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Redondeo académico de la cama en 10 As: la técnica del decálogo
Diego Adão1, Gabriela Caetano Lopes Martins1, Leonardo Yuri Kasputis Zanini1
1Universidade Federal de São Paulo - Escola Paulista de Medicina - Departamento de Cirurgia - São Paulo (SP) - Brazil.
Acta cirurgica brasileira
|February 11, 2026
Resumen
La técnica del decálogo de 10 As ofrece un enfoque estructurado para el redondeo quirúrgico al lado de la cama, mejorando la educación de los residentes y la atención al paciente. Este método mejora las habilidades clínicas y fomenta la confianza a través de discusiones sistemáticas de casos.
Área de la Ciencia:
- Educación médica y educación médica.
- Capacitación en cirugía.
- Las rondas clínicas.
Sus antecedentes:
- Un redondeo efectivo al lado de la cama es crucial para la capacitación quirúrgica y la atención al paciente.
- Los métodos actuales pueden enfrentar desafíos en la gestión del tiempo y la integración educativa.
- Un marco estructurado puede optimizar el proceso de redondeo de la cabecera quirúrgica.
Objetivo del estudio:
- Introducir la técnica de decálogo de 10 As, un nuevo marco para el redondeo estructurado de la cabecera quirúrgica.
- Proporcionar un modelo para su implementación en centros médicos académicos.
Principales métodos:
- Una reseña narrativa y una pieza de perspectiva.
- Búsqueda de literatura realizada en MEDLINE a través de PubMed hasta mayo de 2025.
- Desarrollo de un modelo descriptivo basado en principios clínicos y educativos.
Principales resultados:
- El decálogo de los 10 As incluye: anticipación, presentación del equipo de asistentes, autorización, evaluación, evaluación, alertas, asesoramiento, acuerdo, anotación y después.
- Esta técnica mejora la discusión de casos, las habilidades clínicas del aprendiz, la empatía y la confianza del paciente.
- Aborda las limitaciones de tiempo y mejora el aprendizaje a través del informe y la retroalimentación.
Conclusiones:
- El decálogo de los 10 As es una herramienta eficaz para el redondeo quirúrgico en el lado de la cama en entornos académicos.
- Promueve la educación de los residentes, reduce los errores y aumenta la participación del paciente.
- El marco equilibra efectivamente las demandas educativas y clínicas.
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