Assessment of quality indicators in pediatric major outpatient surgery. Influence of the COVID-19 pandemic

Abstract

Introduction. Major Outpatient Surgery (MOS) is an organizational and management model for surgical care that allows selected patients to be treated efficiently and safely. Our objective was to evaluate the quality of the different activities through standardized quality indicators, analyzing whether they have been modified during the COVID-19 pandemic.Materials and methods. An observational and comparative descriptive study of the quality indicators (QI) of MOS in our Pediatric Surgery Department from 2019 to 2020 was carried out. In accordance with the International Association for Ambulatory Surgery (IAAS) and the recommendations of the Spanish Ministry of Health and Consumer Affairs, we assessed the basic quality and the degree of family satisfaction of patients undergoing MOS.Results. A total of 848 and 652 interventions were performed in 2019 and 2020, respectively, with a mean age of 6 and 7 years. 539 (ambulatory rate (AR) 63.6%) and 465 (AR 71.3%) MOS surgeries were conducted in 2019 and 2020. In 2019, the overall substitution rate (SR) was 96.8%, hospitalization rate (HR) was 1.67%, suspension rate was 5.94%, and readmission rate was 1.48%. In 2020, the overall IS was 98.3%, HR was 0.86%, suspension rate was 4.73%, and readmission rate was 1.72%. No differences were found in terms of satisfaction between 2020 and 2019.Conclusions. QI allow us to know and analyze the performance and results of the different management units. In our department, the COVID-19 pandemic has not reduced the quality of CMA care.

Hospital performance evaluation indicators: a scoping review

“…The clinical wards consisted of 8 wards, namely, emergency departments (EDs) [ 16 , 39 , 56 , 57 , 69 , 70 , 89 ], surgery departments [ 58 , 62 , 63 , 91 , 102 ], intensive care units (ICUs) [ 47 , 64 , 65 ], operating rooms (ORs) [ 38 , 88 , 108 ], surgical intensive care units (SICUs) [ 111 ], obstetrics and gynecology department [ 59 ], neonatal intensive care units (NICUs) [ 74 , 103 ] and quality of care [ 18 , 31 , 40 , 50 , 72 , 92 , 95 , 112 ] indicators. The paramedical departments consisted of 3 departments, pharmacy [ 60 , 76 , 98 ], laboratory and blood bank [ 37 , 42 , 43 , 49 ], and outpatient assessment [ 86 ] indicators.…”

“…[ 14 , 18 , 29 , 34 , 38 , 39 , 41 , 46 , 47 , 50 , 51 , 54 – 56 , 58 – 61 , 63 , 66 , 69 , 71 – 73 , 75 – 79 , 81 – 83 , 86 , 88 , 89 , 91 – 94 , 96 , 97 , 99 – 102 , 104 – 106 , 108 , 110 , 111 , 113 , 114 ]…”

Efectos de la COVID-19 en la calidad de la atención de los servicios de salud en Colombia: Revisión de literatura

“…La evidencia científica global encontrada ha analizado los efectos sobre la calidad en salud durante la pandemia por COVID-19, en cuanto a la implementación de la vacunación contra esta enfermedad en la población adulta mayor, la cual fue priorizada para recibir su aplicación (8) . Asimismo, se realizaron análisis sobre la cirugía mayor ambulatoria pediátrica y en esta no se encontraron reducciones en la calidad de asistencia (9) . Además, y específicamente en la fase de preparación de la pandemia, se ha documentado la suspensión de los procedimientos y tratamientos en curso, y el retraso en la vacunación de la población infantil (10) ; sin embargo, se destacó como un efecto positivo el desarrollo de la telesalud en servicios de farmacia y telefarmacia para pacientes crónicos ambulatorios, lo que generó un aumento en la seguridad y la adherencia de los pacientes a los tratamientos (11) .…”

Personal versus therapist perioperative music intervention: a randomized controlled trial

“…The CDC estimated that more than 105 million surgeries were performed in the United States in 2022, with a projected annual growth rate of 3% 1 . Outpatient surgery has major clinical advantages, including reduced risk of nosocomial infections, faster recovery, and greater patient satisfaction 2 – 7 . Major factors limiting outpatient surgery include patient anxiety, which directly impacts pain susceptibility, cardiovascular performance, and patient anxiety/dissatisfaction 8 – 10 .…”