Technicity as a Quality Indicator of Excellence in Gynaecology
Journal Title: Sultan Qaboos University Medical Journal - Year 2012, Vol 12, Issue 1
Abstract
Objectives: Te objective of this study was to calculate the technicity index (TI) for hysterectomies at a tertiary care university hospital in Oman. Methods: Tis is a retrospective chart review of patients who had hysterectomies at Sultan Qaboos University Hospital (SQUH), a tertiary care university hospital. Profles were reviewed for all patients who had hysterectomies at SQUH in the period 2003–2009. Te cumulative frequencies for all types of hysterectomies were tallied and the year-specifc TI was calculated. Results: Overall, we enumerated a total of 258 hysterectomies, of which 6 (2.3%) were laparoscopic assisted hysterectomies, 42 (16.3%) vaginal hysterectomies, and 208 (80.6%) total abdominal hysterectomies. Te average TI was 19% (48/258), and it ranged from 11% to 24%. Te trend of change fluctuated over the years starting with 16% (2003) and increasing gradually during 2004–2006, but then declining again during 2007–2008 (trend P value 0.02). Tis low and fluctuating trend was mainly attributed to the inconsistency in the availability of trained surgeons and laparoscopic equipment. Conclusion: TI at our institution can be improved by increasing the number of minimally invasive hysterectomies through providing more trained surgeons and laparoscopic equipment.
Authors and Affiliations
Maha Al-Khaduri| Department of Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman, Yahya Al- Farsi| Obstetrics & Gynaecology and Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman
Keywords
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