<?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>S1405-00992018000200078</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El análisis factorial para aumentar el rendimiento del quirófano y disminuir la cancelación de cirugía electiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Factorial analysis to increase operating room performance and decrease cancellation of elective surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olguín-Juárez]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Xoco  ]]></institution>
<addr-line><![CDATA[CDMX ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>78</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000200078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La cancelación de cirugías electivas y el bajo rendimiento de los quirófanos son problemas que afectan la calidad de la atención médica.  Objetivo:  Evaluar el uso del análisis factorial para identificar las causas de bajo rendimiento del quirófano y así poder disminuir la tasa de cancelación de cirugía y elevar el rendimiento.  Material y métodos:  Mediante un estudio prospectivo se pidió al personal que labora en el quirófano que anotara diez problemas que impiden su uso óptimo, agregando las soluciones que proponen, y se realizó un análisis factorial. Con los resultados se tomó una decisión operativa que se aplicó al inicio del turno. Se identificó el rendimiento, tasa y causas de suspensión.  Resultados:  El análisis factorial identificó dos factores relacionados: falta de coordinación de anestesiólogos y de quirófano. Con una decisión operativa se obtuvo un rendimiento de 100% y una tasa de cancelación de cirugía electiva de 4.9%. Las causas de mayor cancelación fueron: falta de tiempo quirúrgico 48.5%, por cirugía de urgencia 17.1% y por paciente hipertenso 10.5%.  Conclusión:  El análisis factorial identificó causas que mediante una decisión operativa elevaron el rendimiento, disminuyendo la tasa de cancelación de cirugías electivas a un rango aceptable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The cancellation of elective surgeries and the low performance of operating room are problems that affect the quality of medical care.  Objective:  To evaluate the use of factor analysis, to identify the causes of underperformance in the operating room, in order to reduce the rate of surgery cancellation and increase performance.  Material and methods:  Through a prospective study; to the staff that works in the operating room, we ask them to write down ten problems that prevent the optimal use of the operating room, adding the solutions they propose; a factorial analysis is performed. With the results an operational decision is taken that is applied at the beginning of the turn. The performance, rate and causes of suspension are identified.  Results:  Factor analysis identified two related factors: lack of coordination of anesthesiologists and operating room. With an operative decision, a performance of 100% and an elective surgery cancellation rate of 4.9% were obtained. The causes of major cancellation were: lack of surgical time 48.5%, emergency surgery 17.1% and hypertensive patient 10.5%.  Conclusion:  Factor analysis identified causes that, through an operative decision, increased performance, decreasing the rate of cancellation of elective surgeries to an acceptable range.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía cancelada]]></kwd>
<kwd lng="es"><![CDATA[rendimiento del quirófano]]></kwd>
<kwd lng="es"><![CDATA[análisis factorial]]></kwd>
<kwd lng="en"><![CDATA[Canceled surgery]]></kwd>
<kwd lng="en"><![CDATA[operating room performance]]></kwd>
<kwd lng="en"><![CDATA[factorial analysis]]></kwd>
</kwd-group>
</article-meta>
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