Figen ERGÜN, Sumru ŞEKERCİ, Seval AKGÜN, Zeynep KAYHAN, Gülnaz ARSLAN

Başkent Üniversitesi Tıp Fakültesi Anesteziyoloji Anabilim Dalında sürekli kalite iyileştirme çalışmaları

Amaç: Bu çalışma Başkent Üniversitesi Tıp Fakültesi Anesteziyoloji Anabilim Dalında sunulan hizmet kalitesini sürekli olarak iyileştirmek amacıyla planlanmıştır. Yöntem: Bu pilot çalışmada bir yıl boyunca hizmet sunulan 4288 hastanın 3302 (%77)'sinin verileri EPI INFO programı kullanılarak bilgisayara yüklenmiştir. Analiz edilen parametreler; yaş, cinsiyet, operasyon yapan cerrahi bölüm, premedikasyon, ASA risk skorlaması, vakaların operasyona kabul şekli, anestezi tekniği, ameliyat pozisyonları, anestezi süresi, anesteziye bağlı rapor edilmesi gereken olaylar (majör ve minör komplikasy onlar, plan değişikliği) olarak belirlenmiştir. Bulgular: Rapor edilmesi gereken olaylar incelendiğinde; anestezi riskinin (ASA skoru) artması ve hastaların operasyona acil olarak kabul edildiği durumlarda komplikasyon görülme sıklığında artış olduğu saptanmıştır (p

Anahtar Kelimeler:

Sağlık hizmetleri, Sağlık bakımında kalite, Anesteziyoloji

Continuous quality improvement studies at Başkent University Department of Anesthesiology

Objective: This study was planned in order to continuously improve the quality of service at the Department of Anesthesiology at Başkent University, School of Medicine. Method: In this pilot study, the data of 3302 out of 4288 cases (77%) that were treated at the department during a 1 year period was uploaded onto the computer using the EPI INFO program. The parameters that were analyzed in this study were age, sex, the surgical division that performed the operations, premedication, ASA risk classification, the way the cases were accepted for the operation, the technique of anesthesia, the operating positions, the duration of anesthesia, and situations resulting from anesthesia that had to be reported (major complications, minor complications, changes in plans). Results: When these reports were investigated, the complication rate was observed to have increased in the case of accompanying systemic diseases and the urgency of the case (p<0.0001). Major complications were observed in cases, where the sitting position and general anesthesia were used and patients under 18 years. Minor complications were observed in cases where the lithotomy, kidney positions and general anesthesia ± regional anesthesia were used and patients over 18. Patient visits in the operating room, recovery room and at postoperative 1st day, minor complications (15%, 10%, 4%) were observed more than major complications (0.5%, 0.2%, 0%) and change in plans (0%, 0.3%, 0%). Conclusion: As a result, we think that this pilot study, which was performed to improve the service quality at our clinic, will be a reference and will lead to further more detailed investigations.

Keywords:

Health Services, Quality of Health Care, Anesthesiology,

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