Revista de Calidad Asistencial最新文献_第3页

Eventos adversos hospitalarios en medicina interna: estudio prospectivo [内科药物不良事件:一项前瞻性研究]。

Revista de Calidad Asistencial Pub Date : 2017-09-01 DOI: 10.1016/j.cali.2017.02.003

D. Bellido , A. León , M.D. Mañas , E. Marchán , G. Esquinas , J. Ros

引用次数: 4

Menos no es más, pero puede ser el principio del cambio 少即是多，但可能是改变的开始

Revista de Calidad Asistencial Pub Date : 2017-09-01 DOI: 10.1016/j.cali.2017.07.004

J. Alcaraz Martínez, P. Bosque Lorente, O. Ortiz González, E. Ramiro Tena, I. Reina Nicolás, J. Nicolás Gálvez

引用次数: 0

Comparación de la herramienta Trigger con el conjunto mínimo básico de datos (CMBD) para la detección de eventos adversos en cirugía general Trigger工具与最小基本数据集(CMBD)在普外科不良事件检测中的比较

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2017.01.001

A.I. Pérez Zapata , M. Gutiérrez Samaniego , E. Rodríguez Cuéllar , A. Gómez de la Cámara , P. Ruiz López

{"title":"Comparación de la herramienta Trigger con el conjunto mínimo básico de datos (CMBD) para la detección de eventos adversos en cirugía general","authors":"A.I. Pérez Zapata , M. Gutiérrez Samaniego , E. Rodríguez Cuéllar , A. Gómez de la Cámara , P. Ruiz López","doi":"10.1016/j.cali.2017.01.001","DOIUrl":"10.1016/j.cali.2017.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgery is a high risk for the occurrence of adverse events (AE). The main objective of this study is to compare the effectiveness of the Trigger tool with the Hospital National Health System registration of Discharges, the minimum basic data set (MBDS), in detecting adverse events in patients admitted to General Surgery and undergoing surgery.</p></div><div><h3>Material and methods</h3><p>Observational and descriptive retrospective study of patients admitted to general surgery of a tertiary hospital, and undergoing surgery in 2012. The identification of adverse events was made by reviewing the medical records, using an adaptation of “Global Trigger Tool” methodology, as well as the (MBDS) registered on the same patients. Once the AE were identified, they were classified according to damage and to the extent to which these could have been avoided. The area under the curve (ROC) were used to determine the discriminatory power of the tools. The Hanley and Mcneil test was used to compare both tools.</p></div><div><h3>Results</h3><p>AE prevalence was 36.8%. The TT detected 89.9% of all AE, while the MBDS detected 28.48%. The TT provides more information on the nature and characteristics of the AE. The area under the curve was 0.89 for the TT and 0.66 for the MBDS. These differences were statistically significant (<em>P</em>  <!-->.001).</p></div><div><h3>Conclusions</h3><p>The Trigger tool detects three times more adverse events than the MBDS registry. The prevalence of adverse events in General Surgery is higher than that estimated in other studies.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 4","pages":"Pages 209-214"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2017.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34830779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Incumplimiento de los pacientes con las citas en atención primaria 患者不遵守初级保健预约

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2016.10.001

M.a A. Pastor Climent , F.J. Gómez-Romero , M. Sánchez Molla , C.I. Pérez Cascales

引用次数: 1

Análisis del coste económico del absentismo de pacientes en consultas externas 门诊病人缺勤的经济成本分析

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2017.01.004

M.L. Jabalera Mesa , J.M. Morales Asencio , F. Rivas Ruiz , M.H. Porras González

{"title":"Análisis del coste económico del absentismo de pacientes en consultas externas","authors":"M.L. Jabalera Mesa , J.M. Morales Asencio , F. Rivas Ruiz , M.H. Porras González","doi":"10.1016/j.cali.2017.01.004","DOIUrl":"10.1016/j.cali.2017.01.004","url":null,"abstract":"<div><h3>Aim</h3><p>To estimate the economic costs of missed Outpatient appointments by the Costa del Sol Health Agency (ASCS).</p></div><div><h3>Method</h3><p>An analysis was performed on the costs arising from missed outpatient appointments (first appointment and examinations) of each of the specialities in the Centres belonging to the ASCS. A formula was used to determine the unit cost per appointment and per centre and speciality. This involved the direct imputation of the controllable costs and the indirect imputation of the service costs, together with an estimated cost of re-appointments based on a previous case-control study.</p></div><div><h3>Results</h3><p>The cost of missed appointments per centre in the Costa del Sol Hospital was €2,475,640, with a failure rate of 14.2% (256,377 appointments). In the Benalmádena High Resolution Hospital it was €515,936, with an absence rate of 12.2% (44,848 appointments), and in the Mijas High Resolution Centre, a cost of €395,342 with an absence rate of the 13.5% (99,536 appointments). The mean extra cost of a re-appointment was €12.95. The specialities with a higher medium cost were Digestive Diseases, Internal Medicine, and Rehabilitation.</p></div><div><h3>Conclusions</h3><p>The economic cost of patients not turning up for scheduled appointments in the ASCS was greater than 3 million Euros for a non-attendance rate of the 13.8%, with Mijas High Resolution Centre being the centre that showed the lowest mean unitary cost per medical appointment.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 4","pages":"Pages 194-199"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2017.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34970695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Aspectos metodológicos de los procesos asistenciales integrados (PAI) 综合护理过程的方法学方面

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2016.12.003

R. Gomis , M. Mata Cases , D. Mauricio Puente , S. Artola Menéndez , J. Ena Muñoz , J.J. Mediavilla Bravo , C. Miranda Fernández-Santos , D. Orozco Beltrán , L. Rodríguez Mañas , C. Sánchez Villalba , J.A. Martínez

{"title":"Aspectos metodológicos de los procesos asistenciales integrados (PAI)","authors":"R. Gomis , M. Mata Cases , D. Mauricio Puente , S. Artola Menéndez , J. Ena Muñoz , J.J. Mediavilla Bravo , C. Miranda Fernández-Santos , D. Orozco Beltrán , L. Rodríguez Mañas , C. Sánchez Villalba , J.A. Martínez","doi":"10.1016/j.cali.2016.12.003","DOIUrl":"10.1016/j.cali.2016.12.003","url":null,"abstract":"<div><p>An Integrated Healthcare Pathway (PAI) is a tool which has as its aim to increase the effectiveness of clinical performance through greater coordination and to ensure continuity of care. PAI places the patient as the central focus of the organisation of health services. It is defined as the set of activities carried out by the health care providers in order to increase the level of health and satisfaction of the population receiving services. The development of a PAI requires the analysis of the flow of activities, the inter-relationships between professionals and care teams, and patient expectations. The methodology for the development of a PAI is presented and discussed in this article, as well as the success factors for its definition and its effective implementation. It also explains, as an example, the recent PAI for Hypoglycaemia in patients with Type 2 Diabetes Mellitus developed by a multidisciplinary team and supported by several scientific societies.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 4","pages":"Pages 234-239"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2016.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34803072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Cuestiones semántico-asistenciales semántico-asistenciales问题

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2016.09.004

M.M. Ortega-Marlasca

引用次数: 0

Factores que intervienen en la sobrecarga del cuidador primario del paciente con cáncer 癌症患者主要护理人员负担过重的因素

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2016.11.003

M.C. Valencia , G. Meza-Osnaya , I. Pérez-Cruz , N. Cortes-Campero , J. Hernández-Ovalle , P. Hernández-Paredes , K. Juárez-Romero , B. Chino-Hernández , M.S. Romero-Figueroa

{"title":"Factores que intervienen en la sobrecarga del cuidador primario del paciente con cáncer","authors":"M.C. Valencia , G. Meza-Osnaya , I. Pérez-Cruz , N. Cortes-Campero , J. Hernández-Ovalle , P. Hernández-Paredes , K. Juárez-Romero , B. Chino-Hernández , M.S. Romero-Figueroa","doi":"10.1016/j.cali.2016.11.003","DOIUrl":"10.1016/j.cali.2016.11.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the study was to identify the factors involved between burden in the primary caregiver of cancer patients and their quality of life.</p></div><div><h3>Material and methods</h3><p>A cross-sectional study was conducted in a secondary level hospital on 100 primary caregivers of cancer patients. The level of burden was determined using the Zarit scale and the perception of quality of life using the World Health Organisation Quality of Life questionnaire. Quality of life was categorised as high or low and compared between groups according to their level of burden. Descriptive statistics were performed on the study variables, and differences between groups were analysed according to their level of burden.</p></div><div><h3>Results</h3><p>In assessing the overload, it was found that 31% of caregivers had burden. A good quality of life was perceived by 76% of caregivers, while the remaining 24% perceived it as poor. To identify association between these two variables Chi squared (X2) was used to determine whether there was any association between quality of life and overloading of the primary caregiver, giving a <em>P</em>  ≤.05, finding a slightly positive correlation.</p></div><div><h3>Conclusions</h3><p>The factors that have a bearing on a good quality of life despite having burden were: being married, dedicated to the home, and kinship (to be immediate family: spouse, parents and children). Conversely, the type of cancer, sleep hours, and hours of care influence the perception of a poor quality of life.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 4","pages":"Pages 221-225"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2016.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34804101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

La calidad que viene: el modelo de calidad Qin 即将到来的品质:秦品质模式

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2017.06.001

J.M. Moreno

引用次数: 0

Análisis global de la legibilidad de los documentos de consentimiento informado utilizados en los hospitales públicos de España 西班牙公立医院使用的知情同意文件的全球可读性分析

Revista de Calidad Asistencial Pub Date : 2017-07-01 DOI: 10.1016/j.cali.2017.01.003

M.I. Mariscal-Crespo , M.V. Coronado-Vázquez , M.V. Ramirez-Durán

{"title":"Análisis global de la legibilidad de los documentos de consentimiento informado utilizados en los hospitales públicos de España","authors":"M.I. Mariscal-Crespo , M.V. Coronado-Vázquez , M.V. Ramirez-Durán","doi":"10.1016/j.cali.2017.01.003","DOIUrl":"10.1016/j.cali.2017.01.003","url":null,"abstract":"<div><h3>Purpose</h3><p>To analyse the readability of informed consent forms (ICF) used in Public Hospitals throughout Spain, with the aim of checking their function of providing comprehensive information to people who are making any health decision no matter where they are in Spain.</p></div><div><h3>Material and methods</h3><p>A descriptive study was performed on a total of 11,339 ICF received from all over Spanish territory, of which 1617 ICF were collected from 4 web pages of Health Portal and the rest (9722) were received through email and/or telephone contact from March 2012 to February 2013. The readability level was studied using the Inflesz tool. A total of 372 ICF were selected and analysed using simple random sampling. The Inflesz scale and the Flesch-Szigriszt index were used to analyse the readability.</p></div><div><h3>Results</h3><p>The readability results showed that 62.4% of the ICF were rated as a “little difficult”, the 23.4% as “normal”, and the 13.4% were rated as “very difficult”. The highest readability means using the Flesch index were scored in Andalusia with a mean of 56.99 (95% CI; 55.42-58.57) and Valencia with a mean of 51.93 (95% CI; 48.4-55.52). The lowest readability means were in Galicia with a mean of 40.77 (95% CI; 9.83-71.71) and Melilla, mean=41.82 (95% CI; 35.5-48.14).</p></div><div><h3>Conclusions</h3><p>The readability level of Spanish informed consent forms must be improved because their scores using readability tools could not be classified in normal scales. Furthermore, there was very wide variability among Spanish ICF, which showed a lack of equity in information access among Spanish citizens.</p></div>","PeriodicalId":101101,"journal":{"name":"Revista de Calidad Asistencial","volume":"32 4","pages":"Pages 200-208"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cali.2017.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34789433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7