Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas

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....

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Autores principales:	Espinoza G,Ricardo, Espinoza G,Juan Pablo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Hospital Mortality Morbidity Mortality Operative Procedures Outcomes Assessment (Health Care) Patient Outcome Assessment Surgical Procedures Operative
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600010
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spelling	oai:scielo:S0034-988720160006000102016-10-03Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicasEspinoza G,RicardoEspinoza G,Juan Pablo Hospital Mortality Morbidity Mortality Operative Procedures Outcomes Assessment (Health Care) Patient Outcome Assessment Surgical Procedures Operative 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.6 20162016-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600010es10.4067/S0034-98872016000600010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hospital Mortality Morbidity Mortality Operative Procedures Outcomes Assessment (Health Care) Patient Outcome Assessment Surgical Procedures Operative
spellingShingle	Hospital Mortality Morbidity Mortality Operative Procedures Outcomes Assessment (Health Care) Patient Outcome Assessment Surgical Procedures Operative Espinoza G,Ricardo Espinoza G,Juan Pablo Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
description	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.
author	Espinoza G,Ricardo Espinoza G,Juan Pablo
author_facet	Espinoza G,Ricardo Espinoza G,Juan Pablo
author_sort	Espinoza G,Ricardo
title	Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
title_short	Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
title_full	Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
title_fullStr	Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
title_full_unstemmed	Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
title_sort	calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600010
work_keys_str_mv	AT espinozagricardo calidadencirugiahaciaunamejorcomprensiondelascomplicacionesquirurgicas AT espinozagjuanpablo calidadencirugiahaciaunamejorcomprensiondelascomplicacionesquirurgicas
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Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas

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