Palabras clave
Improvement
Quality
Patient safety
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Resumen
Objective: To analyze relevant surgical performance indicators and their relationship with clinical outcomes in different hospital settings. Methods: Integrative review of the main databases, with publications from 2018–2024; after screening 550 articles, 12 studies met the criteria and were analyzed in depth. Results: Traditional indicators (e.g., risk-adjusted mortality) and innovative approaches, such as risk-adjusted time at home and quality of life scores, stood out. These metrics were associated with better functionality, fewer complications, and gains in hospital efficiency. However, gaps in standardization, availability, and implementation persist, especially in less complex services. Integrating patient-centered indicators into operational metrics is recommended to capture the complexity of surgical care and guide continuous improvement. Institutional policies should promote equity, transparency, and regular use of these measures in clinical management. Final considerations: This study systematizes effective practices and proposes strategies for broader and more equitable adoption of metrics, with an emphasis on longitudinal monitoring. Future research should adapt indicators to different contexts, prioritizing functional outcomes and long-term quality of life, with assessments of cost-effectiveness and organizational impact. Continuous evaluation and robust interinstitutional transparency are encouraged.
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