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2015, Number 1

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Rev Cub Med Int Emerg 2015; 14 (1)

Application of the prognostic system TISS-28 in wards of attention to the serious

Reyes SSM, Parellada BJ, García VME, Martínez VN

Language: Spanish
References: 16
Page: 53-66
PDF size: 180.71 Kb.


ABSTRACT

Introduction: The infirmary is the profession that takes charge of the satisfaction of the human necessities, the aspects that modify and affect it, such as physical, chemical, biological, psychological and social. It assists not only the healthy but the sick person.
Objective: Determining the load of work by means of the application of the prognostic system TISS-28, in wards of attention to the serious.
Method: Prospective, descriptive and of transverse court study to the organization of the shifts of work of infirmary for 1 month, in the units of attention to the serious of the Hospital Dr. Luis Díaz Soto.
Results: The patients that reached higher punctuation, were those that were more serious and those that required more therapeutic interventions of infirmary. The fund of real time was from 11.99 hours, 595 minutes, it corresponds to 9.91 hour, equivalent to 56 points of TISS. The other 125 minutes, that correspond to 2.08 hours, for the rest of the tasks. It was significant the shortage of masters and specialists linked to the attendance, the high presence of basic male nurses, the low percentage of trained personnel linked the assistantial process in connection with the number of admitted patients. There was an elevated percentage of load of work in UCIQ and UCIM.
Conclusions: The TISS-28 determines the load of work, it identifies the intensity of the therapeutic interventions of infirmary. It also determines the graveness of the patients correlating it with the punctuation, classifying them for category, allowing to know if it was carried out a correct nurse-patient assignment according to daily puncture.


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