<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992016000100012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La implementación de la lista de verificación para una cirugía segura y su impacto en la morbimortalidad]]></article-title>
<article-title xml:lang="en"><![CDATA[The implementation of the checklist for safe surgery and its impact on morbidity and mortality]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Gavito]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyo-Aparicio]]></surname>
<given-names><![CDATA[Josafat Yair]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamora-Lizárraga]]></surname>
<given-names><![CDATA[Afranía Angelina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montalvo-López Gavito]]></surname>
<given-names><![CDATA[Arantxa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Sharp  ]]></institution>
<addr-line><![CDATA[Mazatlán Sinaloa]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Naval de Mazatlán  ]]></institution>
<addr-line><![CDATA[Sinaloa ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Naval de Mazatlán  ]]></institution>
<addr-line><![CDATA[Sinaloa ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Anáhuac  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: En los países industrializados, aproximadamente entre tres y 16% de los procedimientos quirúrgicos que requieren de hospitalización presentan complicaciones que generan discapacidad permanente o tasas de mortalidad en el 0.4-0.8% (en cirugías mayores, del 0.5-5%). La Secretaría de Marina-Armada de México ha puesto en marcha el programa Cirugía Segura Salva Vidas, en el cual promueve la formulación de nuevas políticas y programas con el fin de reducir los eventos adversos derivados de la práctica quirúrgica.  Material y métodos:  Estudio de cohortes que compara la incidencia de eventos adversos y mortalidad tras aplicar una estrategia de seguridad en el paciente quirúrgico. Se implementó la lista de verificación a 255 individuos llevados a cirugía no ambulatoria, programados electivamente o de urgencia en el Hospital Naval de Mazatlán en el periodo del 01 de enero al 30 de junio de 2010, así como a 280 en el periodo del 01 de enero al 30 de junio de 2012, con un total de 535 sujetos incluidos.  Resultados:  Las complicaciones disminuyeron de 11.4% a 4.3% (p = 0.02), con un RR de (0.377), protegiendo contra complicaciones potencialmente prevenibles en un 66.3%. El tipo de complicaciones donde se encontró una mayor relevancia estadística fueron la infección postquirúrgica y la hemorragia mayor, con 77% (p = 0.03) y 59.7% (p = 0.02) menos complicaciones.  Conclusión:  Se observó una reducción de más del 60% de las complicaciones tras aplicar la lista de verificación de cirugía segura, con una efectividad comparable a la reportada en el resto de los estudios realizados en hospitales a nivel internacional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Approximately between three to 16% of surgical procedures requiring admission in industrialized countries have complications, generating permanent disability or mortality rates of in 0.4 to 0.8% and 0.5 to 5% mortality in major surgeries. The Mexican Secretariat of the Navy and Armed Forces has launched the &#8220;Safe Surgery Saves Lives&#8221; program, which promotes the development of new policies and programs in order to reduce adverse events resulting from surgical practice.  Material and methods: Cohort study comparing the incidence of adverse events and mortality after applying a security strategy in the surgical patient. Two hundred and fifty-five patients undergoing non-ambulatory surgery were studied, scheduled electively or urgently in the period from January 1st to June 30, 2010, and 280 in the period from January 1 to June 30, 2012, at the Naval Hospital in Mazatlan, totaling 535 patients.  Results: Complications decreased from 11.4% to 4.3% (p = 0.02), with a RR of (0.377), protecting against potentially preventable complications in 66.3%. The type of complications that found a higher statistical significance were postsurgical infection and increased allowable blood loss: 77% (p = 0.03) and 59.7% (p = 0.02) fewer complications.  Conclusion:  A reduction of more than 60% of complications was observed after applying the checklist for safe surgery, with comparable effectiveness with other studies in hospitals worldwide.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía Segura Salva Vidas]]></kwd>
<kwd lng="es"><![CDATA[complicaciones postquirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[lista de verificación]]></kwd>
<kwd lng="en"><![CDATA[&#8220;Safe surgery saves lives&#8221;]]></kwd>
<kwd lng="en"><![CDATA[surgical complications]]></kwd>
<kwd lng="en"><![CDATA[checklist]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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