Clinical management in an angiology and vascular surgery unit. Results of the application of a clinical practice protocols

The aim of this study was to analyze the impact of clinical management on quality indicators in a vascular surgery unit over a 10-year period. We performed a retrospective analysis of quality indicators from 1990 to 2001 and of the influence of a clinical practice protocol and standards of quality o...

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Bibliographic Details
Published in:Gaceta sanitaria 2003-09, Vol.17 (5), p.430-432
Main Authors: Juliá, J, Gómez, F T, Lozano, P, Corominas, C, Rimbau, E M
Format: Article
Language:Spanish
Subjects:
Algorithms
Clinical Protocols
Efficiency, Organizational
Humans
Manuals as Topic
Quality Indicators, Health Care
Retrospective Studies
Safety Management
Surgery Department, Hospital - organization & administration
Surgery Department, Hospital - standards
Vascular Surgical Procedures - standards
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Summary:The aim of this study was to analyze the impact of clinical management on quality indicators in a vascular surgery unit over a 10-year period. We performed a retrospective analysis of quality indicators from 1990 to 2001 and of the influence of a clinical practice protocol and standards of quality on these indicators. Comparison of both periods revealed improvement in all the quality indicators. The safety of surgical procedures was unaffected by the application of management protocols and clinical pathways. Clinical management based on the cost-quality binomial can ensure the efficiency of a hospital unit without adversely affecting quality of care. Quality standards based on hospital resource use, morbidity and mortality can be defined for groups of procedures.
ISSN:0213-9111