Quality management of neurosurgery services in a public hospital in Ecuador
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Publicación 6. Vol 6. Num 1.2 (Español (España))
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Published:
Feb 6, 2023
Keywords:
Neurosurgery, Health Services, Health Care Quality Assurance.
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Abstract
Introduction: measuring the result is a fundamental part of good medical practice, defining the quality of care and evaluating the effectiveness of interventions, the results act as endpoints in clinical trials to guide evidence-based practice, these being the protagonists of the individual performance of surgeons. As medical practice shifts from disease-focused to patient-focused care, patient-informed outcomes have taken precedence in health. The measures may not address what matters most to patients, although the holistic effects of the disease on multiple aspects of people's well-being are increasingly recognized, such as the usefulness of interventions focused on quality of life and patient symptoms, in addition to biological measures of disease. Methodology: A qualitative, descriptive, and reflective study will be conducted that aims to identify the factors that influence the quality of life after surgical procedures. Results: They will be measured by interviewing patients with a survey on the SERVQUAL model in person or by telephone to patients treated in the neurosurgery service who underwent various surgical procedures. Discussion: There is a need to perform a PROM in a protocol in neurosurgical patients to address the unmet needs of patients after undergoing neurosurgical procedures.
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Cañar Lascano, G. G., & Espinoza Solis, E. (2023). Quality management of neurosurgery services in a public hospital in Ecuador. ConcienciaDigital, 6(1.2), 79-98. https://doi.org/10.33262/concienciadigital.v6i1.2.2492
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References
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Weber, C., Jakola, A. S., Gulati, S., Nygaard, Ø. P., & Solheim, O. (2013). Evidence-based clinical management and utilization of new technology in European neurosurgery. Acta Neurochirurgica, 155(4), 747–754. https://doi.org/10.1007/s00701-013-1640-1
Alonso-Caballero, J., & Ferrer-Fores, M. (2017). Resultados reportados por los pacientes (PROs). www.cedro.org
Cepeda, J., & Cifuentes, W. (2017). Sistema de gestión de calidad en el Área Quirúrgica del Hospital Básico San Andrés de la Ciudad de Ambato basado en la Norma ISO 9001:2015. https://repositorio.uta.edu.ec:8443/jspui/handle/123456789/25689
Chacón Cantos, J. S. (2018). Modelo de gestión de calidad para hospitales. Repositorio de Tesis - UNMSM. https://cybertesis.unmsm.edu.pe/handle/20.500.12672/8344
Chacon, J., & Rugel, S. (2018). Artículo de Revisión. Teorías, Modelos y Sistemas de Gestión de Calidad. 39(50).
Cordero, N. (2014). Gestión de calidad y bienestar. El caso de la gestión de la calidad hospitalaria en el área de neurocirugía. https://riuma.uma.es/xmlui/handle/10630/7772
Cordero Tous, N., Horcajadas Almansa, A., Bermúdez González, G. J., & Tous Zamora, D. (2014). Perceived quality in hospitals of the Andalusia Healthcare System. the case of neurosurgery departments. Revista de Calidad Asistencial, 29(6), 311–319. https://doi.org/10.1016/j.cali.2014.11.002
Cramm, J. M., & Nieboer, A. P. (2015). Disease Management: The Need for a Focus on Broader Self-Management Abilities and Quality of Life. Population Health Management, 18(4), 246–255. https://doi.org/10.1089/pop.2014.0120
Erlenwein, J., Bertemes, C., Kunsch, S., Göttermann, A., Komann, M., Sturm, L., Petzke, F., & Meißner, W. (2020). Quality improvement in conservative pain management (QUIKS): A module of the QUIPS project for benchmarking of pain treatment in patients with nonoperative care. Schmerz, 34(1), 52–64. https://doi.org/10.1007/s00482-019-00429-w
Fan, L. hua, Gao, L., Liu, X., Zhao, S. hong, Mu, H. tong, Li, Z., Shi, L., Wang, L. ling, Jia, X. li, Ha, M., & Lou, F. ge. (2017). Patients’ perceptions of service quality in China: An investigation using the SERVQUAL model. PloS One, 12(12). https://doi.org/10.1371/JOURNAL.PONE.0190123
García Vásquez, B., Lizeth, K., Cabrera, D., & Xiomara, C. (2018). Estrategia de calidad en el consultorio externo de neurocirugía del Hospital Regional Lambayeque para mejorar la atención. Repositorio Institucional - USS. http://repositorio.uss.edu.pe//handle/20.500.12802/7701
Ghimire, P., Hasegawa, H., Kalyal, N., Hurwitz, V., & Ashkan, K. (2018). Patient-Reported Outcome Measures in Neurosurgery: A Review of the Current Literature. In Neurosurgery (Vol. 83, Issue 4, pp. 622–630). NLM (Medline). https://doi.org/10.1093/neuros/nyx547
Haro-Alvarado I, J. M., Haro-Alvarado II, J. I., Macías-Intriago III, M. G., López-Calderón IV, B. A., Ayala-Astudillo V, M. D., & Gutiérrez-Solórzano VI, A. v. (2018). Sistema de gestión de calidad en el servicio de atención de salud. Polo Del Conocimiento, 3(11), 210–234. https://doi.org/10.23857/PC.V3I11.790
Jonkisz, A., Karniej, P., & Krasowska, D. (2021). SERVQUAL Method as an “Old New” Tool for Improving the Quality of Medical Services: A Literature Review. International Journal of Environmental Research and Public Health, 18(20). https://doi.org/10.3390/IJERPH182010758
Kuhnke, J. L., Keast, D., Rosenthal, S., & Evans, R. J. (2019). Health professionals’ perspectives on delivering patient-focused wound management: a qualitative study.
McGirt, M. J., Speroff, T., Dittus, R. S., Harrell, F. E., & Asher, A. L. (2013). The national neurosurgery quality and outcomes database (N2QOD): General overview and pilot-year project description. Neurosurgical Focus, 34(1). https://doi.org/10.3171/2012.10.FOCUS12297
McLaughlin, N., Garrett, M. C., Emami, L., Foss, S. K., Klohn, J. L., & Martin, N. A. (2016). Integrating risk management data in quality improvement initiatives within an academic neurosurgery department. Journal of Neurosurgery, 124(1), 199–206. https://doi.org/10.3171/2014.11.JNS132653
Mills, S., Torrance, N., & Smith, B. H. (2016). Identification and Management of Chronic Pain in Primary Care: A Review. In Current Psychiatry Reports (Vol. 18, Issue 2, pp. 1–9). Current Medicine Group LLC 1. https://doi.org/10.1007/s11920-015-0659-9
Murrieta, Y., Ochoa, E., & Carballo, B. (2020). Reflexión crítica de los sistemas de gestión de calidad: ventajas y desventajas. Revista En-Contexto, 8(12), 115–132. https://doi.org/10.53995/23463279.668
Parker, S. L., McGirt, M. J., Bekelis, K., Holland, C. M., Davies, J., Devin, C. J., Atkins, T., Knightly, J., Groman, R., Zyung, I., & Asher, A. L. (2015). The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale. Neurosurgical Focus, 39(6). https://doi.org/10.3171/2015.9.FOCUS15355
Reponen, E., Tuominen, H., Hernesniemi, J., & Korja, M. (2015). Patient-reported outcomes in elective cranial neurosurgery. World Neurosurgery, 84(6), 1845–1851. https://doi.org/10.1016/j.wneu.2015.08.007
Rojas, C., Hernández, H., & Niebles, W. (2020). Gestión administrativa sustentable de los sistemas integrados de gestión en los servicios de salud. Revista ESPACIOS, 41(01), 93–101. https://doi.org/10.17081/INVINNO.6.1.2778
Schiavolin, S., Ferroli, P., Acerbi, F., Brock, S., Broggi, M., Cusin, A., Schiariti, M., Visintini, S., Quintas, R., Leonardi, M., & Raggi, A. (2014). Disability in Italian neurosurgical patients: Validity of the 12-item World Health Organization Disability Assessment Schedule. International Journal of Rehabilitation Research, 37(3), 267–270. https://doi.org/10.1097/MRR.0000000000000064
Schipmann, S., Varghese, J., Brix, T., Schwake, M., Keurhorst, D., Lohmann, S., Suero Molina, E., Mauer, U. M., Dugas, M., Warneke, N., & Stummer, W. (2019). Establishing risk-adjusted quality indicators in surgery using administrative data—an example from neurosurgery. Acta Neurochirurgica, 161(6), 1057–1065. https://doi.org/10.1007/s00701-018-03792-2
Sherrod, B. A., Johnston, J. M., & Rocque, B. G. (2016). Risk factors for unplanned readmission within 30 days after pediatric neurosurgery: A nationwide analysis of 9799 procedures from the American College of Surgeons National Surgical Quality Improvement Program. Journal of Neurosurgery: Pediatrics, 18(3), 350–362. https://doi.org/10.3171/2016.2.PEDS15604
Traba, L., Barletta, M., & Velásquez, J. (2020). Teoría (y práctica) de las organizaciones Herramientas para la gestión de la calidad (1st ed.). Universidad Nacional del Litoral. www.unl.edu.ar/editorial
Weber, C., Jakola, A. S., Gulati, S., Nygaard, Ø. P., & Solheim, O. (2013). Evidence-based clinical management and utilization of new technology in European neurosurgery. Acta Neurochirurgica, 155(4), 747–754. https://doi.org/10.1007/s00701-013-1640-1