Perioperative medicine & outcomes
The effect of a bundle intervention for ambulatory otorhinolaryngology procedures on same‐day case cancellation rate and associated costs
Authors' conclusion
An anaesthetist-driven, clinical informatics-based bundle intervention decreases same-day case cancellation rate and associated costs in patients scheduled for ambulatory otorhinolaryngology surgery.
Study context
- Population
- Patients scheduled for ambulatory otorhinolaryngology surgery, single centre, April 2021 to December 2022
- Participants
- 1,548 consecutive scheduled cases
- Comparison
- Bundle intervention vs pre-intervention
- Pre-interventionn = 929reference
- Post-interventionn = 619
- Outcome
- Case cancellation within 24 h
Methodological detailssingle-centre, quality improvement bundle intervention, multivariable logistic regression
- Single-centre
- Quality improvement bundle intervention
- Multivariable logistic regression
Main finding
As reported in the abstract
Cancellation within 24 h
- Decrease in cancellation rate during the first month (interrupted time-series)
- 2.7% (95%CI 1.6-3.7%, p < 0.01)
- Subsequent monthly decrease in cancellation rate (interrupted time-series)
- 0.2% (95%CI 0.1-0.4%, p < 0.01)
Further findings
Days between case scheduling and day of surgery
P < 0.01
Patient engagement via EHR patient portal or text messaging
P < 0.01
Cancellation due to patients' missed appointment on day of surgery (primary reason)
P = 0.03
Cost saving
- Estimated cost saving $150,200 (£118,755; €138,370)
- 35.3%
- p < 0.01
Original publication
The effect of a bundle intervention for ambulatory otorhinolaryngology procedures on same‐day case cancellation rate and associated costs. Anaesthesia. Published 14 February 2024. doi:10.
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