Paradoxi i kontrollit të cilësisë në kujdesin kirurgjik: Strategjitë për të kapërcyer variabilitetin dhe përmirësuar rezultatet e pacientëve.

Abstract

Introduction: The quality control paradox in surgical care arises from the tension between the need for standardized practices and the inherent variability in surgical procedures and patient outcomes. This study explores potential strategies to address this paradox, including quality improvement initiatives, clinical audits, and the integration of palliative care into surgical practices.Results and Review of Presence in Practice Across Countries: In the United States, initiatives such as the National Surgical Quality Improvement Program (NSQIP) and the Surgical Care Improvement Project (SCIP) have been central in improving quality and reducing variability in surgical care. In Australia, regular audits like the Victorian Audit of Surgical Mortality have led to significant improvements in surgical practices. Several countries are also beginning to integrate palliative care into surgical settings to better address the needs of seriously ill patients, which improves patient satisfaction and overall care. Discussion: Quality improvement programs and clinical audits have proven effective in reducing surgical errors and variability. However, challenges remain in terms of resource availability and training, especially in low-resource settings. Additionally, integrating palliative care into surgical practices can be difficult due to limited resources and lack of standardization across different countries. Conclusion: Addressing the quality control paradox in surgical care requires a coordinated, international effort that includes the implementation of structured quality improvement initiatives, regular clinical audits, and the integration of palliative care. These strategies collectively contribute to improving patient outcomes and providing high-quality care. Adoption of these initiatives globally is crucial for reducing variability and improving the overall patient experience in surgical care.