La calidad en Salud Pública

Antonio Manuel Padovani Cantón, Lucila Brito Llano, Milene Crespo Sellier, Sandra Padovani Clemente

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Resumen

Esta revisión se hace con el objetivo de motivar a los trabajadores de salud en la necesidad de la implementación de sistemas de "Gestión de la Calidad", familiarizándolos con algunos de los elementos más importantes de la calidad en salud. Se hace una revisión de los elementos de la calidad y la importancia de la implementación de sistemas de "Gestión de la Calidad" en las unidades de salud, destacando las dificultades encontradas en estudios internacionales en cuanto a la seguridad médica y la organización de los servicios médicos, en busca de la satisfacción de los usuarios y la eficiencia en los servicios de salud. Se plantea la necesidad de la formulación de indicadores para la evaluación de los procesos en los servicios de salud.


Palabras clave

Gestión de calidad; Salud pública; Seguridad del paciente.

Referencias

Kaoru I. ¿Qué es el Control Total de la Calidad? Ciudad de la Habana: Editorial Ciencias Sociales; 1988.

Straus S, Tetroe J, Graham I D, Zwarenstein M, Bhattacharyya O, Sheooerd S. Monitoring use of knowledge and evaluating outcomes. CMAJ February 9, 2010. 182(2): E94-E98.

Braun JP, Mende H, Bause H, Bloos F, Geldner G, Kastrup M, Kuhlen, et al. Quality indicators in intensive care medicine: why? Use or burden for the intensivist. Ger. Med. Sci. 2010; 8.

Carayon P. Patient Safety: The Role of Human Factors and Systems Engineering. Stud Health Technol Inform. 2010; p.153:23-46.

Bloomfield E. The Ethics of Rationing of Critical Care Services: Should Technology Assessment Play a Role? Anesthesiol Res Pract[internet]. 2009[cited january 2012]; 2009: Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2925216/pdf/ARP2009-915197.pdf

Braun JP, Bause H, Bloos F, Geldner G, Kastrup M, Kuhlen R, Markewitz A, Martin J et als. Peer reviewing critical care: a pragmatic approach to quality management. Ger Med Sci 2010; 8:

Howlett J, McKelvie R S, Costigan J, Ducharme A, Estrella-Holder E, Ezekowitz J A, Giannetti N, et als. The 2010 Canadian Cardiovascular Society guidelines for the diagnosis and management of heart failure update: Heart failure in ethnic minority populations, heart failure and pregnancy, disease management, and quality improvement/assurance programs. Can J Cardiol. 2010 April; 26(4): 185-202.

Moreno R, Rhodes A, Donchin J. Patient safety in intensive care medicine: the Declaration of Vienna. Intensive Care Med. 2009 October; 35(10): 1667-1672.

Tjia J, Mazor K, Field T, Meterko V, Spenard A, Grwitz H. Nurse-Physician Communication in the Long-Term Care Setting: Perceived Barriers and Impact on Patient Safety. J Patient Saf. 2009, September; 5(3): 145-152.

El-Jardali F, Dimassi H, Jamal D, Jaafar M, Hemadeh N. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res. 2011; 11:45

Livingston E. Solutions for Improving Patient Safety. JAMA 2010; 303(2): p.159-161.

Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. Int Qual Health Care. 2009 October; 21(5): 341-347.

Calligaris L, Panzera A, Arnoldo L, Londero C, Quattrin R, Troncon M, Busaferro S. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol 2009; 9:9.

Benning A, Ghaleb M, Suokas a, Dixon-Woods A, Dawson J. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ. 2011; 342:p. 195.

Hyzy R, Flanders S A, Pronovost P, Berenholtz S M, Watson S, George C, Goeschel C A, Maselli J, Auerbach A. Characteristics of intensive care units in Michigan: Not an open and closed case. J Hosp Med. 2010 January; 5(1): 4-9.

Benning A, Dixon-Woods M, Ghaleb M, Nwulu U, Dawson J, Barber N, Franklin B D. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 2011; 342: 199.

Lipitz-Snyderman A, Steinwachs D, Needham D M, Colantuoni E, Morlock L L, Pronovost P. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. BMJ. 2011; 342: d319.

Yasaitis L, Fisher E L, Skinner J, Chandra A. Hospital Quality And Intensity Of Spending: Is There An Association? Health Aff (Millwood) 2009 Jul-Aug; 28(4): w566-w572.

Pomey M-P, Lemieux-Charles L, Champagne F, Angus D, Shaba A, Contandriopoulos A-P. Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations. Implement Sci. 2010; 5:31.

Hutchings A, Durand M A, Grieve R, Harrison D, Rowan K, Green J, Cairns J, Black N. Evaluation of modernization of adult critical care services in England: time series and cost effectiveness analysis. BMJ. 2009; 339: b4353.

Vandijck D, Blot S, Vogelaers D P. Implementation of an evidence-based sepsis program in the intensive care unit: evident or not? Crit Care. 2009; 13(5): 193.

Milstein A, Lee T H. Comparing Physicians on Efficiency. N En Med. December 27, 2007; 357:2649-2652. 23. Auerbach A, Landefeld C S, Shojania K G. The Tension between Needing to Improve Care and Knowing How to Do It. N En Med. August 9 2007; 357: 608-613.

Mathews S C, Pronovost P J. Physician Autonomy and Informed Decision Making Finding the Balance for Patient Safety and Quality. JAMA. 2008; 300(24): 2913-2915.

Dormann H, Diesch K, Ganslandt T, Hahn E H. Numerical Parameters and Quality Indicators in a Medical Emergency Department. Dtsch Arztebl Int. 2010 April; 107(15): 261-267.



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