Bibliographic Details
| Title: |
Factores que intervienen en la programación quirúrgica en un hospital de segundo nivel en México. |
| Alternate Title: |
Factors that interfere in the surgical programming in a second-level hospital in Mexico. |
| Authors: |
López-Cisneros, Rodrigo1, Doubova, Svetlana V.2, Lucila Sauceda-Valenzuela, Alma3 alma.sauceda@insp.mx |
| Source: |
Revista Medica del IMSS. sep/oct2024, Vol. 62 Issue 5, p1-8. 8p. |
| Abstract (English): |
Background: Surgical programming is a priority for hospital management due to its impact on health. Objective: To analyze the aspects that affect the surgical programming in a secondary care hospital in Mexico. Material and methods: Hospital operating room programming records for 2021 were consulted. Surgical interventions, operating room usage times, causes of deferrals, surgical delay and turnover times were described. Percentages, mean and standard deviation were estimated; the analysis was carried out with chi-squared and Student's t. A panel of experts was integrated to identify the factors that affect the performance of operating rooms. Results: In 2021, the hospital had 2660 records of surgical programming for 2317 patients; 2.7% of surgeries were deferred. Mostly urgent (46.1%) and scheduled (43.5%) surgeries were performed. The average surgical delay time was 65 minutes and the turnover time was 92 minutes; these times were inadequate in emergency surgeries, in night and evening schedules surgeries (p < 0.05). Deficiencies in surgical time management and surgery scheduling with a degree of urgency = 7 days mainly affected the performance of the operating room. Conclusion: Surgical programming of the hospital presents areas of opportunity for improvement and shows factors that affect surgical management, useful for similar hospitals. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción: la programación quirúrgica es prioritaria en la gestión hospitalaria debido a su impacto en la salud. Objetivo: analizar los aspectos que afectan la programación quirúrgica en un hospital de segundo nivel en México. Material y métodos: se consultaron los registros de programación de quirófano para 2021 del hospital. Se describieron intervenciones quirúrgicas, tiempos de uso del quirófano, causas de diferimientos, tardanza quirúrgica y tiempo de cambio de equipo. Se estimaron porcentajes, promedios y desviaciones estándar; el análisis se hizo con chi cuadrada y t de Student. Se formó un panel de expertos para identificar factores que afectan el funcionamiento de los quirófanos. Resultados: en 2021 el hospital contó con 2660 registros de programación quirúrgica para 2317 pacientes; se difirieron 2.7% de cirugías. Se realizaron mayormente cirugías de urgencia (46.1%) y programadas (43.5%). El tiempo promedio de tardanza quirúrgica fue de 65 minutos y el tiempo de cambio de equipo de 92 minutos; estos fueron inadecuados en cirugías de urgencias, turnos nocturno y vespertino (p < 0.05). Las deficiencias en administración del tiempo quirúrgico y programación de cirugías con urgencia = 7 días afectaron mayormente la operatividad del quirófano. Conclusiones: la programación quirúrgica del hospital presenta áreas de oportunidad para mejorar y muestra factores que afectan la gestión quirúrgica, los cuales son de utilidad para hospitales semejantes. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
