{"id":70156,"date":"2018-03-09T23:14:41","date_gmt":"2018-03-09T23:14:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/control-de-calidad-en-una-unidad-de-dolor-agudo-postoperatorio\/"},"modified":"2018-03-09T23:14:41","modified_gmt":"2018-03-09T23:14:41","slug":"control-de-calidad-en-una-unidad-de-dolor-agudo-postoperatorio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/control-de-calidad-en-una-unidad-de-dolor-agudo-postoperatorio\/","title":{"rendered":"Control de calidad en una unidad de dolor agudo postoperatorio"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Herreras Guti\u00e9rrez Juan  Luis <\/strong><\/h2>\n<p>1. Introducci\u00f3n  el dolor agudo postoperatorio aparece en los pacientes sometidos a intervenciones quir\u00fargicas debido a la propia cirug\u00eda, a la enfermedad de base o a la combinaci\u00f3n de ambos. Su incidencia es alta, y si no se trata adecuadamente produce un aumento de la morbilidad perioperatoria y una prolongaci\u00f3n de la estancia hospitalaria. El alivio del dolor din\u00e1mico es indispensable para la recuperaci\u00f3n postoperatoria precoz. Actualmente la mayor\u00eda de los hospitales carecen de programas de formaci\u00f3n en el tratamiento del dolor agudo y no disponen de unidades de dolor agudo postoperatorio. La mejora continua de la calidad en el tratamiento del dolor nos indica los pasos a seguir para instaurar una unidad de dolor agudo. Es necesario saber el punto de partida mediante la realizaci\u00f3n de una auditor\u00eda y plantearse unos objetivos y unos est\u00e1ndares a alcanzar. Despu\u00e9s, crear v\u00edas cl\u00ednicas para cuantificar la intensidad del dolor y evitar la variabilidad en los tratamientos, elaborar programas de educaci\u00f3n y de formaci\u00f3n continuada (involucrando a todo el personal responsable del tratamiento analg\u00e9sico), y disponer de documentaci\u00f3n de registro de datos. Seguidamente se deben analizar los resultados obtenidos mediante los indicadores de calidad para saber si se han alcanzado los est\u00e1ndares propuestos con vistas a mejorar los posibles aspectos deficitarios.  2. Objetivos.  2.1. Valoraci\u00f3n del impacto de la instauraci\u00f3n de una unidad de dolor agudo postoperatorio en el hospital general universitario \u00abla paz\u00bb de Madrid, mediante la realizaci\u00f3n de un estudio observacional retrospectivo caso control en dos subpoblaciones de pacientes intervenidos de colecistectom\u00eda mediante laparotom\u00eda subcostal.  2.2. Valoraci\u00f3n de la mejora conseguida en el proceso asistencial de tratamiento del dolor mediante la evaluaci\u00f3n del cumplimiento de la v\u00eda cl\u00ednica durante los a\u00f1os 2002 y 2003 empleando los indicadores de calidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Control de calidad en una unidad de dolor agudo postoperatorio<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Control de calidad en una unidad de dolor agudo postoperatorio <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Herreras Guti\u00e9rrez Juan  Luis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/09\/2004<\/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>Fernando Gilsanz Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Rodr\u00edguez montes <\/li>\n<li>vicente Pastor aldaguer (vocal)<\/li>\n<li>paloma Garc\u00eda fern\u00e1ndez (vocal)<\/li>\n<li>Manuel Barcina sanchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Herreras Guti\u00e9rrez Juan Luis 1. Introducci\u00f3n el dolor agudo postoperatorio aparece en los pacientes sometidos a intervenciones [&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":[1],"tags":[30129,153310,3775,116443,76411,90847],"class_list":["post-70156","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-fernando-gilsanz-rodriguez","tag-herreras-gutierrez-juan-luis","tag-jose-antonio-rodriguez-montes","tag-manuel-barcina-sanchez","tag-paloma-garcia-fernandez","tag-vicente-pastor-aldaguer"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/70156","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=70156"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/70156\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=70156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=70156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=70156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}