Revista médica de Chile
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Revista médica de Chile · May 2020
Review[Assessing the performance of public hospitals using key indicators: a case study in Chile and Ecuador].
Continuous improvement, quality of care, and patient satisfaction demand the implementation of coordinated actions from all the healthcare personnel. They also require collaboration, management skills and attention to different dimensions to improve problems due to the lack of resources such as specialists, medical technology and infrastructure. ⋯ The defined indicators are aimed to improve the performance of a hospital, are easily interpreted, can be measured without spending large amounts of money, and do not need excessive efforts to collect data, mainly if they are supported by information systems.
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Revista médica de Chile · May 2020
Observational Study[Variables associated with a good response to steroids in chronic inflammatory demyelinating polyradiculoneuropathy].
The treatment of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is based on corticosteroids, immunoglobulin and plasmapheresis. In our Health System, corticosteroids are commonly used as first line therapy for economic reasons and accessibility. However, the factors associated with a good response are not well known. ⋯ Most of these patients with CIDP had good response to corticosteroid therapy.
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Revista médica de Chile · May 2020
[Recommendations for performing interventions during the COVID-19 pandemic].
Coronavirus infection (SARS-CoV-2), is a pandemic disease declared by the World Health Organization (WHO). This disease reports a high risk of contagion, especially by the transmission of aerosols in health care workers. ⋯ In this document, a team of international specialists in interventional pulmonology elaborated a series of recommendations, based on the available evidence to define the risk stratification, diagnostic methods and technical considerations on procedures such as bronchoscopy, tracheostomy, and pleural procedures among others. As well as the precautions to reduce the risk of contagion when carrying out pulmonary interventions.
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Revista médica de Chile · May 2020
[Cut-off points of the difficulties in Emotion Regulation Scale for the Chilean population].
There are no reference values for the Difficulties in Emotion Regulation Scale (DERS-E) for the Chilean population. ⋯ DERS-E has an adequate diagnostic capacity, allowing to differentiate between those who have high or low emotional regulation difficulties.
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Revista médica de Chile · May 2020
[Undertriage as quality of care parameter in an emergency department].
Undertriage or the underestimation of the urgency of the condition of a person arriving in an emergency department (ED) represents a measure of quality care. ⋯ Undertriage rate in this series was low, but it can be improved.