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        Reasons for operation cancellations at a teaching hospital

        Mahmoud Abu Abeeleh,Tareq M. Tareef,Amjad Bani Hani,Nader Albsoul,Omar Q. Samarah,M. S. ElMohtaseb,Musa Alshehabat,Zuhair Bani Ismail,Omar Alnoubani,Salameh S. Obeidat,Sami Abu Halawa 대한외과학회 2017 Annals of Surgical Treatment and Research(ASRT) Vol.93 No.2

        Purpose: To report rates of and reasons for operation cancellation, and to prioritize areas of improvement. Methods: Retrospective data were extracted from the monthly reports of cancelled listed operations. Data on 14 theatres were collected by the office of quality assurance at Jordan University Hospital from August 2012 to April 2016. Rates and reasons for operation cancellation were investigated. A Pareto chart was constructed to identify the reasons of highest priority. Results: During the period of study, 6,431 cases (9.31%) were cancelled out of 69,066 listed cases. Patient no-shows accounted for 62.52% of cancellations. A Pareto analysis showed that around 80% of the known reasons for cancellation after admission were due to a lack of surgical theatre time (30%), incomplete preoperative assessment (21%), upper respiratory tract infection (19%), and high blood pressure (13%). Conclusion: This study identified the most common reasons for operation cancellation at a teaching hospital. Potential avoidable root causes and recommended interventions were suggested accordingly. Future research, available resources, hospital policies, and strategic measures directed to tackle these reasons should take priority.

      • KCI등재후보

        The best vein to be accessed based on descriptive study of dorsal metacarpal vein

        Muna A. Salameh,Amjad T. Shatarat,Darwish H. Badran,Mhmoud A. Abu-Abeeleh,Islam M. Massad,Amjad M. Bani-Hani 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.4

        It is well known that the most common sites for venous access are the superficial veins of the upper limb, particularly dorsal metacarpal veins and median cubital vein. Although dorsal metacarpal veins are the first choice for venous cannulation, there is scarce information about their anatomic variation. Hence, detailed anatomical information about these veins will improve the anatomic knowledge of the health care providers. Subsequently, this study was designed to study the dorsal metacarpal veins and to determine the most prominent dorsal metacarpal vein. A cross sectional study of 402 subjects (804 hands), was prepared to study the superficial veins on the dorsum of the hand among Jordanian students and staff of one of the major governmental medical colleges in Jordan, by using infrared illumination system. The obtained data was analyzed according to sex, sidedness, and handedness. Six locations of the most prominent dorsal metacarpal veins were identified. There was a significant relation between both females and males and the most prominent dorsal metacarpal vein (P=0.01). For the first time this study identified the most common location of the most prominent dorsal metacarpal vein in the fourth intermetacarpal space.

      • KCI등재후보

        The best vein to be accessed based on descriptive study of dorsal metacarpal vein

        Muna A,Salameh,Amjad T,Shatarat,Darwish H,Badran,Mhmoud A,Abu-Abeeleh,Islam M,Massad,Amjad M,Bani-Hani 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.4

        It is well known that the most common sites for venous access are the superficial veins of the upper limb, particularly dorsal metacarpal veins and median cubital vein. Although dorsal metacarpal veins are the first choice for venous cannulation, there is scarce information about their anatomic variation. Hence, detailed anatomical information about these veins will improve the anatomic knowledge of the health care providers. Subsequently, this study was designed to study the dorsal metacarpal veins and to determine the most prominent dorsal metacarpal vein. A cross sectional study of 402 subjects (804 hands), was prepared to study the superficial veins on the dorsum of the hand among Jordanian students and staff of one of the major governmental medical colleges in Jordan, by using infrared illumination system. The obtained data was analyzed according to sex, sidedness, and handedness. Six locations of the most prominent dorsal metacarpal veins were identified. There was a significant relation between both females and males and the most prominent dorsal metacarpal vein (P=0.01). For the first time this study identified the most common location of the most prominent dorsal metacarpal vein in the fourth intermetacarpal space.

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