PATIENT SAFETY IN COSTA RICA

Tamaño: px

Comenzar la demostración a partir de la página:

Download "PATIENT SAFETY IN COSTA RICA"

Monica Aguilera Ortiz
hace 8 años
Vistas:

1 PATIENT SAFETY IN COSTA RICA WHO WORKSHOP October,Amsterdam María Elena López; Ministerio de Salud Orlando Urroz, Coordinador Programa Garantía de Calidad, CCSS

2 Costa Rica Health System Government, Social Security System System Professionals Effectiveness careers income Votes, costs stability access Health Facility Efficiency Solvency reputation Safety, satisfaction, confidence Patients Managers

costs stability access Health Facility Efficiency Solvency

3 Los Servicios Públicos de Salud 3 Hospitales Generales Nacionales 4. Hospitales Nacionales Especializados 8 Hospitales Regionales 13 Hospitales periféricos 850 EBAIS 94 Áreas de Salud Comunidad

4 Systems before and problems before Complexity System before Problems before 60 s 70 s 90 s 00 s Tiempo

5 Systems today and problems today Complexity GAP Systems today Problems today 60 s 70 s 90 s 00 s Tiempo

6 A generic drug is alleged to cause ADR whereas the brand made products does not. The paradigms in Common problems include The patient has co morbidity that made have a bearing on the medicine and suspect ADR

7 The paradigms in Common problems include And inject able products cause a reaction and it is unclear if the causative agent is the active ingredient, or the preservative or some other agent in the solvent, or the injection technique

causative agent is the active ingredient, or the

8 Some reasons Failure monitoring Handling errors Preparación de medicamentos Mal etiquetado Extracción de expediente Entrega equivocada Mucha manipulación de pacientes Error Information error Medicamentos Expedientes Comunicación verbal, digitada,, etc. Resultados de laboratorio,, etc. Equipment errors Pobre mantenimiento Falta de conocimiento de su uso Mal praxis Médicos mal certificados Enfermeras mal certificadas Malos diagnósticos Etc.

Comunicación verbal, digitada,, etc. Resultados de laboratorio,, etc.

9 PRINCIPAL PROBLEMS Lack of knowledge Adverse attitudes Lack of insight Lack of methods Lack of data and reliable information Lack of opportunity Fear for incrimination

10 EFFORTS UNDERTAKEN TO IMPROVE PATIENT SAFETY

11 Monitoring adverse drugs reaction Yellow card voluntary report 1985 International Drug Monitoring 1991

12 NATIONAL POISONING CONTROL CENTER

13 DIRECT IMPACT IN PATIENT SAFETY

14 POISSONING CASES REPORT

15 TOTAL Desconocidos Otros Animales Plantas Contaminante Drogas abuso Cosméticos Productos hogar Productos industria Productos veterinarios Alimentos Plaguicidas Medicamentos AGENTES

1623 Productos hogar 1018 878 802 Productos industria 0 0 128 Productos veterinarios 633

16 Accidents reports in Patient GOOD OPORTUNITY

17 Interventions to improve flow and organization of care improve definition of content of care improve adequacy of resources improve staff competency improve staff competency improve staff motivation

18 INITIATIVES WHICH COULD SIGNIFICANTLY IMPROVE PATIENT SAFETY Quality Assurance Unit EPQI Theme selection in Patient Safety Balance Score Card and EFQM Information System in Patient Safety I hope this works!

selection in Patient Safety Balance Score Card and

19 PROPOSED MODEL FOR THE DEVELOPMENT OF A QUALITY ASSURANCE SYSTEMINTHE NATIONAL CHILDREN S HOSPITAL IMPACT ON THE MANAGEMENT INFORMATION SYSTEMS VISION MISSION AIMS POLICIES STRATEGIC PLANNIING PLAN AND EXECUTION OF CONCRETE INSTRUMENTS OF EVALUATION INTEGRAL QUALITY ASSURANCE SYSTEM INTERNAL CLIENT EXTERNAL CLIENT EVALUATION OF THE ATMOSPHERE: SWOT HISTORICAL DATABASE: PAST PERFORMANCE PRESENT SITUATION PREDICTIONS STAFF EVALUATION EFQM QUALITY CULTURE SENSIBILISATION TRAINING PROGRAMS FOR CONTINIOUS QUALITY DOCUMENTS FOR PROCEDURES PROCESSES QUALITY AUDIT SYSTEM ADEQUATION OF PROCESSES REDISIGN OF PROCESSES

EXTERNAL CLIENT EVALUATION OF THE ATMOSPHERE: SWOT HISTORICAL DATABASE: PAST PERFORMANCE PRESENT SITUATION PREDICTIONS STAFF EVALUATION EFQM QUALITY

20 The struggle continues, but now The National Government (Ministry of Health) in a true Stewardship role. Decision making acknowledges partenerships. Collaboration between the public and private sectors. Collaboration between sectors and industry. with a VISION

Decision making acknowledges partenerships.

21 y por ella mi vida daría, a, Atardecer en Alajuela

Documentos relacionados

R.B.S. RISK-BASED SUPERVISION SOME REFLECTIONS. Joaquín Melgarejo

R.B.S. RISK-BASED SUPERVISION SOME REFLECTIONS. Joaquín Melgarejo RISK-BASED SUPERVISION R.B.S. SOME REFLECTIONS Joaquín Melgarejo 1 INDEX 1. SUPERVISION ACTIVITY : GOALS 2. CURRENT SITUATION 3. NEW FRAMEWORK. 4. PENSION FUND RISKS: SOME REFLECTIONS 5. RISK BASED SUPERVISION