{"id":67136,"date":"2018-03-09T22:55:30","date_gmt":"2018-03-09T22:55:30","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/epidemiologa%c2%ada-de-efectos-adversos-en-el-servicio-de-ciruga%c2%ada-general-de-un-hospital-de-tercer-nivel\/"},"modified":"2018-03-09T22:55:30","modified_gmt":"2018-03-09T22:55:30","slug":"epidemiologa%c2%ada-de-efectos-adversos-en-el-servicio-de-ciruga%c2%ada-general-de-un-hospital-de-tercer-nivel","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/epidemiologa%c2%ada-de-efectos-adversos-en-el-servicio-de-ciruga%c2%ada-general-de-un-hospital-de-tercer-nivel\/","title":{"rendered":"Epidemiolog\u00eda de efectos adversos en el servicio de cirugia general de un hospital de tercer nivel"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Maite Lopez Deogracias <\/strong><\/h2>\n<p>Introducci\u00f3n: la evoluci\u00f3n de la medicina se acomp\u00f1a de una evoluci\u00f3n tecnol\u00f3gica vertiginosa, aportando complejidad al sistema sanitario; esto hace que la pr\u00e1ctica cl\u00ednica asistencial se haya convertido en algo potencialmente peligroso. Son cada vez m\u00e1s numerosos los estudios que reflejan esta situaci\u00f3n desde que se public\u00f3 el estudio de harvard en 1984, y es necesario conocer nuestros popios datos ajustados a la casu\u00edstica de cada servicio, para analizar sus causas y establecer sistemas de prevenci\u00f3n.  objetivos:  en este trabajo se pretende determinar la incidencia de efectos adversos (ea) ligados a la asistencia hospitalaria en un servicio de cirug\u00eda general, de un hospital de tercer nivel, as\u00ed como su impacto en t\u00e9rminos de evitabilidad, prolongaci\u00f3n de la estancia hospitalaria y exitus, entendiendo el efecto adverso como un accidente recogido en la historia cl\u00ednica del paciente, ligado a la asistencia  hospitalaria, que le ha ocasionado un da\u00f1o.  pacientes y m\u00e9todos se trata de un estudio de cohortes retrospectivo en el que se revisaron 376 historias cl\u00ednicas mediante una gu\u00eda de cribado que constaba de una serie de items; si uno de ellos era positivo, ante la sospecha de que se hubiera producido un ea,  se proced\u00eda a la revisi\u00f3n exhaustiva de la historia cl\u00ednica mediante un formulario modular que pretend\u00eda describir el tipo de lesi\u00f3n, las circunstancia en las que se hab\u00eda producido, el proceso asistencial relacionado, sus efectos y la posibilidad de prevenci\u00f3n del mismo. Las revisiones se realizaban por un grupo multidisciplinar constitu\u00eddo por personal de cirug\u00eda general (m\u00e9dico y de enfermer\u00eda), anestesia, admisi\u00f3n y documentaci\u00f3n cl\u00ednica y medicina preventiva.  resultados la incidencia de ea observada fue del 11,4%. El 17,7% se consideraron gravas. El 0,3% fue casua de exitus. El  60% se consider\u00f3 evitalble.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Epidemiolog\u00eda de efectos adversos en el servicio de cirugia general de un hospital de tercer nivel<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Epidemiolog\u00eda de efectos adversos en el servicio de cirugia general de un hospital de tercer nivel <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Maite Lopez Deogracias <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/09\/2008<\/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>Manuel Gomez Fleitas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 c. Fernandez-escalante moreno <\/li>\n<li>ignacio Mar\u00eda Gonzalez-pinto arrillaga (vocal)<\/li>\n<li>Rafael Martinez sanz (vocal)<\/li>\n<li>Juan  Jos\u00e9 Gonzalez gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Maite Lopez Deogracias Introducci\u00f3n: la evoluci\u00f3n de la medicina se acomp\u00f1a de una evoluci\u00f3n tecnol\u00f3gica vertiginosa, aportando [&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":[10518,141],"tags":[147763,10680,147764,147762,10508,10330],"class_list":["post-67136","post","type-post","status-publish","format-standard","hentry","category-cantabria","category-cirugia","tag-ignacio-maria-gonzalez-pinto-arrillaga","tag-jose-c-fernandez-escalante-moreno","tag-juan-jose-gonzalez-gonzalez","tag-maite-lopez-deogracias","tag-manuel-gomez-fleitas","tag-rafael-Martinez-sanz"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/67136","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=67136"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/67136\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=67136"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=67136"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=67136"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}