Abstract

Same-day surgery cancellations disrupt operating room efficiency, delay timely care, and contribute to patient dissatisfaction. At a vascular surgery clinic in an urban academic medical center, a retrospective review revealed a same-day cancellation rate of 20.83%, many of which were preventable. The project focused on identifying strategies to reduce cancellations, with the literature highlighting interventions such as standardized preprocedural protocols, screening tools, reminder phone calls, patient education, and centralized surgical processes. Among these, preoperative phone calls emerged as the most consistently effective approach for reducing preventable cancellations. Guided by this evidence, the project implemented a structured phone call protocol for patient’s schedule for vascular surgery. Outcomes were evaluated by comparing cancellation rates before and after implementation. This intervention showed a positive impact on operating room utilization, patient satisfaction, and cost efficiency. Sustainability is supported by integrating standardized phone calls into routine preoperative workflows, staff training, and ongoing quality monitoring to maintain long-term improvements in efficiency and patient centered care.

Date of publication

2025

Document Type

DNP Scholarly Project

Language

english

Persistent identifier

http://hdl.handle.net/10950/4901

Committee members

Deanna Adams

Degree

Doctor of Nursing Practice

Available for download on Friday, December 10, 2027

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