Factores que inciden en la suspensión de cirugías en el hospital pediátrico Dr. Francisco de Icaza Bustamante de la ciudad de Guayaquil.

Abstract

The high rate of suspension of surgeries triggers dissatisfaction in patients and their families, as well as unfavorable results in the economic health system, thus becoming a surgical management process with opportunities for improvement. This project has as a general objective to determine the factors that influenced the suspension of scheduled surgeries at the Dr. Francisco de Icaza Bustamante Children's Hospital (HFIB) during 2019. The study is quantitative, descriptive and cross-sectional. In the data collection, documentation of the Surgical, Quality, Planning and Human Talent Center was analyzed; the results reflect that 6,227 surgeries were scheduled, and 19.19% were suspended. The suspension was classified by causes of: External, internal and unspecified type. Being the three main ones: Absence of patient, inadequate clinical conditions and lack of quota. It is concluded that the Hospital does not have a documented surgical programming process aligned with its Organic Statute. Among the recommendations is to implement a surgical programming process to achieve uniformity of procedures, and implement actions that resolve the critical nodes of surgical management, such as anesthesia evaluation prior to admission.