Aproximación a las bases metodológicas de investigación en seguridad del paciente en cirugía de tiroides
Year: 2014
Type: article
Abstract: Introduction and objective: The investigation of incidents that affect the safety of patients undergoing thyroidectomy is a priority. Objective: To review the methodology in order to investigate security incidents that affect the patient in thyroid surgery.\nMaterial and methods: literature review about risk management and complications in thyroid surgery.\nResults: Comments on methods of root cause analysis (RCA) and failure mode analysis and effects (FMEA). A risk matrix with security incidents and failure modes in thyroid surgery is designed.\nConclusions: Patient safety in thyroid surgery is related to structural and process elements. Some contributing factors of security incidents are related to the patient, thyroid pathology, surgical technique and technology employed. The most complete systems to investigate security incidents and assist in risk management are FMEA (HFMEA) and RCA. For each risk its criticality (severity and frequency) and its detectability must be assessed. The most effective measures to improve patient safety are organizational measures and processes automation and computerization.
Source: Gredos (University of Salamanca)
Author: José Luis Pardal-Refoyo
Language: Spanish
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1596165381