Benchmarking in Thoracic Surgery. Third Edition
Por:
Freixinet Gilart, J, Varela Simo, G, Rodriguez Suarez, P, Embun Flor, R, Rivas de Andres, J, de la Torre Bravos, M, Molins Lopez-Rodo, L, Pac Ferrer, J, Izquierdo Elena, J, Baschwitz B, Lopez de Castro, P, Fibla Alfara, J, Hernando Trancho, F, Carvajal Carrasco, A, Canalis Arrayas, E, Salvatierra Velazquez, A, Canela Cardona, M, Torres Lanzas, J and Moreno Mata, N
Publicada:
1 abr 2016
Categoría:
Pulmonary and respiratory medicine
Resumen:
Introduction: Benchmarking entails continuous comparison of efficacy and
quality among products and activities, with the primary objective of
achieving excellence. Objective: To analyze the results of benchmarking
performed in 2013 on clinical practices undertaken in 2012 in 17 Spanish
thoracic surgery units.
Methods: Study data were obtained from the basic minimum data set for
hospitalization, registered in 2012. Data from hospital discharge
reports were submitted by the participating groups, but staff from the
corresponding departments did not intervene in data collection. Study
cases all involved hospital discharges recorded in the participating
sites. Episodes included were respiratory surgery (Major Diagnostic
Category 04, Surgery), and those of the thoracic surgery unit. Cases
were labelled using codes from the International Classification of
Diseases, 9th revision, Clinical Modification. The refined
diagnosis-related groups classification was used to evaluate differences
in severity and complexity of cases.
Results: General parameters (number of cases, mean stay, complications,
readmissions, mortality, and activity) varied widely among the
participating groups. Specific interventions (lobectomy, pneumonectomy,
atypical resections, and treatment of pneumothorax) also varied widely.
Conclusions: As in previous editions, practices among participating
groups varied considerably. Some areas for improvement emerge: admission
processes need to be standardized to avoid urgent admissions and to
improve pre-operative care; hospital discharges should be streamlined
and discharge reports improved by including all procedures and
complications. Some units have parameters which deviate excessively from
the norm, and these sites need to review their processes in depth.
Coding of diagnoses and comorbidities is another area where improvement
is needed. (C) 2015 SEPAR. Published by Elsevier Espana, S.L.U. All
rights reserved.
Filiaciones:
Freixinet Gilart, J:
Univ Las Palmas Gran Canaria, Hosp Univ Dr Negrin, Unidad Cirugia Torac, Las Palmas Gran Canaria, Las Palmas, Spain
Varela Simo, G:
Hosp Univ Salamanca, Serv Cirugia Torac, Salamanca, Spain
Rodriguez Suarez, P:
Univ Las Palmas Gran Canaria, Hosp Univ Dr Negrin, Unidad Cirugia Torac, Las Palmas Gran Canaria, Las Palmas, Spain
Embun Flor, R:
Hosp Univ Miguel Servet, Serv Cirugia Torac, Zaragoza, Spain
Rivas de Andres, J:
Hosp Univ Miguel Servet, Serv Cirugia Torac, Zaragoza, Spain
de la Torre Bravos, M:
Hosp Univ Juan Canalejo, Serv Cirugia Torac, La Coruna, Spain
Molins Lopez-Rodo, L:
Hosp Univ Clin & Prov Barcelona, Serv Cirugia Torac, Barcelona, Spain
Pac Ferrer, J:
Hosp Univ Cruces, Serv Cirugia Torac, Baracaldo, Vizcaya, Spain
Izquierdo Elena, J:
Hosp Univ Donostia, Serv Cirugia Torac, San Sebastian, Guipuzcoa, Spain
Baschwitz B:
Hosp Univ Alicante, Serv Cirugia Torac, Alicante, Spain
Lopez de Castro, P:
Hosp Badalona Germans Trias & Pujol, Serv Cirugia Torac, Barcelona, Spain
Fibla Alfara, J:
Hosp Univ Sagrat Cor, Serv Cirugia Torac, Barcelona, Spain
Hernando Trancho, F:
Hosp Univ Clin San Carlos, Serv Cirugia Torac, Madrid, Spain
Carvajal Carrasco, A:
Hosp Univ Son Espases, Serv Cirugia Torac, Palma De Mallorca, Spain
Canalis Arrayas, E:
Hosp Univ Joan XXII Tarragona, Serv Cirugia Torac, Tarragona, Spain
Salvatierra Velazquez, A:
Hosp Univ Reina Sofia, Serv Cirugia Torac, Cordoba, Spain
Canela Cardona, M:
Hosp Univ Vall dHebron, Serv Cirugia Torac, Barcelona, Spain
Torres Lanzas, J:
Hosp Univ Virgen de la Arrixaca, Serv Cirugia Torac, Murcia, Spain
Moreno Mata, N:
Hosp Univ Virgen del Rocio Sevilla, Serv Cirugia Torac, Seville, Spain
|