1. Reoperaciones no programadas en un servicio de cirugía adultos: Análisis del protocolo MINSAL.
- Author
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C., Guillermo Bannura
- Abstract
Background: Unplanned reoperations (UPRO) after elective surgery was proposed by Ministry of Health (MINSAL) as a quality indicator since 2010. The goal was to promote the discussion between pairs as an effective feedback for the surgical team. Aim: The purpose of this study is to analyze the results of a protocol of UPRO in a high complexity public institution. Materials and Method: The 9.5 years data base starting in July 2010 was analyzed. All reoperations within 30 days of the initial surgery were included. The UPRO indicator was considered fulfilled if the critical discussion of the case occurred in the clinical meeting within 15 days of the reoperation and if there is a document to support it. Results: in the indicated period the rate of UPRO was 2.5% (455 of 18,536 patients) and the protocol was accomplished in 97% of the cases. The stay in hospital and mortality rate in re-operated patients were high, with great differences between the surgical teams. Conclusions: The UPRO indicator is useful as a detailed analysis of postoperative morbidity of specific surgical teams and the changes along the years. Considering the great differences between the procedures in adults and children and the huge variation and complexity of the operations of multiple surgical specialties, it seems not relevant as a global indicator of a General Hospital. The UPRO must be prospective, complete, non-discriminatory and non-punitive. Theoretically UPRO could be useful as a feedback of surgical teams. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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