Quality assessment conferences in surgery
Background: Surgical complications are preventable in up to 50% of cases, actually are various tools to avoid them, one of these are morbidity and mortality conferences. However, there are no guides that define their structure for them to be effective. Objective; Analyze the impact of a new modality...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2024
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/44806 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
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Español |
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Artículo revista |
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education medical health care morbidity general surgery posoperative complications quality indicators educacion medica indicadores de calidad de la atencion de salud morbilidad complicaciones posoperatorias cirugía general educação médica qualidades da assitencia a saude morbidade cirugia geral complicacoes pos-operatorias |
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education medical health care morbidity general surgery posoperative complications quality indicators educacion medica indicadores de calidad de la atencion de salud morbilidad complicaciones posoperatorias cirugía general educação médica qualidades da assitencia a saude morbidade cirugia geral complicacoes pos-operatorias Posada Lobo, Hector Fabio Petracchi, Enrique Varela, Jose Quesada, Matias Canullan, Carlos Quality assessment conferences in surgery |
| topic_facet |
education medical health care morbidity general surgery posoperative complications quality indicators educacion medica indicadores de calidad de la atencion de salud morbilidad complicaciones posoperatorias cirugía general educação médica qualidades da assitencia a saude morbidade cirugia geral complicacoes pos-operatorias |
| author |
Posada Lobo, Hector Fabio Petracchi, Enrique Varela, Jose Quesada, Matias Canullan, Carlos |
| author_facet |
Posada Lobo, Hector Fabio Petracchi, Enrique Varela, Jose Quesada, Matias Canullan, Carlos |
| author_sort |
Posada Lobo, Hector Fabio |
| title |
Quality assessment conferences in surgery |
| title_short |
Quality assessment conferences in surgery |
| title_full |
Quality assessment conferences in surgery |
| title_fullStr |
Quality assessment conferences in surgery |
| title_full_unstemmed |
Quality assessment conferences in surgery |
| title_sort |
quality assessment conferences in surgery |
| description |
Background: Surgical complications are preventable in up to 50% of cases, actually are various tools to avoid them, one of these are morbidity and mortality conferences. However, there are no guides that define their structure for them to be effective. Objective; Analyze the impact of a new modality of surgical conferences in a sector of benign biliary pathology, called quality evaluation conferences. Methodology: Descriptive observational study where the overall improvement of the sector, the decrease in complications and the quality of patient care are compared. For 6 months, a weekly quality evaluation conference was carried out. It had 5 stages; 1. Analysis of all discharged patients. 2. Review of adverse events. 3. Review of the list and order of patients in the surgical plan. 4. Reproduction of recorded surgeries and review of scientific articles. 5. Review of own scientific works in development. Results: after implementing the conferences, there was a decrease in the number and severity of complications, as well as an improvement in the correct and timely surgical indication. Conclusion; Quality evaluation workshops as an evolution of morbidity and mortality workshops are a novel tool that, when well implemented, can help improve quality standards and in turn be used as a learning option in training centers. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
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2024 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/44806 |
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I10-R327-article-448062024-12-05T12:49:49Z Quality assessment conferences in surgery Ateneos de evaluación de calidad en cirugía Ateneu para avaliação da qualidade em cirurgia Posada Lobo, Hector Fabio Petracchi, Enrique Varela, Jose Quesada, Matias Canullan, Carlos education medical health care morbidity general surgery posoperative complications quality indicators educacion medica indicadores de calidad de la atencion de salud morbilidad complicaciones posoperatorias cirugía general educação médica qualidades da assitencia a saude morbidade cirugia geral complicacoes pos-operatorias Background: Surgical complications are preventable in up to 50% of cases, actually are various tools to avoid them, one of these are morbidity and mortality conferences. However, there are no guides that define their structure for them to be effective. Objective; Analyze the impact of a new modality of surgical conferences in a sector of benign biliary pathology, called quality evaluation conferences. Methodology: Descriptive observational study where the overall improvement of the sector, the decrease in complications and the quality of patient care are compared. For 6 months, a weekly quality evaluation conference was carried out. It had 5 stages; 1. Analysis of all discharged patients. 2. Review of adverse events. 3. Review of the list and order of patients in the surgical plan. 4. Reproduction of recorded surgeries and review of scientific articles. 5. Review of own scientific works in development. Results: after implementing the conferences, there was a decrease in the number and severity of complications, as well as an improvement in the correct and timely surgical indication. Conclusion; Quality evaluation workshops as an evolution of morbidity and mortality workshops are a novel tool that, when well implemented, can help improve quality standards and in turn be used as a learning option in training centers. Antecedentes: Las complicaciones quirúrgicas son prevenibles hasta en un 50% de los casos, de allí que existan diversas herramientas para evitarlas, una de estas son los ateneos de morbimortalidad. Sin embargo, no existen guías que definan su estructura para que estos sean efectivos. Objetivo; Analizar el impacto de una nueva modalidad de ateneos quirúrgicos en un sector de patología biliar benigna, denominados ateneos de evaluación de calidad. Metodología: Estudio observacional descriptivo donde se compara el mejoramiento global del sector, la disminución de complicaciones y la calidad de atención de los pacientes. Durante 6 meses de realizó un ateneo semanal de evaluación de calidad que contaba con 5 etapas; 1. Análisis de todos los pacientes dados de alta. 2. Revisión de eventos adversos. 3. Revisión de la lista y orden de pacientes en plan quirúrgico. 4. Reproducción de cirugías grabadas y revisión de artículos científicos. 5. Revisión de trabajos científicos propios en desarrollo. Resultados: después de implementar los ateneos se evidenció disminución en número y severidad de las complicaciones, mejoría en la correcta y oportuna indicación quirúrgica. Conclusión; Los ateneos de evaluación de calidad como una evolución de los ateneos de morbilidad y mortalidad son una herramienta novedosa y que bien implementada puede ayudar a mejorar los estándares de calidad y a su vez ser utilizada como opción de aprendizaje en centros de formación. Fundamento: As complicações cirúrgicas são evitáveis em até 50% dos casos, portanto existem diversas ferramentas para evitá-las, uma delas são os ateneus de morbidade e mortalidade. Porém, não existem guias que definam sua estrutura para que sejam eficazes. Mirar; Analisar o impacto de uma nova modalidade de oficinas cirúrgicas em um setor de patologia biliar benigna, denominadas oficinas de avaliação de qualidade. Metodologia: Estudo observacional descritivo onde se compara a melhoria geral do setor, a diminuição das complicações e a qualidade do atendimento ao paciente. Durante 6 meses foi realizada uma oficina semanal de avaliação de qualidade que contou com 5 etapas; 1. Análise de todos os pacientes que receberam alta. 2. Revisão de eventos adversos. 3. Revisão da lista e ordem dos pacientes no plano cirúrgico. 4. Reprodução de cirurgias registradas e revisão de artigos científicos. 5. Revisão de trabalhos científicos próprios em desenvolvimento. Resultados: após a implantação do ateneu houve diminuição do número e da gravidade das complicações, bem como melhora na indicação cirúrgica correta e oportuna. Conclusão; Os workshops de avaliação da qualidade como uma evolução dos workshops sobre morbilidade e mortalidade são uma ferramenta nova que, quando bem implementada, pode ajudar a melhorar os padrões de qualidade e, por sua vez, ser utilizada como uma opção de aprendizagem em centros de formação. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-09-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/44806 10.31053/1853.0605.v81.n3.44806 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 3 (2024); 491-502 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 3 (2024); 491-502 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 3 (2024); 491-502 1853-0605 0014-6722 10.31053/1853.0605.v81.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/44806/46617 https://revistas.unc.edu.ar/index.php/med/article/view/44806/46520 Derechos de autor 2024 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |