analysis using questionnaires to the caregivers.
Results: A total of one hundred and thirty-three (133) patients were booked for surgery, ninety-six (96) operations were done with thirty-seven 37 (38.5%) cancellations. The main reasons for theatre cancellation were the theatre temperature being too low (29.7%), followed by a shortage of anaesthesiologists (10.8%) and patient factors (did not show, or patient was fed) (10.8%). Other reasons for cancelation were lack of theatre time, power outage and incomplete investigations. According to the administered questionnaires, the main impact highlighted was economic impairment, affecting 72.7%. This was followed by an alteration in the child’s mood, with 65.0% reporting observing a negative mood in their child following the cancellation, bullying and peer rejection. 54.5% complained about bodily ailments, 50.0% reported school attendance disruptions; and 45.5% reported a decrease in their child’s physical activity.
Conclusion: Theatre cancellations were far above the expected rate of 5% resulting in significant impact on the child and family. A Comprehensive plan addressing issues of human resource and infrastructural limitations may reduce cancellation rates and improve patient outcomes.
Keywords: Cancelation, Pediatric Surgery, Outcomes, Pediatric operations, children's surgery
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