Introduction:

The cancellation of elective surgeries and the low performance of operating room are problems that affect the quality of medical care.

Objective:

To evaluate the use of factor analysis, to identify the causes of underperformance in the operating room, in order to reduce the rate of surgery cancellation and increase performance.

Material and methods:

Through a prospective study; to the staff that works in the operating room, we ask them to write down ten problems that prevent the optimal use of the operating room, adding the solutions they propose; a factorial analysis is performed. With the results an operational decision is taken that is applied at the beginning of the turn. The performance, rate and causes of suspension are identified.

Results:

Factor analysis identified two related factors: lack of coordination of anesthesiologists and operating room. With an operative decision, a performance of 100% and an elective surgery cancellation rate of 4.9% were obtained. The causes of major cancellation were: lack of surgical time 48.5%, emergency surgery 17.1% and hypertensive patient 10.5%.

Conclusion:

Factor analysis identified causes that, through an operative decision, increased performance, decreasing the rate of cancellation of elective surgeries to an acceptable range.

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