The morbidity and mortality athenaeum as a collective learning tool in a general surgery service
DOI:
https://doi.org/10.31837/cir.urug/3.2.2Keywords:
athenaeum, morbidity, mortality, , tool, learningAbstract
Introduction. Teaching in the surgical clinic represents a teaching challenge since it includes undergraduate, postgraduate, as well as training teachers. In it we must include teaching, assistance, research as well as clinical management aspects.
Objectives. To analyze the morbidity and mortality athenaeum as a teaching tool through the analysis of the complicated patient care process.
Method In the period May 2017 to May 2018, all the complicated patients were registered in the Surgical Clinic number 3.
Results 38 complicated patients from a total of 470 coordination operations (8%) were analyzed. The time to diagnosis of the complication was 4 days and the average hospitalization time was 14 days. According to Dindo – Clavien they were classified in the following grades: I: 6, II: 8, IIIa: 3, IIIb: 5, IVa: 4, IVb: 5 and V: 7 cases. Mortality was 1.5%, linked to complex surgery, elderly patients and late diagnosis of the complication.
Conclusions The morbidity and mortality athenaeum constitutes an educational tool for all training levels in the surgical clinic. Knowing the complications, their frequency, their type and how to prevent them allowed us to develop strategies to make the early diagnosis.
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