2006, Number 2
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Rev Hosp M Gea Glz 2006; 7 (2)
The surgery cancellation like a quality of medical care index
Galván MA, Flores NG
Language: Spanish
References: 14
Page: 59-62
PDF size: 71.82 Kb.
ABSTRACT
The surgery cancellation is a frequent problem in the public hospital with affectation of the quality of medical care. The objective of this article is to know the incidence and the causes of the surgery cancellation in a general hospital of Mexico City. We classified the causes in two groups: structure and process. We reviewed the charts of 15,833 patients with programmed surgery in a two and a half years period, 645 were cancelled, equivalent to index of 4.07% and corresponds as regular.
In the hospital we planned some actions to improve this index.
REFERENCES
Donabedian A. Twenty years of research on the quality of medical care. Eval Health Proph 1985; 8:243-265.
Ruelas E. Confusiones y definiciones. Calidad de la atención a la salud. Salud Pública Mex 1995;2:5-7.
Sauceda VAL, Durán AL, Hernández B. Evaluation of a program monitoring the quality of the services provided by a non governmental organization. Salud Pública Mex 2000;42:422-30.
Berwick DM. Continuous improvement as an ideal in health care. N Engl J Med 1989;320:53-56.
Aguirre-Córdova JF, Chávez-Vázquez G, Huitrón-Aguilar GA, Cortés-Jiménez N. ¿Por qué se suspende una cirugía? Causas, implicaciones y antecedentes bibliográficos. Gac Med Mex 2003;139:545-51.
Morehead MA. Evaluating the quality of medical care in the Neighborhood Center Program of the Office of Economic Opportunity. Med Care 1970;8:1118-31.
Duran AL. Determinants of professional status among physicians in México. Gac Med Mex 2001;137:509-20.
Bronfman M, Castro R, Zúñiga E, Miranda C, Oviedo J. “Hacemos lo que podemos” los prestadores de servicio frente al problema de la utilización. Salud Pública Mex 1997;39:546-53.
Sánchez JI, Bonne GT, Pérez FC, Botín DM. Evaluación de la calidad de atención médica integral a trabajadores del municipio de Santiago de Cuba. Rev Cubana Salud Pública 2002;28:38-45.
Aguirre-Gas H. Evaluación y garantía de calidad de la atención médica. Salud Pública Mex 1991;33:624-28.
MacArthur AJ, MacArthur C, Bevan JC. Determinants of pediatric day surgery cancellation. J Clin Epidemiol 1995;48:485-489.
Donahue KT. La calidad de la atención a la salud en los Estados Unidos: nuevas tendencias. Salud Pública Mex 1993;35:288-90.
Vidal PLM, Reyes ZH. Diseño de un sistema de monitoreo para el desarrollo de programas de garantía de calidad. Salud Pública Mex 1993,35:326-31.
Ruelas-Barajas E. Calidad, productividad y costos. Salud Pública Mex 1993;35:299-335.