[Indicators of healthcare quality in day surgery (2010-2012)]

Rev Calid Asist. 2014 May-Jun;29(3):172-9. doi: 10.1016/j.cali.2014.01.006. Epub 2014 Mar 11.
[Article in Spanish]

Abstract

Introduction: Monitoring quality indicators in Ambulatory Surgery centers is fundamental in order to identify problems, correct them and prevent them. Given their large number, it is essential to select the most valid ones.

Objectives: The objectives of the study are the continuous improvement in the quality of healthcare of day-case surgery in our center, by monitoring selective quality parameters, having periodic information on the results and taking corrective measures, as well as achieving a percentage of unplanned transfer and cancellations within quality standards.

Material and method: Prospective, observational and descriptive study of the day-case surgery carried out from January 2010 to December 2012. Unplanned hospital admissions and cancellations on the same day of the operation were selected and monitored, along with their reasons. Hospital admissions were classified as: inappropriate selection, medical-surgical complications, and others. The results were evaluated each year and statistically analysed using χ(2) tests.

Results: A total of 8,300 patients underwent day surgery during the 3 years studied. The day-case surgery and outpatient index increased by 5.4 and 6.4%, respectively (P<.01). Unexpected hospital admissions gradually decreased due to the lower number of complications (P<.01). Hospital admissions, due to an extended period of time in locoregional anaesthesia recovery, also decreased (P<.01). There was improved prevention of nausea and vomiting, and of poorly controlled pain. The proportion of afternoon admissions was significantly reduced (P<.01). The cancellations increased in 2011 (P<.01).

Conclusions: The monitoring of quality parameters in day-case surgery has been a useful tool in our clinical and quality management. Globally, the unplanned transfer and cancellations have been within the quality standards and many of the indicators analysed have improved.

Keywords: Ambulatory surgical procedures; Cirugía ambulatoria; Cirugía mayor ambulatoria; Cirugía sin ingreso; Control de calidad; Day surgery; Indicadores de calidad; Outpatient surgery; Quality control; Quality indicators.

Publication types

  • English Abstract
  • Observational Study

MeSH terms

  • Ambulatory Surgical Procedures / standards*
  • Humans
  • Prospective Studies
  • Quality Indicators, Health Care*
  • Time Factors