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array:23 [ "pii" => "S1130147300707421" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70742-1" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70742" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:89-94" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1832 "formatos" => array:3 [ "EPUB" => 20 "HTML" => 925 "PDF" => 887 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147300707433" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70743-3" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70743" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:95-102" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2955 "formatos" => array:3 [ "EPUB" => 21 "HTML" => 884 "PDF" => 2050 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Fijación posterior transarticular en la inestabilidad cervical postraumática crónica de origen ligamentario" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "95" "paginaFinal" => "102" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Posterior transarticular cervical plating in chronic postraumatic cervical instability of ligamentous origin" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "M.J. Sánchez-Ledesma, J. Gonçalves, G. García-March, J. Broseta" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.J." "apellidos" => "Sánchez-Ledesma" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Gonçalves" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "García-March" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Broseta" ] ] ] 1 => array:2 [ "autoresLista" => "J.C. Paniagua, A. Framiñán" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.C." "apellidos" => "Paniagua" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Framiñán" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147300707433?idApp=UINPBA00004B" "url" => "/11301473/0000001100000002/v1_201305151023/S1130147300707433/v1_201305151023/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S113014730070741X" "issn" => "11301473" "doi" => "10.1016/S1130-1473(00)70741-X" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "70741" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2000;11:82-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3290 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 1437 "PDF" => 1836 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "La simbiosis neurocirugía-psicología en el origen de la neuropsicología clínica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "82" "paginaFinal" => "88" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The symbiosis between neurosurgery-psychology in the origin of the clinical neuropsychology" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carme Junqué, Maria Mataró" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Carme" "apellidos" => "Junqué" ] 1 => array:2 [ "nombre" => "Maria" "apellidos" => "Mataró" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113014730070741X?idApp=UINPBA00004B" "url" => "/11301473/0000001100000002/v1_201305151023/S113014730070741X/v1_201305151023/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "El rendimiento en un quirófano neuroquirúrgico de la Sanidad Pública Andaluza" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "89" "paginaFinal" => "94" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. López-Escobar Fernández" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "López-Escobar Fernández" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Puerta del Mar. Cádiz" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Efficiency of a neurosurgical operating room of the Andalusian Public Health Service" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec156882" "palabras" => array:3 [ 0 => "Rendimiento de Quirófanos" 1 => "Aprovechamiento de recursos" 2 => "Sanidad Pública" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec156881" "palabras" => array:3 [ 0 => "Neurosurgery Operating Room Efficiency" 1 => "Resources Exploitation" 2 => "Public Health Services" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio sobre el funcionamiento del quirófano principal para la cirugía programada, durante el año 1998, en el Servicio de Neurocirugía del Hospital Puerta del Mar, de Cádiz, integrado en el Servicio Andaluz de Salud (S.A.S.).</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A partir de los datos obtenidos en los partes de quirófano, rellenados por el persnal de Enfermería, ciñéndose a los datos reales (lo que no ocurre con muchos otros Servicios Quirúrgicos del centro), se presentan distintos aspectos comparativos de la labor realizada, especialmente el aprovechamiento, el tiempo perdido, y el utilizado para otras funciones, como limpieza, etc. Asimismo, se repasa la duración media de los procedimientos operatorios más frecuentes y ciertas variaciones que dependen de los diferentes neurocirujanos. Se ha procurado no hacer juicios de valor, pero no se han omitido los aspectos negativos, como las intervenciones suspendidas sin justificación suficiente a juicio del autor.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Parece desprenderse de este estudio que, a pesar de que el Servicio de Neurocirugía, si nos atenemos a las estadísticas, es uno de los más efectivos del Hospital, se debería obtener un mayor aprovechamiento de los recursos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se intenta suscitar un cambio de opiniones entre los Servicios Neuroquirúrgicos de los distintos Hospitales del país, la mayoría integrados en sistemas similares a los nuestros, y analizar las posibles ventajas y deficiencias de los diferentes sistemas de gestión; en este caso la Sanidad Pública.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The performance of the main neurosurgery operating room for scheduled neurosurgical operations is studied during the 98 period at Puerta del Mar Hospital. This centre is integrated in the S.A.S. (Andalusian Health Service).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">All data used for calculations are obtained from the reports filled by the nursery personnel after each neurosurgical operation.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Some different aspects are shown trying to evaluate the work done, specially focused on efficiency, wasted time and time spent for different maintenance tasks and cleaning activities.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The article includes also average duration of regular surgical procedures and its deviations as a function of the main surgeon.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">This work does not pretend to establish who does better, but negative aspects like cancelled operations due to wrong decisions (always following author's criteria).</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">It seems that the neurosurgical service effectiveness is, according to the statistical analysis, one of the best in the group of services of the subject center, but the study also shows that better resource exploitation can be accomplish.</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">The article goal is to establish a discussion between the different spanish neurosurgical services (a lot of them integrated in their regional Health Services similar to S.A.S.) in order to compare different management systems and their advantages and obstaeles.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">López-Escobar Fernández, M.: El rendimiento en un quirófano neuroquirúrgico de la Sanidad Pública andaluza. Neurocirugía 2000; 11: 89–94.</p>" ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000001100000002/v1_201305151023/S1130147300707421/v1_201305151023/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001100000002/v1_201305151023/S1130147300707421/v1_201305151023/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147300707421?idApp=UINPBA00004B" ]
