Caracterización de la oportunidad de atención en la consulta de urgencias en el sector de clínicas de la ciudad de Barranquilla

Currently the health sector is one of the sectors that present the greatest problem worldwide, the emergency service being one of the areas most affected by problems such as increased mortality rate and overcrowding, which generates system saturation and delays in the Care, this is reflected in patient satisfaction, so the purpose of this degree work is to characterize the opportunity for urgent care consultation in the clinic sector of the city of Barranquilla. In order to comply with this objective, a methodology of 5 phases was proposed that allowed to collect information regarding the behavior of the attention of the emergency service at world, national and local level. In the first phase, a normative and regulatory analysis of the emergency consultation service was carried out in Colombia. Among the information used in this phase is the one entered in the SISPRO (Comprehensive Information System for Social Protection) database of the Ministry of Health and Social Protection of Colombia, which made it possible to meet semester and semester in a period of 2012 - 2015 how was the opportunity for care and patient satisfaction of the emergency service in the country and the department of the Atlantic, and resolution 5596 By which the technical criteria for the system of selection and classification of patients in the emergency services "Triage", among others, are defined.In the second phase a list of clinics was organized, which were chosen by means of a test of randomness in the software Microsoft Excel 2010 and a survey was designed which was applied in the selected clinics in order to identify operational problems of the Emergency centers attached to the clinic sector of the city of Barranquilla. In the third phase, an analysis of the satisfaction indicators of the clinics of the city of Barranquilla was carried out in the period between 2012 and 2015, which shows an increase of the nonconformity by the patients treated in the emergency centers of The clinics. In the fourth phase an analysis of indicators of opportunity for care in the emergency department was carried out using the six sigma methodology, which shows that the system is below the quality standards, for which it is necessary to analyze the whole process And improve activities or procedures that produce delays; Finally, the fifth phase is a compilation of cases in which strategies and methodologies to reduce the time of care in the emergency department worldwide will be presented, in order to compare them with those used in clinics in the city of Barranquilla. Among the main results of this degree study we have that between 22% and 70% of the patients that enter the emergency department use it improperly, a proportion that is part of the majority of patients classified in level IV and V, which It means that most of the time the urgencies are occupied by patients who do not require an urgent assessment and could directly go to priority consultation or external appointment; We also find that among the critical factors that do not guarantee a correct opportunity in the attention of the emergency service are lack of authorization by the EPS, lack of care staff, overcrowding, among others. And the strategies and methodologies most used worldwide to reduce the time of attention such as the addition of a doctor to the service, addition of a trained nurse who performs the triage classification procedure, implementation of a classification methodology, Infrastructure and increase of resources in the emergency service, contractual relationship with EPS to guarantee priority appointment and faster addressing of triage levels of less urgency.

• Autores: Alemán Romero, Brandon Antonio
• Tipo de recurso: Trabajo de grado de pregrado
• Fecha de publicación: 2016
• Institución: Corporación Universidad de la Costa
• Repositorio: REDICUC - Repositorio CUC
• Idioma: spa
• OAI Identifier: oai:repositorio.cuc.edu.co:11323/367
• Acceso en línea: https://hdl.handle.net/11323/367; https://repositorio.cuc.edu.co/
• Palabra clave: Caracterización; Urgencias; IPS's; oportunidad; atención; AHP-TOPSIS
• Rights: openAccess
• License: Atribución – No comercial – Compartir igual