Estándares de calidad y seguridad en servicios de salud: Desarrollo e implementación

Palabras clave: Mejora de la calidad, Tecnologías de la información, ISO 15189:2022, ISO 9001:2015, Sensores, Requisitos de la administración, Requisitos técnicos

Resumen

Objetivo. Este trabajo de investigación tiene como objetivo identificar los rasgos característicos del desarrollo e implementación de estándares de calidad del servicio de monitoreo y seguridad del paciente en instituciones médicas, con el fin de mejorar la calidad con base en el modelo digital desarrollado, y describir los requisitos para la implementación del control de calidad según Normas ISO 9001:2015 e ISO 15189:2022. Métodos. El trabajo utiliza un modelo digital del Centro de Traumatología, construido utilizando el entorno de programación AnyLogic. Este modelo está diseñado para identificar y analizar soluciones efectivas para su implementación, como procesos de registro de pacientes, dotación de personal, programación de departamentos especializados, identificación de características clínicas y síntomas tempranos de enfermedades para prevenir complicaciones durante el período de incubación. Resultados. Se descubrió que se pueden utilizar tecnologías inalámbricas modernas y análisis de datos para desarrollar un sistema de monitoreo remoto de la salud, que permita la detección temprana de enfermedades crónicas para prevenir complicaciones. La novedad científica del estudio consiste en el desarrollo de una secuencia para la implementación de documentación sobre estandarización y calidad del servicio en las instituciones médicas para prevenir daños a los pacientes, y mejorar su seguridad con la ayuda de un complejo de dispositivos de medición y tecnologías de la información.

Descargas

La descarga de datos todavía no está disponible.

Biografía del autor/a

Serhii Petryk, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine.

Doctoral Student, Department of National Security, Public Administration and Management, Faculty of Public Administration, Law and International Relations, Zhytomyr Polytechnic State University, Zhytomyr, Ukraine.

Valentyna Zenkina, Bogomolets National Medical University, Kyiv, Ukraine.

Associate Professor, Department of Hygiene, Occupational Safety and Health, Bogomolets National Medical University, Kyiv, Ukraine.

Viacheslav Stepanenko, Lesya Ukrainka Volyn National University, Lutsk, Ukraine.

Associate Professor, Department of Physical Therapy and Occupational Therapy, Lesya Ukrainka Volyn National University, Lutsk, Ukraine.

Anatolii Shevchuk, Vinnytsya National Pirogov Memorial Medical University, Vinnytsya, Ukraine.

Associate Professor, Department of Emergency and Military Medicine, Vinnytsya National Pirogov Memorial Medical University, Vinnytsya, Ukraine.

Kostiantyn Yurchenko, Interregional Academy of Personnel Management, Kyiv, Ukraine.

Candidate of Technical Sciences, Associate Professor, Deputy Head of the Department of National Security, Security Institute, Interregional Academy of Personnel Management, Kyiv, Ukraine.

Citas

Allen, L. C. (2013). Role of a quality management system in improving patient safety – laboratory aspects. Clinical Biochemistry, 46(13-14), 1187-1193; DOI: 10.1016/j.clinbiochem.2013.04.028

Berman, L., Raval, M. V., & Goldin, A. (2018). Process improvement strategies: Designing and implementing quality improvement research. In Seminars in pediatric surgery. WB Saunders, 27(6), 379-385; DOI: 10.1053/j.sempedsurg.2018.10.006

Burgers, J., van der Weijden, T., & Grol, R. (2020). Clinical practice guidelines as a tool for improving patient care. Improving patient care: the implementation of change in health care, 103-129; DOI: 10.1002/9781119488620.ch6

Classen, D. C., Munier, W., Verzier, N., Eldridge, N., Hunt, D., Metersky, M., ... & Battles, J. (2021). Measuring patient safety: the Medicare patient safety monitoring system (past, present, and future). Journal of patient safety, 17(3), 234-240; DOI: 10.1097/PTS.0000000000000322

Dymyt, M. (2020). The Role of eHealth in the Management of Patient Safety. Journal of e- health Management, 2020, 1-13; DOI: 10.5171/2020.341252

Fedele, A., Avruscio, G., Barison, L., & Scipioni, A. Standards to Support ISO 15189 Implementation for Medical Laboratories Accreditation. Clin Case Rep Int. 2022, 6, 1310.

Flohr, L., Beaudry, S., Johnson, K. T., West, N., Burns, C. M., Ansermino, J. M., ... & Görges, M. (2018). Clinician-driven design of vital pad–an intelligent monitoring and communication device to improve patient safety in the intensive care unit. IEEE journal of translational engineering in health and medicine, 6, 1-14. DOI: 10.1109/JTEHM.2018.2812162

Giuliano, K. K. (2017). Improving patient safety through the use of nursing surveillance. Biomedical instrumentation & technology, 51(s2), 34-43. DOI: 10.2345/0899-8205-51.s2.34

Halamoda-Kenzaoui, B., Holzwarth, U., Roebben, G., Bogni, A., & Bremer-Hoffmann, S. (2019). Mapping of the available standards against the regulatory needs for nanomedicines. Wiley Interdisciplinary Reviews: Nanomedicine and Nanobiotechnology, 11(1), e1531. DOI: 10.1002/wnan.1531

Han, S., Xu, M., Lao, J., & Liang, Z. (2023). Collecting Patient Feedback as a Means of Monitoring Patient Experience and Hospital Service Quality–Learning from a Government- led Initiative. Patient preference and adherence, 385-400. DOI: 10.2147/PPA.S397444

ISO 15189:2022 Medical laboratories — Requirements for quality and competence Available at https://www.iso.org/standard/76677.html [Accessed on 24 July 2023]

ISO 9001:2015 Quality Management Systems — Requirements. Available at https://www.iso.org/standard/62085.html [Accessed on 24 July 2023].

Lleshi, S. (2020). The Effectiveness of QMS Implementation in Applying of Quality Health Care for Patients in Health Institutions of Kosovo. European Journal of Medicine and Natural Sciences, 3(1), 26-34; DOI:10.26417/ejis.v5i1.p95-103

McGrath, S. P., McGovern, K. M., Perreard, I. M., Huang, V., Moss, L. B., & Blike, G. T. (2021). Inpatient respiratory arrest associated with sedative and analgesic medications: impact of continuous monitoring on patient mortality and severe morbidity. Journal of Patient Safety, 17(8), 557; DOI: 10.1097/PTS.0000000000000696

Nadziakiewicz, M., & Mikolajczyk, A. (2019). The quality and safety of health care services.
Management Systems in Production Engineering, 27(2), 100-104; DOI:10.1515/mspe-2019-0017

Pelzang, R., & Hutchinson, A. M. (2019). Patient safety policies, guidelines, and protocols in Bhutan. The International Journal of Health Planning and Management, 34(2), 491-500. DOI: 10.1002/hpm.2729

Pronovost, P. J., Cole, M. D., & Hughes, R. M. (2022). Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Jama, 327(12), 1125-1126; DOI: 10.1001/jama.2022.2040

Silva, K. T. D., Filgueiras, R. C., Gamaski, R., & Göttems, L. B. D. (2021). Prototype for monitoring incidents in the health services: innovation for patient safety. Texto & Contexto- Enfermagem, 29; DOI: 10.1590/1980-265X-TCE-2019-0185

Singh, H., & Sittig, D. F. (2016). Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Quality & Safety, 25(4), 226- 232; DOI: 10.1136/bmjqs-2015-004486

Singh, P., Raw, R. S., & Khan, S. A. (2021). Development of novel framework for patient health monitoring system using VANET: an Indian perspective. International Journal of Information Technology, 13, 383-390; DOI: 10.1007/s41870-020-00551-4

Sittig, D. F., Wright, A., Coiera, E., Magrabi, F., Ratwani, R., Bates, D. W., & Singh, H. (2020). Current challenges in health information technology–related patient safety. Health informatics journal, 26(1), 181-189; DOI: 10.1177/1460458218814893

Sullivan, Z. P., Zazzeron, L., Berra, L., Hess, D. R., Bittner, E. A., & Chang, M. G. (2022). Noninvasive respiratory support for COVID-19 patients: when, for whom, and how?. Journal of intensive care, 10(3), 10; DOI: 10.1186/s40560-021-00593-1

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International journal of environmental research and public health, 17(6), 2028; DOI: 10.3390/ijerph17062028

Wienert, J. (2019). Understanding health information technologies as complex interventions with the need for thorough implementation and monitoring to sustain patient safety. Frontiers in ICT, 6, 9; DOI: 10.3389/fict.2019.00009
Publicado
2024-04-25
Cómo citar
Petryk, S., Zenkina, V., Stepanenko, V., Shevchuk, A., & Yurchenko, K. (2024). Estándares de calidad y seguridad en servicios de salud: Desarrollo e implementación. Revista De La Universidad Del Zulia, 15(43), 238-258. https://doi.org/10.46925//rdluz.43.15