RESUMO
RESUMEN Fundamento: la implementación de un sistema de gestión de la calidad basado en la norma NC: ISO 9001 conlleva el establecimiento de la metrología como garantía de calidad de la confiabilidad de sus equipos de medición. Objetivo: demostrar la importancia del aseguramiento metrológico para la implementación de un sistema de gestión de la calidad. Métodos: se realizó un estudio descriptivo de corte transversal en el Centro de Inmunología y Productos Biológicos en la Universidad de Ciencias Médicas de Camagüey, en el período enero de 2014 a mayo de 2018. Resultados: en el primer levantamiento metrológico realizado ninguno de los instrumentos estaba verificado, se realizó un subregistro en el 2014, en el 2017 se incrementó el número de instrumentos registrados en la universidad, durante el estudio se actualizó el plan de verificación y se logró la verificación de la mayoría de los instrumentos de medición que posee el centro. Se constató la necesidad de contar con una asignación en el presupuesto para la adquisición de algunos instrumentos en déficit. Conclusiones: el diagnóstico realizado como parte del aseguramiento metrológico permitió conocer la situación real de los instrumentos de medición en el Centro de Inmunología y Productos Biológicos y lograr la verificación de un número importante de los mismos.
ABSTRACT Background: the implementation of a quality management system based on the NC standard: ISO 9001 entails the establishment of metrology as a guarantee of the reliability quality of its measuring equipments. Objective: to demonstrate the importance of metrology assurance for the implementation of a quality management system. Methods: a descriptive cross-sectional study was carried out at the Center of Immunology and Biological Products of the Camagüey University of Medical Sciences, from January 2014 to May 2018. Results: according to the first metrological survey none of the instruments had been verified, there was an underreporting in 2014, in 2017 the number of registered instruments in the university was increased, during the study the verification plan was updated and most of the measuring instruments were verified. It was found that there is a need of a budget allocation for the acquisition of some of the lacking instruments. Conclusions: the diagnosis made as part of the metrology assurance allowed to know the actual situation of the measuring instruments in the Center of Immunology and Biological Products and to verify an important number of them.
RESUMO
PIP: The provincial ministry of health has taken over a dialysis center in La Plata, Argentina, following the discovery that at least 20 of the clinic's 34 regular patients have been infected with the human immunodeficiency virus (HIV). Catheters of the clinic's dialysis machines were found to be contaminated with HIV. The 5 physicians associated with the Centro Modelo de Dialisis have been discharged for negligence. 20 of the regular patients also contracted hepatitis C. Argentinian law stipulates that filters for the same patient must be changed after 4 times and prohibits the use of the same vessel to administer medication to more than 1 patient. Testimony from nurses at the La Plata clinic revealed that filters were reused for several patients and basic sanitary procedures were not followed. In 1990, 33 kidney disease patients at a dialysis center in Cordoba became infected with HIV and it was discovered that filters had been used up to 8 times for different patients. The 5 La Plata physicians stand accused of "the culpable propagation of dangerous diseases."^ieng