TY - JOUR
T1 - Calidad en cirugía
T2 - Hacia una mejor comprensión de las complicaciones quirúrgicas
AU - Espinoza G., Ricardo
AU - Espinoza G., Juan Pablo
N1 - Publisher Copyright:
© 2016, Sociedad Medica de Santiago. All rights reserved.
PY - 2016/6
Y1 - 2016/6
N2 - 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.
AB - 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.
KW - Hospital mortality
KW - Morbidity
KW - Mortality
KW - Operative
KW - Operative procedures
KW - Outcomes assessment (Health care)
KW - Patient outcome assessment
KW - Surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=84987740606&partnerID=8YFLogxK
U2 - 10.4067/S0034-98872016000600010
DO - 10.4067/S0034-98872016000600010
M3 - Article
C2 - 27598495
AN - SCOPUS:84987740606
SN - 0034-9887
VL - 144
SP - 757
EP - 765
JO - Revista Medica de Chile
JF - Revista Medica de Chile
IS - 6
ER -