Análisis de riesgos en los procesos del Cardiocentro ``Ernesto Guevara´´ de Santa Clara
Fecha
2018
Autores
Marín Palmero, José Ernesto
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Editor
Universidad Central ‘‘Marta Abreu’’ de Las Villas. Facultad de Ingeniería Mecánica e Industrial. Departamento de Ingeniería Industrial
Resumen
Esta investigación se desarrolla en el Cardiocentro “Ernesto Guevara” de la ciudad de Santa Clara. Con la misma se persigue como propósito fundamental analizar los riesgos que están presentes en los procesos de atención hemodinámica, intervención invasiva y cuidados postoperatorios de dicha entidad, en vísperas de mejorar los servicios que se brindan y contribuir al inventario de riesgos de la institución. Para el logro de este objetivo se realiza primeramente una revisión bibliográfica del tema, fundamentado por un análisis valorativo y crítico del estado del arte y la práctica. Luego se llevó a cabo un levantamiento de riesgos en las áreas del hospital, en las cuales se desarrollan cada uno de los procesos bajo estudio, para luego definir su gravedad, probabilidad de ocurrencia y probabilidad de no detección, así como sus efectos y principales causas. Entre las principales técnicas y/o métodos utilizados en la investigación se encuentran la entrevista, el análisis documental, el trabajo en equipo y un procedimiento propuesto en la literatura de Escoriza Martínez (2010) que posibilita la determinación y evaluación de los fallos, mediante un Análisis Modal de Fallos y Efectos (AMFE). Con lo anterior se obtuvo como resultado que la totalidad de los modos de fallos identificados en cada una de las actividades constituyen riesgos que pueden atentar contra la vida de las personas, por lo que deben ser controlados sin tener en cuenta su prioridad ya que cualquier evento adverso que suceda puede desencadenar una serie de complicaciones para los pacientes que reciben los servicios en la institución de salud.
This research is developed in the Cardiocentro "Ernesto Guevara" of the city of Santa Clara. The main purpose of this study is to analyze the risks that are present in the processes of hemodynamic care, invasive intervention and postoperative care of this entity, on the eve of improving the services provided and contributing to the risk inventory of the institution. In order to achieve this objective, a bibliographic review of the subject is carried out, based on a critical and evaluative analysis of the state of the art and practice. Then a risk survey was carried out in the areas of the hospital, in which each of the processes under study is developed, to then define its severity, probability of occurrence and probability of non-detection, as well as its effects and main causes. Among the main techniques and / or methods used in the investigation are the interview, the documentary analysis, the teamwork and a procedure proposed in the literature of Escoriza Martínez (2010) that enables the determination and evaluation of the failures, by means of a Modal Analysis of Faults and Effects (MAFE). With the above, it was obtained that all of the failure modes identified in each of the activities constitute risks that may threaten people's lives, so they must be controlled without taking into account their priority since any event Adverse event that may trigger a series of complications for patients receiving services in the health institution.
This research is developed in the Cardiocentro "Ernesto Guevara" of the city of Santa Clara. The main purpose of this study is to analyze the risks that are present in the processes of hemodynamic care, invasive intervention and postoperative care of this entity, on the eve of improving the services provided and contributing to the risk inventory of the institution. In order to achieve this objective, a bibliographic review of the subject is carried out, based on a critical and evaluative analysis of the state of the art and practice. Then a risk survey was carried out in the areas of the hospital, in which each of the processes under study is developed, to then define its severity, probability of occurrence and probability of non-detection, as well as its effects and main causes. Among the main techniques and / or methods used in the investigation are the interview, the documentary analysis, the teamwork and a procedure proposed in the literature of Escoriza Martínez (2010) that enables the determination and evaluation of the failures, by means of a Modal Analysis of Faults and Effects (MAFE). With the above, it was obtained that all of the failure modes identified in each of the activities constitute risks that may threaten people's lives, so they must be controlled without taking into account their priority since any event Adverse event that may trigger a series of complications for patients receiving services in the health institution.
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Palabras clave
Cardiocentro ´´Ernesto Guevara´´, Villa Clara, Gestión de Riesgos, Fiabilidad Humana, Gestión Seguridad y Salud, Calidad del Servicio