Diseño de una lista de verificación en la gestión de riesgos en tiroidectomía

Objective: To develop evidence-based recommendations for safe, effective, and appropriate thyroidectomy. Background: Surgical management of thyroid disease has evolved considerably over several decades leading to variability in rendered care. Over 100,000 thyroid operations are performed annually in the US. Methods: The medical literature from 1/1/1985 to 11/9/2018 was reviewed by a panel of 19 experts in thyroid disorders representing multiple disciplines. The authors used the best available evidence to construct surgical management recommendations. Levels of evidence were determined using the American College of Physicians grading system, and management recommendations were discussed to consensus. Members of the American Association of Endocrine Surgeons reviewed and commented on preliminary drafts of the content. Results: These clinical guidelines analyze the indications for thyroidectomy as well as its definitions, technique, morbidity, and outcomes. Specific topics include Pathogenesis and Epidemiology, Initial Evaluation, Imaging, Fine Needle Aspiration Biopsy Diagnosis, Molecular Testing, Indications, Extent and Outcomes of Surgery, Preoperative Care, Initial Thyroidectomy, Perioperative Tissue Diagnosis, Nodal Dissection, Concurrent Parathyroidectomy, Hyperthyroid Conditions, Goiter, Adjuncts and Approaches to Thyroidectomy, Laryngology, Familial Thyroid Cancer, Postoperative Care and Complications, Cancer Management, and Reoperation. Conclusions: Evidence-based guidelines were created to assist clinicians in the optimal surgical management of thyroid disease.

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The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults

Patel

et al. 2020

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The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Secondary and Tertiary Renal Hyperparathyroidism

Dream

Kuo

et al. 2022

Annals of Surgery

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Objective: To develop evidence-based recommendations for safe, effective, and appropriate treatment of secondary (SHPT) and tertiary (THPT) renal hyperparathyroidism. Background: Hyperparathyroidism is common among patients with chronic kidney disease, end-stage kidney disease, and kidney transplant. The surgical management of SHPT and THPT is nuanced and requires a multidisciplinary approach. There are currently no clinical practice guidelines that address the surgical treatment of SHPT and THPT. Methods: Medical literature was reviewed from January 1, 1985 to present January 1, 2021 by a panel of 10 experts in SHPT and THPT. Recommendations using the best available evidence was constructed. The American College of Physicians grading system was used to determine levels of evidence. Recommendations were discussed to consensus. The American Association of Endocrine Surgeons membership reviewed and commented on preliminary drafts of the content. Results: These clinical guidelines present the epidemiology and pathophysiology of SHPT and THPT and provide recommendations for work-up and management of SHPT and THPT for all involved clinicians. It outlines the preoperative, intraoperative, and postoperative management of SHPT and THPT, as well as related definitions, operative techniques, morbidity, and outcomes. Specific topics include Pathogenesis and Epidemiology, Initial Evaluation, Imaging, Preoperative and Perioperative Care, Surgical Planning and Parathyroidectomy, Adjuncts and Approaches, Outcomes, and Reoperation. Conclusions: Evidence-based guidelines were created to assist clinicians in the optimal management of secondary and tertiary renal hyperparathyroidism.

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Diseño de un sistema de detección y notificación de incidentes de seguridad y eventos adversos en cirugía de tiroides y paratiroides

Pardal-Refoyo

SANTIAGO-PEÑA

Cuello-Azcárate

et al. 2016

ORL

Self Cite

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Conflicto de intereses: Los autores declaran no tener conflictos de interesesImágenes: Los autores declaran haber obtenido las imágenes con el permiso de los pacientes Política de derechos y autoarchivo: se permite el autoarchivo de la versión post-print (SHERPA/RoMEO) Licencia CC BY-NC-ND. Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional © Universidad de Salamanca. Su comercialización está sujeta al permiso del editor RESUMENIntroducción: La seguridad del paciente se define como la reducción del riesgo de daños innecesarios relacionados con la atención sanitaria. Hasta un 9,3% de los pacientes que ingresan en un centro hospitalario presentan algún evento adverso relacionado con la asistencia. Esto puede provocar daño para el paciente, mayor instrumentación, incremento de la morbilidad, incremento de la estancia hospitalaria e incremento del coste. Para identificar, registrar y analizar los eventos adversos es necesario disponer de un sistema de notificación de incidentes. Objetivo: Elaborar un sistema local para la notificación de incidentes de seguridad y eventos adversos en cirugía de la glándula tiroides. Método: Se formó un grupo de trabajo con representación de todas las unidades relacionadas con el proceso de tiroidectomía, se establecieron los puntos de control, se diseñaron listados de verificación para cada punto de control, se realizó un análisis estratégico sobre la actividad del grupo, se realizó una revisión bibliográfica para identificar los principales sistemas de notificación de incidentes, se identificaron los ítems que deberá tener el formulario de notificación de incidentes y se diseñó el formulario. Resultados: El formulario de notificación de incidentes recoge datos relativos al paciente, al comunicador y al incidente (tipo, causa, consecuencia, gravedad, frecuencia, matriz de riesgos). Tiene una primera parte con apartados narrativos y una segunda con listas desplegables. El formulario es accesible exclusivamente para el grupo de trabajo, de uso voluntario. Conclusiones: El objetivo del sistema de notificación es el aprendizaje y la prevención. Introduction: Patient safety is defined as the reduction of risk of unnecessary harm associated with healthcare. Up to 9.3% of patients admitted into a hospital present some adverse event related to the assistance. This can cause damage to the patient, more instrumentation, in-creased morbidity, increased hospital stay and increased cost. PALABRAS CLAVETo identify, record and analyze adverse events is necessary to have an incident reporting system. Objective: Developing a local system for reporting security incidents and adverse events in surgery of the thyroid gland. Method: A working group was formed with representatives from all units related to the process of thyroidectomy, checkpoints were established, checklists for each control point were desig-ned, a strategic analysis of the group's activity was performed, a literature review was done in order to identify the major incident reporting systems, the items that the ...

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Diseño de una lista de verificación en la gestión de riesgos en tiroidectomía

Cited by 3 publications

References 15 publications

The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults

The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults

The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Secondary and Tertiary Renal Hyperparathyroidism

Diseño de un sistema de detección y notificación de incidentes de seguridad y eventos adversos en cirugía de tiroides y paratiroides

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