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Análisis comparativo de indicadores de eficiencia en cirugía mayor ambulatoria

Overview of attention for article published in Gaceta Sanitaria, May 2017
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Title
Análisis comparativo de indicadores de eficiencia en cirugía mayor ambulatoria
Published in
Gaceta Sanitaria, May 2017
DOI 10.1016/j.gaceta.2017.02.003
Pubmed ID
Authors

María Rodríguez Ortega, José Luis Porrero Carro, Jesús María Aranaz Andrés, María José Castillo Fe, María Teresa Alonso García, Carlos Sánchez-Cabezudo Díaz-Guerra

Abstract

To find comparative elements for quality control in major ambulatory surgery (MAS) units. Descriptive and comparative study of the Ambulatory Care Index (AI) and Substitution Index (SI) in the Santa Cristina Hospital Surgery Service (Madrid, Spain) compared to Key Indicators (KI) of the National Health Service (NHS). 7,817 MAS procedures (between 2006 and 2014) were analysed. The average annual AI was 54%, higher (p <0.0001) than «ambulatory surgery» KI. The hernia outpatient procedures (average 72%) were also superior to the national KI (p <0.0001), but ambulatory haemorrhoidectomy (average 33.6%) was clearly lower (p <0.0001). KI of the NHS are useful and allow to establish a proper development in the global AI and hernia outpatient surgery with opportunities for improvement in haemorrhoidectomy. Their collection should be careful, not including minor surgeries. Also, their usefulness could be increased if data was broken down by speciality and by complexity.

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Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 16%
Student > Master 4 11%
Student > Ph. D. Student 3 8%
Student > Postgraduate 3 8%
Other 3 8%
Other 6 16%
Unknown 12 32%
Readers by discipline Count As %
Medicine and Dentistry 9 24%
Nursing and Health Professions 7 19%
Engineering 4 11%
Physics and Astronomy 1 3%
Social Sciences 1 3%
Other 3 8%
Unknown 12 32%