Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
Autor: | Juan Pablo Espinoza G, Ricardo Espinoza G |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
media_common.quotation_subject Specialty MEDLINE Single Center 03 medical and health sciences 0302 clinical medicine Quality of life Severity of illness Medicine Quality (business) Hospital Mortality Mortality Intensive care medicine media_common Surgical Procedures business.industry General Medicine Operative Patient Outcome Assessment Outcomes Assessment (Health Care) Close relationship 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Morbidity business Risk assessment Operative Procedures |
Zdroj: | Revista médica de Chile v.144 n.6 2016 SciELO Chile CONICYT Chile instacron:CONICYT |
ISSN: | 0034-9887 |
Popis: | This paper deals with quality from the perspective of structure, processes and indicators in surgery. In this specialty, there is a close relationship between effectiveness and quality. We review the definition and classification of surgical complications as an objective means of assessing quality. The great diversity of definitions and risk assessments of surgical complications hampered the comparisons of different surgical centers or the evaluation of a single center along time. We discuss the different factors associated with surgical risk and some of the predictive systems for complications and mortality. At the present time, standarized definitions and comparisons are carried out correcting for risk factors. Thus, indicators of mortality, complications, hospitalization length, postoperative quality of life and costs become comparable between different groups. The volume of procedures of a determinate center or surgeon as a quality indicator is emphasized. |
Databáze: | OpenAIRE |
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