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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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Giornale Italiano di Dermatologia e Venereologia 2000 October;135(5):579-84

language: Italian

Quality control of Day Surgery in dermatological oncology

Picciotto F.

IRCC Candiolo (TO) - Ordine Mauriziano Unità Operativa di Oncologia Dermochirurgica


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Background. Surgery in Dermatology represents the optimal treatment for the prevention and the cure of skin cancers with the removal of the skin lesions which are at risk. The main objective of this paper is to verify and control the choice of Day Surgery depending on the following indications: type and entity of the pathology; duration of the intervention and/or of the anesthetic; general clinical and psychological conditions of the patient and eventual logistic problems.
Methods. The paper describes the methodology used for implementing the quality control by highligthing the main structural, technological and organisational aspects. In order to guarantee efficiency, efficacy and low costs in performing medical examinations and treatment, some of the most important parameters are monitored: waiting lists; logistic accessibility and adequacy for the patient; monitoring of the medical activities, follow-up and complications; availability of electronic clinical records; information provided to the patient.
Results. The preliminary results are quite satisfactory: the patient has appreciated the possibility of being treated in day surgery, without having to stay in hospital over night, and the type of assistance.
Conclusions. As far as the logistic aspect is concerned, the main benefits are observed in costs being reduced dramatically.

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