Cancelamento cirúrgico em um hospital escola: implicações sobre o gerenciamento de custos

• Autor(a) principal: Perroca, Márcia Galan
• Data de Publicação: 2007
• Outros Autores: Jericó, Marli de Carvalho, Facundin, Solange Diná
• Tipo de documento: Artigo
• Idioma: eng; por; spa
• Título da fonte: Revista Latino-Americana de Enfermagem (Online)
• Texto Completo: https://www.revistas.usp.br/rlae/article/view/2485
• topic: hospitals teaching^i1^sorganization and administrat; nursing; hospital costs; direct service costs; hospitales escuela^i2^sorganización y administrac; enfermería; costos hospitalares; costos directos de servicios; hospitais de ensino^i3^sorganização e administra; enfermagem; custos hospitalares; custos diretos de serviços

This study discusses the problem of surgery cancellation on the economic-financial perspective. It was carried out in the Surgical Center Unit of a school hospital with the objective to identify and analyze the direct costs (human resources, medications and materials) and the opportunity costs that result from the cancellation of elective surgeries. Data were collected during three consecutive months through institutional documents and a form elaborated by the researchers. Only 58 (23.3%) of the 249 cancelled scheduled surgeries represented costs for the institution. The cancellations direct total cost was R$ 1.713.66 (average cost per patient R$ 29.54); distributed as follows: expenses with consumption materials R$ 333.05; sterilization process R$201.22; medications R$149.77 and human resources R$1,029.62. The human resources costs represented the greatest percentile in relation to the total cost (60.40%). It was observed that most of the cancellations could be partially avoided. Planning on management; redesigning work processes, training the staff and making early clinical evaluation can be strategies to minimize this occurrence.