Implementación de la lista de verificación de la seguridad de la cirugía, sugerida por la Organización Mundial de la Salud, en pacientes sometidos a intervenciones quirúrgicas con anestesia
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Autores
Fierro Márquez, Cindy Lorenna
Director
Rincón Valenzuela, David Alberto (Thesis advisor)
Tipo de contenido
Trabajo de grado - Pregrado
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EspañolFecha de publicación
2015
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Objetivo principal: Comparar la efectividad de la lista de verificación para la seguridad de la cirugía propuesta, respecto a la lista de chequeo institucional, en cuanto a la incidencia de eventos adversos asociados a una intervención anestésico-quirúrgica, en pacientes adultos sometidos a cirugía bajo anestesia general, regional o combinada. Diseño: Estudio cuasi-experimental, tipo antes/después, con grupo de control no equivalente. Hipótesis: La lista de verificación para la seguridad del paciente durante el procedimiento quirúrgico, propuesta en este proyecto, se asocia a menor presentación de eventos adversos que puedan derivarse del manejo anestésico-quirúrgico en salas de cirugía en comparación con la lista de chequeo institucional. Pacientes: Todos aquellos a quienes en el momento del estudio, se les practique una cirugía (electiva o urgencia), sin discriminar la especialidad del servicio quirúrgico, en el horario de 7:00 AM a 7:00 PM, y que requiera de la participación del Servicio de Anestesiología. Metodología: Aplicación de la lista de verificación institucional en 112 pacientes, con posterior retiro de la misma y aplicación de la lista propuesta en 112 pacientes, comparando la incidencia de presentación de eventos adversos entre las mismas, y realizando un análisis estratificado por sexo, edad, clasificación ASA, tipo de anestesia, especialidad quirúrgica y prioridad de la cirugía para evaluar las características de presentación de los diferentes eventos adversos. Mediciones: Se comparará la incidencia de eventos adversos asociados a cirugía con cada una de las dos listas.
Abstract Main objective: To compare the effectiveness of the proposed checklist for the safety of the surgery, with respect to the institutional checklist, in the incidence of adverse events associated with an anesthetic-surgical intervention, in adult patients undergoing surgery under general, regional or combined anesthesia. Design: Quasi-experimental study, before/after with non-equivalent control group. Hypothesis: The checklist for the patient safety during the procedure proposed in this project, is associated with lower incidence of adverse events arising from the anesthetic and surgical management in surgery room compared with the institutional checklist. Patients: All those who at the time of the study, have surgery (elective or emergency), without discriminating specialty surgical service, between the hours of 7:00 a.m. to 7:00 PM, and that requires the participation the Anesthesiology service. Methodology: Applying institutional checklist in 112 patients, with subsequent removal of the same and application of the proposed checklist in 112 patients, comparing the incidence of subsequent adverse events between them, and performing stratified analisis by sex, age, ASA classification, type of anesthesia, surgical specialty and priority of surgery to evaluate the characteristics of presentation of the different adverse events. Measurements: The incidence of adverse events associated with surgery will be compared with each one of the two lists.
Abstract Main objective: To compare the effectiveness of the proposed checklist for the safety of the surgery, with respect to the institutional checklist, in the incidence of adverse events associated with an anesthetic-surgical intervention, in adult patients undergoing surgery under general, regional or combined anesthesia. Design: Quasi-experimental study, before/after with non-equivalent control group. Hypothesis: The checklist for the patient safety during the procedure proposed in this project, is associated with lower incidence of adverse events arising from the anesthetic and surgical management in surgery room compared with the institutional checklist. Patients: All those who at the time of the study, have surgery (elective or emergency), without discriminating specialty surgical service, between the hours of 7:00 a.m. to 7:00 PM, and that requires the participation the Anesthesiology service. Methodology: Applying institutional checklist in 112 patients, with subsequent removal of the same and application of the proposed checklist in 112 patients, comparing the incidence of subsequent adverse events between them, and performing stratified analisis by sex, age, ASA classification, type of anesthesia, surgical specialty and priority of surgery to evaluate the characteristics of presentation of the different adverse events. Measurements: The incidence of adverse events associated with surgery will be compared with each one of the two lists.