Technicity as a Quality Indicator of Excellence in Gynaecology

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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 2003â€“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 ï¬‚uctuated over the years starting with 16% (2003) and increasing gradually during 2004â€“2006, but then declining again during 2007â€“2008 (trend P value 0.02). Tis low and ï¬‚uctuating 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

EP ID EP14203
DOI -
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