Audit in day surgery in general surgery. Quality and criticality are compared.
BACKGROUND
The need to ensure complete medical and surgical assistance and the ever increasing challenge of containing costs in health care have found the perfect combination in day surgery. The aim of this study is to analyse date from the surgical Division I in a multidisciplinary day surgery. The activity has been assessed in terms of volume and above all quality of the procedures. Data collection of complication Data collection for infections Quality rating questionnaire Follow up Information leaflet for day surgery Meetings with nursing staff.


METHODS
The study was carried out by comparing data from the period 2003-2006. The activity of general surgery includes: general, breast, plastic and vascular. From 2003 to 2006 day surgery activity increased considerably, partly due to good organization and partly because it has been favourably received by the population.


RESULTS
During the period 2003-2006, 1835 operations were carried out in day surgery. The percentage of operations in D. S. compared to the total activity of Surgery Division I, demonstrates a gradual increase from 18.7 to 32%. In the last few years, some changes have been introduced in day surgery:


CONCLUSIONS
From the study carried out we can affirm that the present organization of our day surgery, manages to maintain a high standard of care and a low incidence of complications with statistical data similar to those described in literature.
Brebbia
Giovanna
G
Department of Surgical Sciences, University of Insubria, Varese, Italy. giovanna.brebbia@ospedale.varese.it
Carcano
Giulio
G
Boni
Luigi
L
Dionigi
Gianlorenzo
G
Rovera
Francesca
F
Diurni
Mario
M
Dionigi
Renzo
R
D000556:Ambulatory Surgical Procedures / Q000592:standards* / Q000706:statistics & numerical data*; D005500:Follow-Up Studies; D013502:General Surgery / Q000458:organization & administration*; D006801:Humans; D008485:Medical Audit / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires