SINAS: Effective Impact in the Quality Improvement of Ambulatory Surgery at an Ambulatory Centre

Authors

  • Eurico Castro Alves Departamento de Cirurgia. Centro Hospitalar Universitário do Porto. Porto. Departamento de Cirurgia. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.
  • Teresa Correia Departamento de Cirurgia. Centro Hospitalar Universitário do Porto. Porto. Departamento de Cirurgia. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.
  • Pedro Brandão Departamento de Cirurgia. Centro Hospitalar Universitário do Porto. Porto. Departamento de Cirurgia. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.
  • Laetitia Teixeira Centro de Investigação em Tecnologias e Serviço de Saúde. Universidade do Porto. Porto. Departamento de Cirurgia. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto. Departamento de Saúde Pública. Instituto de Saúde Pública. Universidade do Porto. Porto.
  • Ana Povo Departamento de Cirurgia. Centro Hospitalar Universitário do Porto. Porto. Departamento de Cirurgia. Instituto de Ciências Biomédicas Abel Salazar. Universidade do Porto. Porto.

DOI:

https://doi.org/10.20344/amp.12580

Keywords:

Ambulatory Surgical Procedures, Benchmarking, Portugal, Quality of Health Care, Quality Improvement

Abstract

Introduction: The National Health Assessment System is a system designed by the Portuguese Health Regulatory Entity in order to evaluate the overall quality of the health care institutions. One of the key areas evaluated by the National Health Assessment System is ambulatory surgery. The aim of this study is to demonstrate that the introduction of the National Health Assessment System evaluation at our ambulatory centre not only improved the overall quality of ambulatory surgery but also the quality of the clinical record entries.
Material and Methods: A retrospective analysis was performed from the hospital’s clinical database. The study was carried out at the ambulatory centre of the Hospital and University Centre of Porto, and included 100 consecutive surgical procedures, across all surgical specialties, previously selected by the National Health Assessment System audit performed in 2015 in our ambulatory surgery centre and other 46 surgical procedures performed in 2008 at our hospital, before the National Health Assessment System was implemented. The main outcome measure was the validation and record of the seven indicators of National Health Assessment System for ambulatory surgery.
Results: We have seen an improvement in all indicators after the National Health Assessment System implementation, except for criterion 4.
Discussion: Our study demonstrates that the introduction of the National Health Assessment System in our ambulatory centre resulted in the improvement in the quality of both of clinical practice, and clinical record keeping
Conclusion: We can conclude that the application of evaluation of quality indicators and benchmarking practices can be used to enhance healthcare outcomes.

Downloads

Download data is not yet available.

Downloads

Published

2020-09-01

How to Cite

1.
Alves EC, Correia T, Brandão P, Teixeira L, Povo A. SINAS: Effective Impact in the Quality Improvement of Ambulatory Surgery at an Ambulatory Centre. Acta Med Port [Internet]. 2020 Sep. 1 [cited 2023 Feb. 6];33(9):546-51. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12580

Issue

Section

Original