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Inicio Cirugía Española (English Edition) DUCMA 2.0 project: Update on the current situation of the outpatient surgery uni...
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Vol. 102. Issue 3.
Pages 142-149 (March 2024)
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Vol. 102. Issue 3.
Pages 142-149 (March 2024)
Original article
DUCMA 2.0 project: Update on the current situation of the outpatient surgery units in Spain
Proyecto DUCMA 2.0. Puesta al día sobre la situación actual de las unidades de Cirugía Mayor Ambulatoria en España
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Dieter Morales-Garcíaa,
Corresponding author
dms11@me.com

Corresponding author.
, Matilde Zaballos Garcíab, Juan Carlos Cagigas Lanzac, Fernando Docobo Durantezd, Luis Antonio Hidalgo Graue
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga, IBIMA, Málaga, Spain
b Servicio de Anestesiología y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
c Servicio de Cirugía General y del Aparato Digestivo, Hospital Sierrallana, Torrelavega, Cantabria, Spain
d Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, Spain
e Servicio de Cirugía General y del Aparato Digestivo, Hospital de Mataró, Barcelona, Spain
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Tables (4)
Table 1. Survey questions to evaluate the current status of the Major Outpatient Surgery Units in Spain.
Table 2. Results of the qualitative variables used to evaluate the coordination and organisation of the MOSU (N = 90).
Table 3. Results of the quantitative variables used to evaluate the coordination and organization of the MOSU and the preoperative assessment.
Table 4. Ambulatory index by autonomous community.
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Abstract
Introduction

Ambulatory surgery is a safe and efficient management system to solve surgical problems, but its implementation and development has been variable. The aim of this study is to describe the characteristics, structure and functioning of ambulatory surgery units (ASU) in Spain.

Methods

Multicenter, cross-sectional, observational study based on an electronic survey, with data collection between April and September 2022.

Results

In total, 90 ASUs completed the survey. The mean overall ambulatory index is 63%. More than half of the ASUs (52%) are integrated units. Around half of the units provide training for physicians (51%) and for nurses (55%). The most frequently used quality indicators are suspension rate (87%) and the rate of unplanned admissions (80%).

Conclusions

Greater coordination between administrations is needed to obtain reliable data. It is also necessary to implement quality management systems in the different units, as well as to develop tools for the adequate training of the professionals involved.

Keywords:
Ambulatory surgery
Ambulatory index
Ambulatory surgery units
Quality control
Abbreviations:
ACs
AI
ASECMA
DUCMA
IAAS
MOS
MOSU
Resumen
Introducción

La cirugía mayor ambulatoria (CMA) es un sistema de gestión seguro y eficiente para resolver los problemas quirúrgicos, pero su implantación y desarrollo ha sido variable. El objetivo de este estudio es describir las características, la estructura y el funcionamiento de las unidades de Cirugía Mayor Ambulatoria (UCMA) en España.

Métodos

Estudio observacional, transversal, multicéntrico basado en una encuesta electrónica, con recogida de datos entre abril y septiembre de 2022.

Resultados

En total, 90 UCMA completaron la encuesta. La media del índice de ambulatorización (IA) global es de 63%. Más de la mitad de las UCMA (52%) son de tipo integrado. La mitad las unidades imparte formación para médicos (51%) y personal de enfermería (55%). Los indicadores de calidad más utilizados son la tasa de suspensiones (87%) y de ingresos no previstos (80%).

Conclusiones

Se necesita mayor coordinación entre administraciones para obtener datos fiables. Asimismo, se deben implementar sistemas de gestión de calidad en las unidades y desarrollar herramientas para la formación adecuada de los profesionales implicados.

Palabras clave:
Cirugía mayor ambulatoria
Índice de ambulatorización
Unidades de cirugía mayor ambulatoria
Control de calidad

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