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Cancellation of Surgeries by the Patient, Doctor or Institution: An Approach to Legal Ethical Aspects

Author

Listed:
  • Diaz-Perez Anderson
  • Andrea Candelario Vargas
  • Katherine Urbina Fuentes
  • Arley Denisse Vega Ochoa
  • Lina Patricia Camacho Nuñez
  • Maria Isabel Gina Cuello Orozco
  • Zoraima Romero Oñate

Abstract

INTRODUCTION- The cancellation of surgery represents a dilemma in establishing relatively adequate cancellation rates according to the factor, because each institution and surgical specialty have different dynamics. Objective- Describe the types of factors present for the cancellation of surgeries in a health institution. Colombia (2017-2018). METHODOLOGY- Descriptive, retrospective, cross-sectional study. We reviewed (3339) records of scheduled surgeries from January to December 2017. In 2018 they were reviewed (1733) between January and June. A total of (5072) records of a Third Level Health Institution of the Department of Cesar / Colombia were reviewed. The Neuronal Multilayer Perceptron Network model and the Gini coefficient were applied to determine the most important factor and therefore the inequality between them. RESULTS- In 2017, there was a surgical cancellation rate of 4% of the total number of scheduled surgeries (3339). For the year 2018, the rate was 3% of the total of scheduled surgeries (1733). The most important factor was due to the patient's adverse conditions. The surgical specialties that had the highest number of cancellations were general surgery followed by orthopedics. CONCLUSION- An evaluation of the factors for the cancellation of programmed surgeries with a high coefficient of inequality is described. In addition, the most important factor was related to the patient. Prospective studies by specialty are proposed for the design of solution and monitoring strategies to avoid surgical cancellations.

Suggested Citation

  • Diaz-Perez Anderson & Andrea Candelario Vargas & Katherine Urbina Fuentes & Arley Denisse Vega Ochoa & Lina Patricia Camacho Nuñez & Maria Isabel Gina Cuello Orozco & Zoraima Romero Oñate, 2019. "Cancellation of Surgeries by the Patient, Doctor or Institution: An Approach to Legal Ethical Aspects," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(9), pages 1-34, August.
    • Handle: RePEc:ibn:gjhsjl:v:11:y:2019:i:9:p:34
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    Cited by:

    1. Anderson Díaz-Pérez & Yeison Jair Guerra Peralta & Helen Morón Montero & Claudia Pacheco Castaño & Breiner Vergara Acosta & Tahania Chona Rodriguez, 2020. "Legal Implications for Actions Considered Iatrogenic: Knowledge and Practices of the Surgical Team, Valledupar, Cesar/Colombia," Global Journal of Health Science, Canadian Center of Science and Education, vol. 12(2), pages 1-90, February.

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

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