Lemus CA, Hernández CC, Carrillo RSC, Esponda PJG

Language: Spanish
References: 14
Page: 257-263
PDF size: 173.93 Kb.

ABSTRACT

Objective: To evaluate the quality of care of the Intensive Care Unit of the Angeles Pedregal Hospital (UTI-HAP). Material and methods: Retrospective cohort study conducted between January 1, 2018 and December 31, 2018. To establish the quality of care, the study was divided into three sections: Section I; Demographic analysis of the cohort, Section II; Mortality analysis and Section III; Analysis of quality indicators (prevention of unscheduled extubation, to avoid hypernatremia in the critically ill patient and to attenuate the neuromuscular syndrome of the critically ill patient). For statistical analysis, statistics were used with measures of central tendency and dispersion. Results: Our cohort was made up of 288 patients. A mortality incidence of 12.5% was presented and a predicted mortality of 28.6% was calculated using SAPS III, with a standardized mortality ratio of 0.43. Appropriate follow-up was given to each of the quality indicators with 100% adherence. Conclusions: Patients who entered the Intensive Care Unit of the Angeles Pedregal Hospital were provided with a good quality of care.

REFERENCES

1. Pyle K, Wavra T. Quality indicators for critical care. AACN Adv Crit Care. 2007; 18 (3): 229-243.

2. Flaaten H. The present use of quality indicators in the intensive care unit. Acta Anaesthesiol Scand. 2012; 56 (9): 1078-1083.

3. Martin MC, Cabre LI, Blanch L, Blanco J, Castillo F, Castillo P et al. Indicadores de calidad en el enfermo crítico. Med Intensiva. 2008; 32 (1): 23-32.

4. Tejeda-Miranda M, Anthon-Mendez FJ, Esponda-Prado JG, Rendón-Macías ME. Calidad de atención en una Unidad de Terapia Intensiva del sector privado. Rev Med Inst Mex Seguro Soc. 2015; 53 (4): 400-404.

5. Cerón-Díaz UW, Esponda-Prado J, Borboya-Paya M, Paul-Vázquez JM. Valor predictivo de los sistemas de calificación de gravedad: comparación de cuatro modelos en tres unidades de terapia intensiva mexicanas incluidas en la base de datos multicéntrica de terapia Intensiva. Rev Asoc Mex Med Crit y Ter Int. 2000; 14 (2): 50-59.

6. Elguea-Echeverría PA, Esponda-Prado JG, Cerón-Díaz UW, García-Gómez MN. Calidad de la atención en el cuidado del paciente crítico en una Unidad de Terapia Intensiva mexicana del sector privado. Rev Asoc Mex Med Crit y Ter Int. 2012; 26 (4): 209-214.

7. Hernández-Cortés C, Meyer-Talón M, López-López C, Lemus-Cázares A, Carrillo-Ramírez SC, Esponda-Prado JG. Desempeño de los sistemas de puntuación pronóstico en la Unidad de Terapia Intensiva del Hospital Ángeles Pedregal. Acta Médica Grupo Ángeles. 2019; 17 (2): 119-125.

8. Rhodes A, Moreno RP, Azoulay E, Capuzzo M, Xhichw JD, Eddleston J et al. Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM). Intensive Care Med. 2012; 38 (4): 598-605.

9. Braun JP, Mende H, Bause H, Bloos F, Geldner G, Kastrup M, Kuhlen R et al. NeQuI (quality network in intensive care medicine). Quality indicators in intensive care medicine: why? Use or burden for the intensivist. Ger Med Sci. 2010; 8: 22.

10. Lohr KN, Schroeder SA. A strategy for quality assurance in medicare. N Engl J Med. 1990; 322 (10): 707-712.

11. Donabedian A. Evaluating the quality of medical care. Milbank Q. 2005; 83 (4): 691-729.

12. Carrasco G, Cabré L. Gestión de la calidad en medicina intensiva. En: Roca J, Ruiz J, editores. Gestión estratégica en medicina intensiva. Medicina crítica práctica. Barcelona: EdikaMed; 2006. p. 29-51.

13. Curtis JR, Cook DJ, Wall RJ, Angus DC, Bion J, Kacmarek R et al. Intensive care unit quality improvement: a “how-to” guide for the interdicisplinary team. Crit Care Med. 2006; 34 (1): 211-218.

14. Williams SC, Watt A, Schmaltz SP, Koss RG, Loeb JM. Assessing the reliability of standardized performance indicators. Int J Qual Health Care. 2006; 18: 246-255.