medigraphic.com
ISSN 1561-3070 (Electronic)

2015, Number 1

<< Back Next >>

Rev Cub Oftal 2015; 28 (1)

Statistical indicators for the evaluation of assistance protocols in ophthalmology

Navarro NS, Padilla RCM

Language: Spanish
References: 15
Page: 64-77
PDF size: 213.48 Kb.


ABSTRACT

Objective: to create indicators to evaluate the assistance protocols of the first causes of discharges from hospital in the 4th quarter of 2013.
Methods: literature review was used to gather information. Those indicators suggested by the scientific board experts were analyzed in addition to studying the medical histories that were selected through non-probabilistic intentional sampling.
Results: at least two indicators of diagnosis, follow-up, treatment and outcome for each protocol under research were designed. An survey applied to 64 physicians who did not adhere to protocols allowed us to know the causes of their poor adherence to the assistance protocols, according to several medical histories that were checked for each disease. An Excel program and the statistical S.P.S.S 11.5 version program were used to collect and to tabulate the information.
Conclusions: the evaluation of the non-adherence to the assistance protocols reveals that the medical procedure standardization is not reached with the creation of a document, because collective agreement, determination of the conditions of protocol implementation and a gradual incorporation into the medical practice are required to attain this goal.


REFERENCES

  1. Munera HD, Piedrahita ME. Evaluación de la baja adherencia a guías clínicas implementadas en el ESE Hospital San Vicente de Paúl de Caldas Antioquia primer semestre 2008[tesis]. Universidad de Antioquia Héctor Abad Gómez. Colombia; 2008.

  2. Field MJ, Lohr KN, eds. Clinical practice guidelines: Directions for a new Agency. Institute of Medicine. Washington DC: National Academic Press; 1990.

  3. Ellis J, Mulligan I, Rowe J, Sackett DL. Inpatient general medicine is evidence based. A-Team, Nuffield Department of Clinical Medicine. Lancet. 1995;346(8972):407-10.

  4. Bravo R. Medicina basada en pruebas. JANO. 1997[cited 16/09/2008];53(1218):[aprox 4 p.]. Available from: http://www.infodoctor.org/rafabravo/mbe2.htm

  5. Sackett DL, Richardson WS, Rosenberg W, Haynes RB. Medicina basada en la Evidencia. Cómo ejercer y enseñar la MBE. Churchill Livingston: MSD; 1997.

  6. Ramos López M. Endoftalmitis posterior a la cirugía de catarata [tesis doctoral]. Instituto Cubano de Oftalmología "Ramón Pando Ferrer". La Habana; 2013.

  7. Costagliola C, dell'Omo R, Parmeggiani F, Romano MR, Semeraro F, Sebastiani A. Endophthalmitis. Anti-Infective Agents in Medicinal Chemistry. 2009;8:151-68.

  8. Ministerio de Salud. Guía Clínica Trauma ocular grave. Santiago de Chile: Minsal, 2007 [citado 18 de mayo de 2012]. Disponible en: http://www.redsalud.gov.cl/archivos/guiasges/traumaocular.pdf

  9. Rodríguez VN, Rodríguez BR. Vitrectomías transconjuntival sin suturas, calibres 25G y 23G. En: Rio Torres M. Oftalmología. Criterios y Tendencias actuales. La Habana: ECIMED; 2009. p. 498-502.

  10. Guerra RA, Rodríguez VN, Eguía F, Rodríguez BR, Díaz O. Microperimetría y tomografía de coherencia óptica en operados por cirugía convencional de desprendimientos de retina. Rev Cubana Oftalmol. 2008 [citado 18 de mayo de 2012];21(20:[aprox 13 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21762008000200007&lng=es&nrm=iso

  11. Aveleira Ortiz B, Eguía Martínez F. Trauma Ocular. Consideraciones actuales. En: Rio Torres M. Oftalmología. Criterios y tendencias actuales. La Habana: ECIMED; 2009. p. 498-502.

  12. García Alcolea EE, Ortiz González E, Sánchez Miranda M, Rojas Álvarez E, González Sotero J, Pérez Ruiz A. Gonioscopia: examen diagnóstico para glaucoma. Rev Mis Milag. 2009 [citado 18 de mayo de 2012];2(1):[aprox 11p]. Disponible en: http://www.misionmilagro.sld.cu/vol2no1/rev2.php

  13. Garg P, Rao GN. Corneal ulcer: diagnosis and management. Communitty Eye Health. 1999;12(30):21-3.

  14. Cortés JI. Trauma Ocular. Fundación Santa Fe de Bogotá. 2007 [citado 2 de agosto de 2007]. Disponible en: http://www.aibarra.org/Guias/2-16.htm

  15. Jalilo Hernández SMI, Benítez Lugo MC, Cárdenas Díaz T, Hormigó Puertas I. Nuevas tecnologías en urgencias oftalmológicas traumáticas. Hospital General "Abel Santamaria". Pinar del Río. 2006-2007. Rev Mis Mil. 2009[citado 18 de mayo de 2012];3(3):[aprox 12 p.]. Disponible en: http://www.misionmilagro.sld.cu/vol3no3/inv3308.php




2020     |     www.medigraphic.com