Browsing by Author "Ferdinand Olivares, Constanza"

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    De la anestesia a la seguridad de la atención : Experiencia de 6 años en el análisis de reportes de incidentes en un hospital universitario
    (2017) Marfan, Luis; Pedemonte Trewhela, Juan Cristóbal; Sandoval, Daniela; Ferdinand Olivares, Constanza; Camus Bustos, Lorena Beatriz; Lacassie Quiroga, Héctor
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    Impacto de la implantación y desarrollo de la analgesia epidural administrada por la paciente para el tratamiento del dolor del parto. Encuesta en un hospital universitario en Chile
    (2013) Lacassie Quiroga, Héctor; Ferdinand Olivares, Constanza; Moreno, Duby; Montaña Rodríguez, Rodrigo
    Objetivos: La administración de analgesia para el parto es una obligación legal en Chile. Este trabajo describe la percepción de los profesionales involucrados en la atención de las pacientes que están en trabajo de parto, con relación a la implantación del uso de la técnica de analgesia controlada por la paciente en cuanto a los resultados obstétricos obtenidos, satisfacción de los profesionales, impacto en la carga de trabajo y seguridad. Material y métodos: Se aplicó una encuesta autoadministrada a todos los profesionales que trabajan en el área de partos de la institución y se revisaron las incidencias de los resultados obstétricos y de carga de trabajo. La encuesta incluyó 25 preguntas estructuradas utilizando una escala tipo Lickert evaluando las dimensiones de calidad analgésica, carga y forma de trabajo en el Servicio, efectos colaterales, satisfacción de paciente y personal. Concluía la encuesta con una pregunta de percepción global. Resultados: La percepción global de satisfacción tras la introducción de la técnica para trabajo de parto fue de 6,0 (±0,88). En el grupo de anestesiólogos se evidencia una reducción de la carga laboral, sin afectar el resultado obstétrico ni neonatal. Conclusión: Considerando las limitaciones del tipo de trabajo, de no conocer el impacto económico ni la satisfacción de las pacientes en las cuales se utiliza la técnica de analgesia epidural, recomendamos la utilización de la analgesia controlada por la paciente para esta indicación, dada la buena percepción del equipo de trabajo con relación a los resultados obstétricos, la satisfacción con la técnica y la disminución en la carga de trabajo.
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    Metodología de adaptación de una guía clínica para el manejo de pacientes adultos con neumonía adquirida en la comunidad en una red de salud privada
    (2011) Pantoja Calderón, Tomás; Ferdinand Olivares, Constanza; Saldías Peñafiel, Fernando; Rojas Orellana, Luis; Balcells Marty, María Elvira; Castro López, Ricardo; Poblete Umanzor, Rodrigo Eduardo
    Background: Clinical practice guidelines (CPG) are widely used as tools for improving quality of health care. Guidelines developed elsewhere, can be adapted using a valid and systematic process. Aim: To describe the methodology used in the process of adaptation of a guideline for the management of adults with community-acquired pneumonia (CAP) in a private health care organization. Material and Methods: We used the ADAPTE framework involving three main phases. At the set-up phase a guideline adaptation group integrated by medical specialists from different disciplines, a methodologist and a nurse coordinator was formed. At the adaptation phase, the specific clinical questions to be addressed by the guidelines were identified. Results: Twenty five guidelines were initially retrieved. After their assessment, the number was reduced to only three. Recommendations from these guidelines were 'mapped' and focused searches were carried out where 'evidence gaps' were identified. An initial draft was written and revised by the adaptation group. At the finalization phase, the external review of the guideline was carried out and a process for the regular review and update of the adapted guideline was defined. Conclusions: We developed a guideline for the management of adults with CAP, adapted to the local context of our health care system, using guidelines developed elsewhere. This guideline creation method can be an efficient means of saving professional resources.
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    ¿Qué información preoperatoria desean los padres de niños que serán operados?
    (2015) Sartori Barbosa, Josefina Patricia; Espinoza Quiroz, Pilar; Díaz Abarca, María Soledad; Ferdinand Olivares, Constanza; Lacassie Quiroga, Héctor; González Arellano, Alejandro
    Introduction: Parents feel fear and anxiety before surgery is performed on their child, and those feelings could obstruct their preparation for the surgery. Preoperative information could relieve those feelings.||Objective: To determine the preoperative information needs of parents of children undergoing elective surgery.||Patients and method: A study was conducted on the parents of children who underwent elective surgery. Demographic data of parents were recorded. Preoperative information received or would like to have received was assessed in terms of contents, methods, opportunity, place and informant. Descriptive statistics were used.||Results: Thirteen hundred parents were surveyed. More than 80% of them want preoperative information about anaesthesia, surgery, preoperative fasting, drugs and anaesthetic complications, monitoring, intravenous line management, pain treatment, postoperative feeding, anxiety control, hospitalisation room, recovery room, and entertainment in recovery room. Most want to be informed verbally, one to two weeks in advance and not on the same day of surgery. The informant should be the surgeon and in his office. In addition, they want information through leaflets, videos and simulation workshops, or guided tours.||Conclusions: Parents need complete preoperative information about anesthesia, surgery and postoperative care, received verbally and in advance. (C) 2015 Sociedad Chilena de Pediatria. Published by Elsevier Espana, S.L.U.
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    The healthcare team's perception of the role of the perioperative nurse : a qualitative study
    (2016) Espinoza, P.; Galaz Letelier, L. M.; Cunill Leppe, M. D.; Yercic Bravo, M.; Ferdinand Olivares, Constanza; Ferrer Lagunas, Lilian Marcela
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    World Health Organization (WHO) surgical safety checklist implementation and its impact on perioperative morbidity and mortality in an academic medical center in Chile
    (2016) Lacassie Quiroga, Héctor; Ferdinand Olivares, Constanza; Guzmán, Sergio; Camus Bustos, Lorena Beatriz; Echevarría, Ghislaine C.