Oliu LH, de la Cruz CNA, Nazario DAM, Cisneros DCM, Piña PLR, Romero GLI

Language: Spanish
References: 0
Page: 22-32
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ABSTRACT

Introduction: The clinical pathways are one of the main tools for the management of the quality of care in the standardization of the caring processes. its implantation has been shown to reduce the variability of clinical practice.
Objectives: To elaborate a clinical pathway for the diagnosis, treatment and follow-up of patients with benign diseases of the gall bladder and operated by minimal access.
Method: A quasi-experimental study was carried out in the surgery service of Saturnino Lora Provincial Hospital in Santiago de Cuba, from January 2011 to September 2014, with a sample of 1287 operated patients. The clinical pathway was designed upon expert consensus and the sample was divided into two groups, in order to carry out the quasi-experiment.
Results: In group B, 97.3 % of the patients were discharged after 24 hours or less of being operated; 93.9 % of patients in group B were operated in 60 minutes or less. A significant decrease in surgical time was observed in group B, when both groups were compared (p= 0.004). The group B had a statistically significant decrease (p= 0.047) of the lesions of the main bile duct in.
Conclusions: The application of the clinical pathway significantly reduced hospital stay, surgical times and iatrogenic lesions of the bile duct.