Peña VR

Language: Spanish
References: 15
Page: 65-68
PDF size: 41.31 Kb.

ABSTRACT

In the first part of this work 7 basic points for the improvement of the quality were discussed. Being added in the present document 4 points but fundamental for the improvement of the emergency room. The first one refers to the evaluation systems application that permit to measure the advance of the processes of improvement, being of private interest the elaboration and measurement of indicators and the application of surveys to the users and doctors. They are indicated the indicators but important for a service of urgencies. The second refers to the innovation of the systems of data processing, being emphasized the importance that has the use of the computers in the emergency room. The third and fourth point do emphasis in the need of to establish actions of teaching and investigation for it practices of the medicine based on evidences and the development of protocols of scientific investigation. The quality in the installment of the services of emergency has multiple points that should be improved, being observed always the new needs and the constant change.

REFERENCES

1. Malagón LG, Galán RPG. Garantía de Calidad en salud. México: Panamericana; 1999.18-29.

2. ACEP: Definition of emergency medicine and the emergency physician. Ann Emerg Med 1986;15:1240-1241.

3. Primary care in the emergency room: high in cost and low in quality. N Engl J Med 1982;306:998.

4. The effectiveness of an organized emergency department follow-up. Ann Emerg Med 1986;15:911-915.

5. Emergency department satisfaction: What matters most? Ann Emerg Med 1993;22:586-591.

6. Al-Assaf AF, Schmele JN. The textbook of total quality in health care. St. Lucie Press, Delray Beach, Florida, 1993.

7. Alvear C. Calidad total. Conceptos y herramientas prácticas. México; Limusa; 1998.14-26.

8. Ruelas E. Sobre las garantías de calidad: conceptos, acciones y reflexiones. Gac Med Mex 1994:130(4).

9. Aguirre-Gas H. Administración de la calidad de la atención médica. Rev Med IMSS 1997;35:257-64.

10. Donabedian A. Garantía y monitoría de la calidad de la atención médica. México. Instituto Nacional de Salud Pública: 1990.

11. Berwick DM, Godfrey AB, Rossaner J. Curing health care, new strategies for quality improvement. Jossey-Bass Publishers, San Francisco-Oxford, 1991.

12. Gaucher EJ, Coffey RJ. Total quality in health care, from theory to practice. Jossey-Bass Publishers, San Francisco, 1993.

13. Deming WE. Out of the crisis. Massachusetts Institute of Technology, Center for Advanced Engineering Study, Cambridge, Mass 02139, 1986.

14. Gilmore C, Novaes H. Gerencia de calidad. Washington DC: OPS; 1996.

15. Burmester H. Reflexiones sobre los programas hospitalarios de garantía de la calidad. Rev Panam Salud Pública 1997;(2):149-54.