viernes, 29 de marzo de 2013

Trabajo de anestesia obstétrica/Obstetric anesthesia work

Primer paso para determinar la cantidad apropiada de trabajo en obstetricia


A first step in determining appropriate amounts of obstetric anesthesia work.
Varaday SS, Leighton BL.
Anesthesiology and Obstetrics and Gynecology, Washington University School of Medicine, Campus Box 8054, 660 South Euclid Avenue, Saint Louis, Missouri, 63110, USA. leightob@wustl.edu.
Isr J Health Policy Res. 2012 Dec 14;1(1):49. doi: 10.1186/2045-4015-1-49.
Abstract
Ginosar, et al. describe a new performance indicator, the Obstetric Anesthesia Activity Index, to represent the current amount of obstetric anesthesia work done daily at each of 25 Israeli hospitals. The authors claim, correctly, that this index is a closer reflection of the anesthetic workload than simply looking at the number of deliveries at each hospital. However, the Obstetric Anesthesia Activity Index could easily be refined to reflect more closely the actual obstetric anesthesia workload by using the average cesarean delivery time for each hospital rather than one value for all hospitals. Although the authors state that they developed the Obstetric Anesthesia Activity Index out of concern for inadequate obstetric anesthesia manpower in Israel, they have not compared the Obstetric Anesthesia Activity Index with the size of the patient population or any measure of patient satisfaction or patient safety. In its current form, the Obstetric Anesthesia Activity Index describes the current work situation but does not evaluate the extent of the unmet need for additional anesthesia providers. Despite these shortcomings, the Obstetric Anesthesia Activity Index is an important first step in developing a tool to assess unmet obstetric anesthesia needs.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3534087/pdf/2045-4015-1-49.pdf


Comparación del índice de actividad en anestesia obstétrica con el total de partos como un denominador único de demanda de trabajo en unidades maternas de Israel

Comparison of the obstetric anesthesia activity index with total delivery numbers as a single denominator of workload demand in Israeli maternity units.
Ginosar Y, Ioscovich A, Weissman C, Calderon-Margalit R, Weiniger CF.
Source
Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel.yginosar@netvision.net.il.
Isr J Health Policy Res. 2012 Dec 14;1(1):48. doi: 10.1186/2045-4015-1-48.
Abstract
BACKGROUND: Obstetric anesthesia workload demand in Israel has increased due to both an increase in the requests for labor analgesia and a marked increase in the cesarean delivery rate. We propose a new workload-driven performance indicator, the Obstetric Anesthesia Activity Index (OAAI), to serve as a single denominator of obstetric anesthesia activity to enable direct comparison of different hospitals despite dissimilar rates of epidural labor analgesia and cesarean delivery.
CONCLUSIONS: As there was such a wide range of demand for different obstetric anesthesia services among different hospitals, the total number of deliveries is a poor summary indicator of obstetric anesthesia workload. The calculated OAAI better reflected the obstetric anesthesia workload as a single denominator of activity.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541973/pdf/2045-4015-1-48.pdf



Atentamente
Dr. Benito Cortes-Blanco
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

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