Estudios originales
Published on 3 de abril de 2023 | http://doi.org/10.5867/medwave.2023.03.2667
Efficiency estimation on the use of elective surgical theaters in the Chilean public health system from 2018 to 2021
Cause | Detail |
Emergencies | Natural disasters Ward destruction Fires/floods Bomb warning Health emergency |
Patient | Not showing up, unable to be located, delayed admission, or death before surgery Refuses surgery or does not sign the consent form Acute or chronic condition that contraindicates surgery Lack of fasting or preparation (e.g., intestinal) Altered preoperative examinations or failure to suspend anticoagulation Lack of evaluation by another specialty, incomplete preoperative study, or no surgical indication. |
Administrative | Scheduling error No space in the recovery or critical patient unit Absence of appointed legal guardian Replaced due to emergency |
Clinical support unit | Sterilization failure or incomplete instrumentation Non-operational equipment Lack of blood bank stock or critical medication Lack of supplies or insufficient stock Lack of coordination with imaging or pathological anatomy |
Surgical team | Lack of surgeon, paramedical technician, anesthesiologist, or non-physician professional Prolongation of surgical times |
Infrastructure | Lack of cleaning staff Failure due to power failure, clinical gases, air conditioning, or humid network. Elevator failure |
Union | Strike or staff mobilization |
MSS, Monthly Statistical Summary.
Source: Methodological Guide from the Monthly Statistical Summary series.