RESUMEN
Introducción: La información es una parte importante del proceso asistencial, aunque en ocasiones puede ser inadecuada o deficiente.Objetivo: Detectamos una oportunidad de mejora en la inadecuada información de los pacientes que se realizan una endoscopia. El objetivo es evaluar y mejorar la calidad de la información.Método: Realizamos una primera evaluación con 100 pacientes procedentes de consultas, detectando desconocimiento de la técnica que se les va a realizar. Se aplican acciones de mejora, durante 4 meses, para realizar una segunda evaluación, con el mismo número de pacientes y evaluar mejoría respecto a la situación de partida. Resultados: Se ha detectado un déficit de información en el momento de indicar la endoscopia (poca información aportada por el médico prescriptor y en un número importante de casos no se aportaba consentimiento informado) y tras realizar la prueba, no aportando recomendaciones. Priorizamos nuestra actuación a este nivel con medidas de mejora y después de una nueva evaluación se determina una mejora significativa en estas situaciones.Conclusiones: Los estudios de nivel de calidad nos permiten detectar situaciones deficitarias y mejorar situaciones en los servicios de salud
Introduction: The information is an important part of the attendance process though in occasions it can be inadequate or deficient.Aim: We detect an opportunity of improvement in the inadequate information of the patients who carry out an endoscopia. The aim is to evaluate and to improve the quality of the information.Method: We realize the first evaluation with 100 patients proceeding from consultations, detecting ignorance of the technology. Actions of improvement are applied, for 4 months, to realize the second evaluation, with the same number of patients and to evaluate improvement with regard to the situation of item. Results: A deficit of information has been detected in the moment to indicate the endoscopia (little information contributed by the doctor prescriptor and in an important number of cases informed assent was not contributed) and after realizing the test, not contributing recommendations. We prioritize our action to this level with measures of improvement and after a new evaluation, a significant improvement decides in these situations.Conclusions: The studies of qualit level allow us to detect deficit situations and to improve situations in the services of health
Asunto(s)
Adulto , Anciano , Adolescente , Persona de Mediana Edad , Anciano de 80 o más Años , Humanos , Endoscopía , Educación del Paciente como Asunto , Encuestas y CuestionariosRESUMEN
INTRODUCTION: The information is an important part of the attendance process though in occasions it can be inadequate or deficient. AIM: We detect an opportunity of improvement in the inadequate information of the patients who carry out an endoscopia. The aim is to evaluate and to improve the quality of the information. METHOD: We realize the first evaluation with 100 patients proceeding from consultations, detecting ignorance of the technology. Actions of improvement are applied, for 4 months, to realize the second evaluation, with the same number of patients and to evaluate improvement with regard to the situation of item. RESULTS: A deficit of information has been detected in the moment to indicate the endoscopia (little information contributed by the doctor prescriptor and in an important number of cases informed assent was not contributed) and after realizing the test, not contributing recommendations. We prioritize our action to this level with measures of improvement and after a new evaluation, a significant improvement decides in these situations. CONCLUSIONS: The studies of qualit level allow us to detect deficit situations and to improve situations in the services of health.
Asunto(s)
Endoscopía , Educación del Paciente como Asunto , Encuestas y Cuestionarios , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
This study evaluated the occasions for vaccination that are lost in a vaccination center by means of the systematic offer of tetanus vaccine to the adults which accompanied pediatric patients. The study was prospective and had three periods, of two weeks duration each. In the first period vaccination was offered through a questionnaire, in the second without questionnaire, and the third was used as control. The recorded accompanying persons were 298, 478 and 155 for the three periods. During the first period the overall number of administered doses increased by 22%. During the second it increased by 31% (p = NS). In both the number of administered tetanus vaccine doses was doubled. 68% of the nonvaccinated accompanying persons accepted the vaccine in the first period, and 63% in the second period (p = NS). We conclude that both intervention alternatives were equally effective. Through this intervention we increased the rate of adequately vaccinated accompanying persons form 30 +/- 3% to 75 +/- 3%. This approach may be effective to increase the level of tetanus immunization in the adult population when applied in primary care centers.