Índice de sustitución como indicador de calidad en cirugía mayor ambulatoria. Evolución anual en un servicio de cirugía

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

“…Meanwhile, Flores (2) calculated the SR for the most common surgical procedures performed in adults in a General Surgery Department, so it cannot be compared with our results. Furthermore, when comparing our results with the literature, patients' rating of the MOS units is, in general, very positive.…”

“…An example of this are the substitution and ambulatory rates, specific MOS rates. In addition to measuring the efficiency of our system, they enable us to perform benchmarking, that is, to carry out a systematic and continuous process of assessment of the products, services and work processes among the different MOS units of other specialties or other centers with similar characteristics (2,3) . The degree of user satisfaction is also a key indicator in MOS, since we can find out how our patients rate the care received by means of easy-to-interpret tools, such as satisfaction surveys (3) .…”

“…For the former, it means a reduction in stress and less interference in the patient's and the family's daily life, resulting in greater patient acceptance and satisfaction. For the healthcare organization, it means a reduction in economic impact, since it is a surgical approach with the capacity to increase system efficiency, as it has been shown to improve the organization and operation of the centers, maintaining results with a lower consumption of resources and healthcare costs (1,2) .…”

“…MOS includes all procedures that can potentially speed up and reduce surgical waiting lists (SWL), improving system efficiency without reducing quality of care (1) . However, as in all healthcare activities, it is necessary to know what is done and how it is done, establishing action protocols and quality indicators that make it possible to assess the quality and safety of the care provided (2) .…”

Evaluación de los indicadores de calidad en cirugía mayor ambulatoria pediátrica. Influencia de la pandemia por COVID-19

“…Evaluación de los indicadores de calidad en cirugía mayor ambulatoria pediátrica. Influencia de la pandemia por COVID-19 lia, lo que conlleva como resultado una mayor aceptación y satisfacción del paciente, mientras que para la organización sanitaria supone una reducción del impacto económico, pues es una modalidad quirúrgica que presenta la capacidad de aumentar la eficiencia del sistema, ya que se ha visto que mejora la organización y el funcionamiento de los centros, manteniendo los resultados con un menor consumo de recursos y coste sanitario (1,2) . La CMA incluye aquellos procedimientos que potencialmente pueden agilizar y reducir las listas de espera quirúrgicas (LEQ) mejorando la eficiencia del sistema sin disminuir la calidad de la atención (1) .…”