Publication: La seguridad del paciente en el laboratorio clínico: estrategias de mejora en la identificación del paciente y sus muestras biológicas
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2017-08-14
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Universidad Complutense de Madrid
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Abstract
En la última década se ha despertado un gran interés por crear sistemas sanitarios más seguros y eficaces, donde la confianza de los pacientes en el sistema y la sensación de buena atención sea el factor predominante. La gestión de riesgo en la medicina debe girar en torno del paciente y buscar siempre la mejora continua de los procesos de atención. Debido a los errores en la atención médica se produce un aumento de la estancia hospitalaria lo cual aumenta de manera muy importante los costos para el sistema, para el paciente y disminuye el grado de satisfacción del paciente con la atención sanitaria prestada. La asistencia sanitaria depende en gran medida del Laboratorio ya que es esencial para el diagnóstico y el establecimiento de las medidas terapéuticas. Se estima que un 60- 70% de las decisiones médicas diarias se toman en base a los resultados del laboratorio. Estudios realizados confirman que la mayor parte de los errores de laboratorio ocurren en las fases pre analíticas y post analíticas del proceso total de prueba. De estos errores los principales y más peligrosos son los que tienen que ver con pruebas inadecuadas, error de identificación del paciente y sus muestras biológicas (EIPMB) interpretación de resultados y comunicación de valores críticos, ya que afectan las decisiones médicas...
During the last decade, it has attracted considerable interest in creating safer and more effective health care systems, where patients' confidence in the system and feel good care is the predominant factor. Risk management in the medicine should revolve around the patient and always seek continuous improvement care processes. Because of errors in medical care increased stay occurs hospital which increases very significantly the costs to the system, the patient and reduces the degree of patient satisfaction with health care provided. Health care patient will depend significantly from laboratory, because the analitical results are essential to diagnosis and the establishment of therapeutic measures. It is estimated that 60- 70% of daily medical decisions are based on laboratory results. Studies confirm that the majority of laboratory errors occur in the phases pre and post analytical analytical total testing process. Such errors include the main and most dangerous are those that deal with inappropriate tests, misidentification of patients and their biological samples (EIPMB) results interpretation and communication of critical values as they affect medical decisions...
During the last decade, it has attracted considerable interest in creating safer and more effective health care systems, where patients' confidence in the system and feel good care is the predominant factor. Risk management in the medicine should revolve around the patient and always seek continuous improvement care processes. Because of errors in medical care increased stay occurs hospital which increases very significantly the costs to the system, the patient and reduces the degree of patient satisfaction with health care provided. Health care patient will depend significantly from laboratory, because the analitical results are essential to diagnosis and the establishment of therapeutic measures. It is estimated that 60- 70% of daily medical decisions are based on laboratory results. Studies confirm that the majority of laboratory errors occur in the phases pre and post analytical analytical total testing process. Such errors include the main and most dangerous are those that deal with inappropriate tests, misidentification of patients and their biological samples (EIPMB) results interpretation and communication of critical values as they affect medical decisions...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina, leída el 28-01-2016