Publicación: Costo de un evento adverso vs costo de la calidad en el Instituto Nacional de Cancerología
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Health care due to its complexity is not without risks and the occurrence of adverse events constitutes a constant risk in hospitalization services, which adds costs. Non-quality costs in any type of business are aggregate costs for faults committed. According to Avedis Donabedian (Cabello Morales, 2001), the quality of health care should be defined as "the degree to which the most desirable means are used to achieve the greatest possible improvements in health"; decrease adverse events (not quality) And reduce costs that are added by their occurrence, is certainly a great improvement. Aranaz (2006) considers that 50% of adverse events are avoidable, so if they are avoided or reduced, the costs of non-quality of care are also reduced. The purpose of this study is to determine the cost of non-quality related to the presentation of adverse events in the surgical service of the National Cancer Institute (INC), assessing the economic impact and comparing it with the quality of care costs (non-presentation Adverse events) in the same service. This study is descriptive, comparative, retrospective and quantitative. For the development of this work, two adverse event reporting systems exist in the INC: Process Support Information System Version 2 (SIAPIN) and Process Application System (SAP). We reviewed 288 records that were submitted Non-quality events, during their stay in the hospitalization area, in the first half of 2016. The classification, analysis and identification of the adverse event were performed in the medical records of the INC hospital surgical service that met the inclusion criteria and proceeded to the analysis of financial costs. The evaluation and determination of the financial cost of non-quality in the provision of services in the area of hospitalization (surgical service) of the INC during the first half of 2016, contributed to the institution improvement of patient safety policies, reduction Of costs, improvement in the quality of the service, and increase in the satisfaction of the users.