{"id":56784,"date":"2018-03-09T22:44:37","date_gmt":"2018-03-09T22:44:37","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/control-de-calidad-postoperatoria-en-ciruga%c2%ada-ambulatoria\/"},"modified":"2018-03-09T22:44:37","modified_gmt":"2018-03-09T22:44:37","slug":"control-de-calidad-postoperatoria-en-ciruga%c2%ada-ambulatoria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/control-de-calidad-postoperatoria-en-ciruga%c2%ada-ambulatoria\/","title":{"rendered":"Control de calidad postoperatoria en cirugia ambulatoria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan Vi\u00f1oles P\u00e9rez <\/strong><\/h2>\n<p>Introducci\u00f3n el desarrollo de la cirug\u00eda ambulatoria (ca) se ha centrado en la incorporaci\u00f3n de nuevas t\u00e9cnicas, f\u00e1rmacos y procedimientos que permiten aumentar el n\u00famero intervenciones ambulatorizables.  Este crecimiento ha ido asumiendo nuevas cirug\u00edas cada vez m\u00e1s agresivas bas\u00e1ndose exclusivamente en la mejora de t\u00e9cnicas quir\u00fargicas y anest\u00e9sicas que permitan la ausencia del ingreso hospitalario de los pacientes. Sin embargo, el desarrollo de dichas t\u00e9cnicas para aumentar la capacidad de la ca debe ir acompa\u00f1ado de la mejora del control que permita evaluar la situaci\u00f3n de los pacientes en el domicilio.  justificaci\u00f3n, hip\u00f3tesis de trabajo y objetivos nuestra hip\u00f3tesis de trabajo es creer que la llamada ha de ser un mecanismo de  informaci\u00f3n que puede ser eficaz si se protocoliza. Pero el m\u00e9todo de protocolizaci\u00f3n debe hacerse de forma que se puedan comparar evoluciones de similar agresi\u00f3n y medir su efecto en cualquier tipo de paciente. En las revisiones bibliogr\u00e1ficas consultadas sobre recogida de datos postoperatorios se incide en la disparidad de criterios utilizados creando una sensaci\u00f3n desalentadora. Por este motivo, el objetivo de este trabajo es definir una herramienta para intentar medir la evoluci\u00f3n postoperatoria domiciliaria mediante un indicador de la respuesta telef\u00f3nica protocolizada al que denominaremos score telef\u00f3nico. Se define como la suma de las variables cualitativas que lo forman.  material y m\u00e9todos se realizan 2027 llamadas protocolizadas aplic\u00e1ndoles el score telef\u00f3nico a 928 pacientes de la unidad de cirug\u00eda sin ingreso (ucsi) del hospital universitario dr. Peset de Valencia. Se definen las variables prehospitalarias como: edad, sexo y asa. Hospitalarias: tipo de intervenci\u00f3n (especialidad e intensidad), tiempo quir\u00fargico, tiempo de alta y tipo de anestesia. Se define la intensidad quir\u00fargica como la agresi\u00f3n percibida en el postoperatorio. Con el fin de estudiar la relaci\u00f3n entre las respuesta<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Control de calidad postoperatoria en cirugia ambulatoria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Control de calidad postoperatoria en cirugia ambulatoria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan Vi\u00f1oles P\u00e9rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/01\/2007<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Antonia Fons Moreno<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Lopez timoneda <\/li>\n<li>Francisco Montes  suay (vocal)<\/li>\n<li>clemente Muriel villoria (vocal)<\/li>\n<li>caren Gasc\u00f3 garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Vi\u00f1oles P\u00e9rez Introducci\u00f3n el desarrollo de la cirug\u00eda ambulatoria (ca) se ha centrado en la incorporaci\u00f3n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1569,9,141],"tags":[8582,125480,9871,5896,11661,125479],"class_list":["post-56784","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-medicas","category-cirugia","tag-antonia-fons-moreno","tag-caren-gasco-garcia","tag-clemente-muriel-villoria","tag-francisco-lopez-timoneda","tag-francisco-montes-suay","tag-juan-vinoles-perez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/56784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=56784"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/56784\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=56784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=56784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=56784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}