Posada Lobo Hector Fabio, Petracchi Enrique, Varela Jose, Quesada Matias, Canullan Carlos
Hospital General de Agudos; Buenos Aires, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2024 Sep 27;81(3):491-502. doi: 10.31053/1853.0605.v81.n3.44806.
Surgical complications are preventable in up to 50% of cases, actually are various tools to avoid them, one of these are morbidity and mortality conferences. However, there are no guides that define their structure for them to be effective. Objective; Analyze the impact of a new modality of surgical conferences in a sector of benign biliary pathology, called quality evaluation conferences. Methodology: Descriptive observational study where the overall improvement of the sector, the decrease in complications and the quality of patient care are compared. For 6 months, a weekly quality evaluation conference was carried out. It had 5 stages; 1. Analysis of all discharged patients. 2. Review of adverse events. 3. Review of the list and order of patients in the surgical plan. 4. Reproduction of recorded surgeries and review of scientific articles. 5. Review of own scientific works in development.
after implementing the conferences, there was a decrease in the number and severity of complications, as well as an improvement in the correct and timely surgical indication. Conclusion; Quality evaluation workshops as an evolution of morbidity and mortality workshops are a novel tool that, when well implemented, can help improve quality standards and in turn be used as a learning option in training centers.
手术并发症在高达50%的病例中是可预防的，实际上有多种工具可避免这些并发症，其中之一是发病率和死亡率研讨会。然而，尚无指南来定义其有效结构。目的：分析一种新型手术研讨会模式在良性胆道疾病领域（即质量评估研讨会）的影响。方法：描述性观察性研究，比较该领域的整体改善情况、并发症的减少情况以及患者护理质量。连续6个月每周举行一次质量评估研讨会。该研讨会有5个阶段：1. 分析所有出院患者。2. 审查不良事件。3. 审查手术计划中患者的名单和顺序。4. 重现录制的手术并审查科学文章。5. 审查正在撰写的自身科学著作。
实施研讨会后，并发症的数量和严重程度有所下降，正确和及时的手术指征也有所改善。结论：质量评估研讨会作为发病率和死亡率研讨会的一种演变形式，是一种新颖的工具，若实施得当，有助于提高质量标准，进而可作为培训中心的一种学习选择。
