Quality indicators in pleural pathology. Pre and post publication study

Introduction: Neumomadrid published in March 2017 the guide of quality indicators in respiratory diseases. Objective: To measure the level of compliance of two quality indicators in pleural pathology before and after this publication and to know if the elaboration of the guide has influenced our usual clinical practice. The chosen indicators are presence of informed consent in thoracentesis (TIC) and in transthoracic needle biopsy (TTNBIC). Material and Methods: Retrospective study carried out in 6 hospitals of the Community of Madrid. All thoracocentesis (T) and transthoracic needle biopsy (TTNB) performed by the Pneumology Service between 1/12/2016 to 28/02/2017 (before guide´s publication) and from 1/12/2017 to 28/02/2018 (after one) were selected. Exclusion criteria: patients 90% of the CR. Subsequently both results were compared. Statistic analysis by Stata v.12 (Pearson chi2 and Fisher’s exact). Results: are showen in tables and figures. Conclusions: The publication has not improved our level of compliance. To improve these results proactive measures should be established such as homogenizing and simplifying IC.