| 1. Use of analgesic medication or preoperative sedation through adequate screening |
No. of patients who used opioid analgesics or preoperative sedation to manage preoperative pain and anxiety through adequate screening x 100 |
No. of patients submitted to the use of anxiolytics or opioid analgesics in the preoperative period |
Patient record |
| 2. Proper use of perioperative morphine |
No. of patients who used morphine or derivatives by epidural or intraoperative spachymedullary x 100 |
No. of patients using morphine or intraoperative derivatives |
Patient record |
| 4. Control of intraoperative normothermia |
No. of adults undergoing surgery with general or regional anesthesia who had normothermia (temperature > 36°) maintained before, during and after surgery x 100 |
No. of adults undergoing surgery with general or regional anesthesia |
Patient record |
| 5. Adequate antibiotic prophylaxis |
No. of patients with adequate prophylaxis in all its aspects x 100 |
No. of surgical patients with indication of surgical antibiotic prophylaxis |
Patient record |
| 6. Trichotomy with trimmer or scissors |
No. of surgeries that performed trichotomy with trimmer or scissors x 100 |
No. of surgeries with trichotomy |
Patient record |
| 7. Adequate perioperative venous thromboembolism prophylaxis |
No. of patients undergoing surgery with indication pharmacological thromboprophylaxis who received appropriate venous thromboembolism prophylaxis initiated within 24h before surgery up to 24h after surgery x 100 |
No. of surgical patients with indication of pharmacological thromboprophylaxis |
Patient record |
| 8. Early post-surgical ambulation |
No. of patients who received guidance for early post-surgical ambulation x 100 |
No. of surgical patients |
Patient record |
| 9. Postoperative discharge with postoperative evaluation, prophylaxis of venous thromboembolism and postoperative rehabilitation. |
No. of patients who received postoperative evaluation, prophylaxis of venous thromboembolism and postoperative rehabilitation before discharge and who have adequate compliance with the 3 items x 100 |
No. of patients with postoperative surgery and who were discharged |
Patient record |
| 10. Release from the oral diet or enteral tube in the first 24 hours |
No. of patients who had the diet released orally or SNE in the first 24h x 100 |
No. of patients undergoing surgical procedures |
Patient record |
| 11. Timely removal of surgical nasogastric tubes |
No. of patients who removed the nasogastric tube before the end of surgery |
No. of patients submitted to gastrointestinal surgical procedures and who required the use of a nasogastric tube for drainage |
Patient record |
| 12. Early Bladder Catheter Removal |
No. of patients whose catheter was removed up to 48 hours postoperatively x 100 |
No. of surgical patients who used a bladder catheter |
Patient record |
| 13. Pressure and time recording during controlled ischemia in surgery |
No. of interventions with adequate time and pressure recording of pneumatic turnstile X 100 |
No. of surgical interventions with pneumatic tourniquet |
Patient record |
| 14. Use of Safe Surgery Checklist |
No. of surgeries with complete performance of the WHO safety checklist x 100 |
No. of surgeries performed in the institution |
Patient record |
| 15. Complications related to anesthesia |
Discharges with anesthetic adverse effects, or anesthetic intoxication, recorded in secondary diagnoses, among cases that meet the inclusion and exclusion criteria of the denominator |
All surgical discharges, from patients aged 18 years or older |
SIH-SUS |
| 16. Perioperative pulmonary embolism or deep vein thrombosis |
Discharges, in secondary diagnosis, of deep vein thrombosis or pulmonary embolism among cases that meet the inclusion and exclusion criteria of the denominator x 100 |
All surgical discharges of patients aged 18 years or older |
SIH-SUS |
| 17. Postoperative sepsis |
Discharges of sepsis in secondary diagnosis, among cases that meet the inclusion and exclusion criteria of the denominator x 1000 |
All surgical discharges of patients aged 18 years or older |
SIH-SUS |
| 18. Surgical site infection |
No. of surgical site infections (within 30 days) x 100 |
No. of surgeries performed in the period |
Patient record |
| 19. Surgical mortality within 30 days |
No. of surgical deaths observed in the hospital |
No. of surgical procedures performed in the hospital |
SIH-SUS |
| 20. Hospital readmission for postoperative complications related to the surgical procedure |
No. of patients readmitted between 0 and 29 days of hospital discharge after surgical procedure with complications related to surgery x 100 |
No. of surgical discharges |
SIH-SUS |
| 21. Length of stay without in-hospital mortality |
Sum of the number of days each patient discharged without death is hospitalized after a surgical procedure |
Sum of the number of patients who were hospitalized after an operative procedure and do not progress to death |
SIH-SUS |
| 22. Length of stay with in-hospital mortality |
Sum of the number of days each patient spent hospitalized |
Sum of the number of patients who were hospitalized after an operative procedure and progress to death |
SIH-SUS |
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Source: Prepared by the authors.