Video Experimental Relacionado

Updated: Sep 9, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Validez de la nueva clasificación de la seguridad del paciente y los resultados centrados en el paciente

Alex S Luke¹, Anastasia Jermihov¹, Leanna Wynne²

¹Department of Otolaryngology-Head and Neck Surgery, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas, USA.

The Laryngoscope

|September 1, 2025

Resumen

Un nuevo Sistema de Clasificación de Mejoramiento de la Calidad (QICS) para eventos adversos muestra una alta fiabilidad, comparable a la Clasificación Clavien Dindo (CDC). Este sistema validado es adecuado para la otorrinolaringología, incluidos los entornos ambulatorios.

Área de la Ciencia:

Sistemas de clasificación médica
Seguridad del paciente
Otorrinolaringología - Cirugía de cabeza y cuello

Sus antecedentes:

La notificación precisa de eventos adversos es crucial para la seguridad del paciente y la mejora de la calidad.
Los sistemas de clasificación existentes pueden tener limitaciones en ciertos entornos clínicos, como la atención ambulatoria.
El Departamento de Otorrinolaringología y Cirugía de Cabeza y Cuello buscó un sistema más completo para la notificación de eventos adversos.

Objetivo del estudio:

Validar un nuevo sistema de clasificación, el Sistema de Clasificación de Mejora de la Calidad (QICS), para la notificación de eventos adversos.
Evaluar el acuerdo entre los evaluadores de QICS en comparación con la Clasificación Clavien Dindo (CDC) establecida.
Determinar la idoneidad del QICS para la práctica de la otorrinolaringología.

Principales métodos:

Una revisión transversal de 211 eventos adversos de 2019-2023 en otorrinolaringología y cirugía de cabeza y cuello.
Tres evaluadores (un asistente, dos residentes) clasificaron los casos utilizando tanto el CDC como el QICS.
La confiabilidad de Interrater se cuantificó utilizando el Alfa de Cronbach y el κ de Fleiss.

Principales resultados:

Tanto el CDC (α=0,902, κ=0,578) como el QICS (α=0,963, κ=0,799) demostraron una fuerte fiabilidad entre los evaluadores.
QICS exhibió una concordancia interrater más alta que el CDC.
El nuevo sistema QICS mostró una excelente fiabilidad en la clasificación de eventos adversos.

Conclusiones:

El Sistema de Clasificación de la Mejora de la Calidad (QICS, por sus siglas en inglés) es un método fiable para categorizar los eventos adversos.
QICS demuestra una fiabilidad comparable y, en este estudio, superior a la Clasificación Clavien Dindo (CDC).
QICS es muy adecuado para la otorrinolaringología, ofreciendo capacidades de clasificación ampliadas tanto para pacientes hospitalizados como para pacientes ambulatorios.

Palabras clave:

Morbilidad y mortalidad seguridad del paciente mejora de la calidad

Más Videos Relacionados

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Videos de Conceptos Relacionados

Guidelines for Writing Outcome

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:

Data Validation

Data Validation

Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...

Classification of Illness

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...