Technicity as a quality indicator of excellence in gynaecology

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Abstract

Objectives: The objective of this study was to calculate the technicity index (TI) for hysterectomies at a tertiary care university hospital in Oman. Methods: This is a retrospective chart review of patients who had hysterectomies at Sultan Qaboos University Hospital (SQUH), a tertiary care university hospital. Profiles were reviewed for all patients who had hysterectomies at SQUH in the period 2003-2009. The cumulative frequencies for all types of hysterectomies were tallied and the year-specific TI was calculated. Results: Overall, we enumerated a total of 258 hysterectomies, of which 6 (2.3%) were laparoscopic assisted hysterectomies, 42 (16.3%) vaginal hysterectomies, and 208 (80.6%) total abdominal hysterectomies. The average TI was 19% (48/258), and it ranged from 11% to 24%. The trend of change fluctuated over the years starting with 16% (2003) and increasing gradually during 2004-2006, but then declining again during 2007-2008 (trend P value 0.02). This low and fluctuating trend was mainly attributed to the inconsistency in the availability of trained surgeons and laparoscopic equipment. Conclusion: TI at our institution can be improved by increasing the number of minimally invasive hysterectomies through providing more trained surgeons and laparoscopic equipment.

Original languageEnglish
Pages (from-to)644-647
Number of pages4
JournalSultan Qaboos University Medical Journal
Volume12
Issue number1
Publication statusPublished - Feb 2012

Keywords

  • Gynaecology
  • Hysterectomy
  • Oman
  • Quality indicator
  • Technicity index

ASJC Scopus subject areas

  • Medicine(all)

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