[Quality assessment conferences in surgery]

Hector Fabio Posada Lobo, Enrique Petracchi, Jose Varela, Matias Quesada, Carlos Canullan
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引用次数: 0

Abstract

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.

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[外科手术质量评估会议]
背景:多达 50%的手术并发症是可以预防的,实际上有各种工具可以避免并发症,其中之一就是发病率和死亡率会议。然而,目前还没有相关指南对其结构进行定义,以确保其有效性。目的:分析良性胆道病变领域中一种新的手术会议模式(称为质量评估会议)的影响。方法:描述性观察研究:描述性观察研究,比较该领域的整体改善、并发症的减少和患者护理的质量。在 6 个月内,每周召开一次质量评估会议。会议分为 5 个阶段:1. 分析所有出院病人。2.不良事件回顾。3.3. 审查手术计划中的患者名单和顺序。4.复制手术记录和审阅科学文章。5.结果:实施会议后,并发症的数量和严重程度都有所下降,手术指征的正确性和及时性也有所提高。结论:质量评估研讨会作为发病率和死亡率研讨会的一种演变,是一种新颖的工具,如果实施得当,有助于提高质量标准,反过来也可作为培训中心的一种学习选择。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
60
审稿时长
20 weeks
期刊介绍: The Journal of the Faculty of Medical Sciences is a scientific publication of the Secretariat of Science and Technology of the Faculty of Medical Sciences of the National University of Cordoba. Its objective is to disseminate and promote research work related to Medical and Biological Sciences. It publishes scientific works of national and international professionals on different topics related to health sciences from the field of medicine, nursing, kinesiology, diagnostic imaging, phonoaudiology, nutrition, public health, chemical sciences, dentistry and related.
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