Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UERJ |
Texto Completo: | http://www.bdtd.uerj.br/handle/1/20507 |
Resumo: | The objective of the study was to analyze the causes of cancellation in a university outpatient surgery unit of the SUS. Cross-sectional, descriptive and analytical study, presented with the support of the STROBE® tool, based on document analysis of the institution's internal record. The setting was the outpatient hospital center of a university polyclinic that is part of the Unified Health System in the city of Rio de Janeiro. An archived data collection instrument was used to organize the data, constructed by the author based on the literature review. Study participants were the records of 2,147 surgeries scheduled, 1,813 performed, and 334 canceled between August 2021 and July 2022. The collected data were entered into an electronic spreadsheet (Microsoft Excel®) and underwent inferential statistical analysis using the statistical package R, version 4.2.1. The numerous causes of cancellation were refined and grouped into ten reasons: patient absence, non-compliance with preoperative preparation, patient with incomplete doses/no vaccine against COVID-19, patient withdrawal, absence of RT-PCR test for COVID-19 , unfavorable clinical conditions, lack of professional, scheduling error, lack of preoperative examination and lack of equipment/supplies/bed. These causes were categorized, according to the literature, into: patient, clinical and institutional. Surgical cancellations were more frequently related to patient absence 117 (35.05%), followed by unfavorable clinical conditions 92 (27.54%).Among the categories listed, causes related to patients were 182 (54%), followed by clinical causes 92 (27%). There was an annual rate of surgical cancellation of 15.55%, the highest rate was recorded in the month of December/2021 27 (22.5%) and in the specialty of vascular surgery 66 (20.89%). There was a statistically significant difference between surgical cancellations according to month (p= 0.010), gender (p≤ 0.001), surgical specialty (p= 0.001) and age (p= 0.007). It is concluded that the predominant cause of cancellation in outpatient surgery was patient absence and an annual cancellation rate considered high, denoting the need for greater intervention through the adoption of tools that enable management strategies, especially for the most critical aspects. |
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Fassarella, Cintia Silvahttp://lattes.cnpq.br/6645746568337040Carmo, Thalita Gomes dohttp://lattes.cnpq.br/0707938810867611Camerini, Flavia Gironhttp://lattes.cnpq.br/9892236925588941http://lattes.cnpq.br/9430540414786270Pinheiro, Liliane Duarte Pereira Silvalilidpsp@gmail.com2023-10-25T14:29:13Z2023-02-14PINHEIRO, Liliane Duarte Pereira Silva. Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal. 2023. 97 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2023.http://www.bdtd.uerj.br/handle/1/20507The objective of the study was to analyze the causes of cancellation in a university outpatient surgery unit of the SUS. Cross-sectional, descriptive and analytical study, presented with the support of the STROBE® tool, based on document analysis of the institution's internal record. The setting was the outpatient hospital center of a university polyclinic that is part of the Unified Health System in the city of Rio de Janeiro. An archived data collection instrument was used to organize the data, constructed by the author based on the literature review. Study participants were the records of 2,147 surgeries scheduled, 1,813 performed, and 334 canceled between August 2021 and July 2022. The collected data were entered into an electronic spreadsheet (Microsoft Excel®) and underwent inferential statistical analysis using the statistical package R, version 4.2.1. The numerous causes of cancellation were refined and grouped into ten reasons: patient absence, non-compliance with preoperative preparation, patient with incomplete doses/no vaccine against COVID-19, patient withdrawal, absence of RT-PCR test for COVID-19 , unfavorable clinical conditions, lack of professional, scheduling error, lack of preoperative examination and lack of equipment/supplies/bed. These causes were categorized, according to the literature, into: patient, clinical and institutional. Surgical cancellations were more frequently related to patient absence 117 (35.05%), followed by unfavorable clinical conditions 92 (27.54%).Among the categories listed, causes related to patients were 182 (54%), followed by clinical causes 92 (27%). There was an annual rate of surgical cancellation of 15.55%, the highest rate was recorded in the month of December/2021 27 (22.5%) and in the specialty of vascular surgery 66 (20.89%). There was a statistically significant difference between surgical cancellations according to month (p= 0.010), gender (p≤ 0.001), surgical specialty (p= 0.001) and age (p= 0.007). It is concluded that the predominant cause of cancellation in outpatient surgery was patient absence and an annual cancellation rate considered high, denoting the need for greater intervention through the adoption of tools that enable management strategies, especially for the most critical aspects.O objetivo do estudo foi analisar as causas de cancelamento em uma unidade de cirurgia ambulatorial universitária integrante do SUS. Estudo transversal, descritivo e analítico, apresentado com o suporte da ferramenta STROBE®, a partir de análise documental de registro interno da instituição. O cenário foi o centro cirúrgico ambulatorial de uma policlínica universitária integrante do Sistema Único de Saúde do município do Rio de Janeiro. Utilizou-se, para organização dos dados, instrumento de coleta de dados estruturado, construído pela autora a partir da revisão da literatura. Os participantes do estudo foram os registros de 2.147 cirurgias agendadas, 1.813 realizadas e 334 canceladas entre agosto de 2021 a julho de 2022. Os dados coletados foram inseridos em uma planilha eletrônica (Microsoft Excel®) e passaram por análises estatísticas inferenciais utilizando o pacote estatístico R, versão 4.2.1. As inúmeras causas de cancelamento foram refinadas e agrupadas em dez motivos: falta do paciente, inconformidade no preparo pré-operatório, paciente com doses incompletas/sem vacina contra COVID-19, desistência do paciente, ausência do teste RT-PCR para COVID-19, condições clínicas desfavoráveis, falta de profissional, erro no agendamento, falta de exame pré-operatório e falta de equipamentos/insumos/leito. Essas causas foram categorizadas, de acordo com a literatura em: paciente, clínicas e institucionais. Os cancelamentos cirúrgicos estavam mais frequentemente relacionados à falta do paciente 117 (35,05%), seguida de condições clínicas desfavoráveis 92 (27,54%). Dentre as categorias elencadas, as causas relacionadas aos pacientes foram 182 (54%), seguida das causas clínicas 92 (27%). Evidenciou-se taxa anual de cancelamento cirúrgico de 15,55%, a maior taxa foi registrada no mês de dezembro/2021 27 (22,5%) e na especialidade da cirurgia vascular 66 (20,89%). Houve diferença estatística significativa entre os cancelamentos cirúrgicos com o mês (p=0,010), sexo (p≤0,001), especialidade cirúrgica (p=0,001) e idade (p=0,007). Conclui-se que a causa de cancelamento em cirurgia ambulatorial predominante foi a falta do paciente e uma taxa anual de cancelamento considerada alta, denotando a necessidade de maior intervenção por meio da adoção de ferramentas que possibilitem estratégias gerenciais, sobretudo, para os aspectos mais críticos.Submitted by Felipe CB/B (felipe.xavier@uerj.br) on 2023-10-25T14:29:13Z No. of bitstreams: 1 Dissertação - Liliane Duarte Pereira Silva Pinheiro - 2023 - Completa.pdf: 4748873 bytes, checksum: 30fe04f29817c8a0b59e27799abec21a (MD5)Made available in DSpace on 2023-10-25T14:29:13Z (GMT). No. of bitstreams: 1 Dissertação - Liliane Duarte Pereira Silva Pinheiro - 2023 - Completa.pdf: 4748873 bytes, checksum: 30fe04f29817c8a0b59e27799abec21a (MD5) Previous issue date: 2023-02-14Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro - FAPERJapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em EnfermagemUERJBrasilCentro Biomédico::Faculdade de EnfermagemSurgery cancellationAmbulatory surgical proceduresQuality indicators, health carePatient safetyPerioperative nursingCancelamento de cirurgiaProcedimentos cirúrgicos ambulatóriosIndicadores de qualidade em assistência à saúdeSegurança do pacienteEnfermagem perioperatóriaCIENCIAS DA SAUDE::ENFERMAGEMAnálise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversalAnalysis of the causes of outpatient surgery cancellations: a cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALDissertação - Liliane Duarte Pereira Silva Pinheiro - 2023 - Completa.pdfDissertação - Liliane Duarte Pereira Silva Pinheiro - 2023 - Completa.pdfapplication/pdf4748873http://www.bdtd.uerj.br/bitstream/1/20507/2/Disserta%C3%A7%C3%A3o+-+Liliane+Duarte+Pereira+Silva+Pinheiro+-+2023+-+Completa.pdf30fe04f29817c8a0b59e27799abec21aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82123http://www.bdtd.uerj.br/bitstream/1/20507/1/license.txte5502652da718045d7fcd832b79fca29MD511/205072024-02-26 16:23:02.838oai:www.bdtd.uerj.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T19:23:02Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.por.fl_str_mv |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
dc.title.alternative.eng.fl_str_mv |
Analysis of the causes of outpatient surgery cancellations: a cross-sectional study |
title |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
spellingShingle |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal Pinheiro, Liliane Duarte Pereira Silva Surgery cancellation Ambulatory surgical procedures Quality indicators, health care Patient safety Perioperative nursing Cancelamento de cirurgia Procedimentos cirúrgicos ambulatórios Indicadores de qualidade em assistência à saúde Segurança do paciente Enfermagem perioperatória CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
title_full |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
title_fullStr |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
title_full_unstemmed |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
title_sort |
Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal |
author |
Pinheiro, Liliane Duarte Pereira Silva |
author_facet |
Pinheiro, Liliane Duarte Pereira Silva lilidpsp@gmail.com |
author_role |
author |
author2 |
lilidpsp@gmail.com |
author2_role |
author |
dc.contributor.advisor1.fl_str_mv |
Fassarella, Cintia Silva |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6645746568337040 |
dc.contributor.referee1.fl_str_mv |
Carmo, Thalita Gomes do |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0707938810867611 |
dc.contributor.referee2.fl_str_mv |
Camerini, Flavia Giron |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/9892236925588941 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9430540414786270 |
dc.contributor.author.fl_str_mv |
Pinheiro, Liliane Duarte Pereira Silva lilidpsp@gmail.com |
contributor_str_mv |
Fassarella, Cintia Silva Carmo, Thalita Gomes do Camerini, Flavia Giron |
dc.subject.eng.fl_str_mv |
Surgery cancellation Ambulatory surgical procedures Quality indicators, health care Patient safety Perioperative nursing |
topic |
Surgery cancellation Ambulatory surgical procedures Quality indicators, health care Patient safety Perioperative nursing Cancelamento de cirurgia Procedimentos cirúrgicos ambulatórios Indicadores de qualidade em assistência à saúde Segurança do paciente Enfermagem perioperatória CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.por.fl_str_mv |
Cancelamento de cirurgia Procedimentos cirúrgicos ambulatórios Indicadores de qualidade em assistência à saúde Segurança do paciente Enfermagem perioperatória |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
The objective of the study was to analyze the causes of cancellation in a university outpatient surgery unit of the SUS. Cross-sectional, descriptive and analytical study, presented with the support of the STROBE® tool, based on document analysis of the institution's internal record. The setting was the outpatient hospital center of a university polyclinic that is part of the Unified Health System in the city of Rio de Janeiro. An archived data collection instrument was used to organize the data, constructed by the author based on the literature review. Study participants were the records of 2,147 surgeries scheduled, 1,813 performed, and 334 canceled between August 2021 and July 2022. The collected data were entered into an electronic spreadsheet (Microsoft Excel®) and underwent inferential statistical analysis using the statistical package R, version 4.2.1. The numerous causes of cancellation were refined and grouped into ten reasons: patient absence, non-compliance with preoperative preparation, patient with incomplete doses/no vaccine against COVID-19, patient withdrawal, absence of RT-PCR test for COVID-19 , unfavorable clinical conditions, lack of professional, scheduling error, lack of preoperative examination and lack of equipment/supplies/bed. These causes were categorized, according to the literature, into: patient, clinical and institutional. Surgical cancellations were more frequently related to patient absence 117 (35.05%), followed by unfavorable clinical conditions 92 (27.54%).Among the categories listed, causes related to patients were 182 (54%), followed by clinical causes 92 (27%). There was an annual rate of surgical cancellation of 15.55%, the highest rate was recorded in the month of December/2021 27 (22.5%) and in the specialty of vascular surgery 66 (20.89%). There was a statistically significant difference between surgical cancellations according to month (p= 0.010), gender (p≤ 0.001), surgical specialty (p= 0.001) and age (p= 0.007). It is concluded that the predominant cause of cancellation in outpatient surgery was patient absence and an annual cancellation rate considered high, denoting the need for greater intervention through the adoption of tools that enable management strategies, especially for the most critical aspects. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-10-25T14:29:13Z |
dc.date.issued.fl_str_mv |
2023-02-14 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
PINHEIRO, Liliane Duarte Pereira Silva. Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal. 2023. 97 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2023. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/20507 |
identifier_str_mv |
PINHEIRO, Liliane Duarte Pereira Silva. Análise das causas de cancelamentos em cirurgia ambulatorial: um estudo transversal. 2023. 97 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Enfermagem, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2023. |
url |
http://www.bdtd.uerj.br/handle/1/20507 |
dc.language.iso.fl_str_mv |
por |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade do Estado do Rio de Janeiro |
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UERJ |
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Brasil |
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Centro Biomédico::Faculdade de Enfermagem |
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Universidade do Estado do Rio de Janeiro |
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