Quality assessment in surgery

Ricardo Espinoza G., Juan Pablo Espinoza G.

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

All rights reserved. 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.
Original languageAmerican English
Pages (from-to)757-765
Number of pages9
JournalRevista Medica de Chile
Volume144
Issue number6
DOIs
StatePublished - 1 Jun 2016

Keywords

  • Hospital mortality
  • Morbidity
  • Mortality
  • Operative
  • Operative procedures
  • Outcomes assessment (Health care)
  • Patient outcome assessment
  • Surgical procedures

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