Quality Assurance and Benchmarking in Ambulatory Surgery
نویسندگان
چکیده
Aim: To find clinical indicators for benchmarking out of a nationwide quality assurance programme Methods: Data from 153 000 cases of the quality assurance programme AQS1 were electronically analysed for the most frequent procedures in 10 medical specialties. Results: Hospitalisation rate for the most frequent procedures was below 0.6%. The search gave data for the time of inability to work and operating room time for every procedure. The type of anaesthesia in carpal tunnel syndrome had a measurable influence on induction time and time spent in the recovery room. Conclusion: Combined questionnaires answered by surgeons, anaesthetists and patients and processed electronically give an excellent overview of the quality performance within the surgical unit especially in comparison to the national average. The expenses of 1.49 Euro per case are well compensated by improved quality, shorter time of operating room occupancy, faster recovery, shorter period of disability and higher patient satisfaction.
منابع مشابه
Quality assurance and economical efficiency in ambulatory surgery The German situation in gynaecological day surgery
In contrast to other countries, gynaecological ambulatory surgery in Germany today is mainly performed in private free-standing units. They perform approximately 98% of all ambulatory operations. A quality assurance programme in gynaecological ambulatory surgery started in the early 1980s and proved the safety of outpatient surgery in experienced hands. Gynaecological ambulatory surgery proved ...
متن کاملGeneric Environment for Full Automation of Benchmarking
Regression testing is an important part of software quality assurance. We work to extend regression testing to include regression benchmarking, which applies benchmarking to detect regressions in performance. Given the specific requirements of regression benchmarking, many contemporary benchmarks are not directly usable in regression benchmarking. To overcome this, we present a case for designi...
متن کاملTrauma emergency unit: long-term evaluation of a quality assurance programme.
OBJECTIVE Long-term evaluation of a quality assurance programme (after an assessment in 1993). DESIGN Review of medical records. SETTING Emergency area of an orthopaedic, trauma, and plastic surgery unit in a French teaching hospital (Besancon). SUBJECTS 1187 consecutive ambulatory patients' records, from July 1995. MAIN MEASURES Occurrence of near adverse events (at risk events causing...
متن کاملA systematic review of postoperative recovery outcomes measurements after ambulatory surgery.
BACKGROUND Mortality and morbidity in ambulatory surgery are rare, and thus the patient's quality of life (i.e., the ability to resume normal activities after discharge home) should be considered one of the principle end-points after ambulatory surgery and anesthesia. We conducted a systematic review of the instruments to measure the quality of recovery of ambulatory surgical patients in order ...
متن کامل