Topical intranasal corticosteroids compared to watchful waiting method for the treatment of otitis media with effusion in children.

Background:The cancellation of elective surgical procedures poses a significant challenge within healthcare facilities, leading to increased burdens on hospitals and distress for patient their families.Aim: To improve services, enhance quality of care, and improve of operating room management by assessing and implementing a new policy to reduce cancellation rates Patients and methods: This intervention study employed a pretest-posttest design and was conducted on all canceled cases in four departments: General Surgery, Gynecology, ENT, and Pediatric Surgery.Additionally, a questionnaire was distributed to physicians and nurses to identify the causes of cancellations, while satisfaction questionnaire was administered to 84 patients.The study placed at Ghamra Hospital for 12 months. Results:The causes of cancellation related to operation were frequented "often or sometimes" by 50% due to patients did not show up, 65% due to refusal to sign the consent,57.5% due to the patients uncompliant to preoperative preparations, 50% due to uncontrolled hypertension or blood glucose level, 65% due to no available blood group, 60% due to lack of resources and drugs,77.5% due to lengthy of different operation,70% due to emergency operations, 67.5% due to operation theatre unavailability,72.5%due to missing of members of team work, 62.5% due to failure of electricity or equipment's or gas station. Conclusion:The overall cancellation rate was found to be 9.74%, exceeding the standard benchmark of less than 5%.Among the various departments, pediatric surgery and ENT departments exhibited the highest cancellation rates, primarily due to upper respiratory tract infections and overloaded schedules..