Especialización Auditoría de Salud

URI permanente para esta colecciónhttp://hdl.handle.net/11634/154

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Factores psicosociales que influyen en la humanización de los servicios en salud mental
(Universidad Santo Tomás, 2024-10-25) Novoa Tunubala, Heidy Dayana; Pinzón Bedoya, Francy Mercedes; Universidad Santo Tomás
Humanization is an issue that, since the progress of public health policies, has acquired a greater impact on mental health services in Colombia. The purpose of this research is to identify the psychosocial factors that influence the humanization of mental health services in a military health facility in Colombia. The above, through a quantitative and descriptive approach, a questionnaire will be applied to a population universe of 20 health professionals with assistance functions who work in the BASAN hospital rehabilitation center. There are three phases for the development of the research: documentary review, data collection and analysis of results. The research proposal is relevant given the high demand for mental health services in Colombia and the need to improve their quality. For its approach, the regulations and guidelines established by the World Health Organization, the Pan American Health Organization and the Ministry of Health and Social Protection of Colombia are considered. The results that will be obtained in the research stand out for health professionals, institutions and the population in general. On the other hand, the research, besides contributing to identify psychosocial factors that influence the humanization of mental health services, will facilitate the development of strategies to improve care and therefore the quality of life of patients and their caregivers; it will also provide valuable information for the process of developing policies for mental health care in the Colombian military forces.
Cultura de seguridad del paciente en la atención en salud mental en el Centro de Rehabilitación Integral de Boyacá
(Universidad Santo Tomás, 2025-03-21) Lizarazo Alarcón, Laura Julieth; Sáenz Rojas, Sebastián ALejandro; Gómez Arciniegas, Luis Enrrique; Universidad Santo Tomás
Patient safety is fundamental in the field of hospital care and refers to the prevention of errors, incidents and adverse events that may cause harm to patients by means of different systems, processes and safe practices. On the other hand, safety culture is understood as a set of values, beliefs and attitudes shared by a health organization, which will ensure the protection and well-being of patients. In mental health, safety takes on special relevance due to the vulnerability of patients, who may face additional risks such as aggressive behavior, self injury and even suicide attempts. The aim of this proposal is to evaluate the culture of patient safety in mental health care at the Centro de Rehabilitación Integral de Boyacá in order to strengthen care and reduce risks for patients. A descriptive cross-sectional study with a quantitative approach will be carried out with the application of the instrument “Hospital Survey on Patient Safety Culture” of the Agency of Healthcare Research and Quality (AHRQ) in a sample of 92 workers. Taking into account the results of the study, it is expected to generate an improvement plan in the patient safety culture for the institution.
Evaluacion de la calidad de los servicios de salud en el area de odontologia especializada en una IPS de Arauca en el primer semestre del año 2024
(Universidad Santo Tomás, 2025-02-26) Herrera Rodriguez, Maria Nathalia; Reyes Pinzon, Yakna Belen; Cupaban Hernandez, Gloria Amparo; Universidad Santo Tomas
he importance of evaluating quality of care lies in the need to ensure optimal standards in dental procedures. In this way, the effectiveness of treatments is promoted and patient satisfaction is improved. Aim: To evaluate the quality of health services in the area of specialized dentistry in an IPS in Arauca in the first half of 2024. Method: Observational, descriptive and cross-sectional study. The information was collected during the first half of 2024, taking as the study population the users treated in the specialized dentistry area of an IPS in Arauca. The SERVQUAL questionnaire was used as a measurement instrument, which investigates the quality of health care through 22 questions and in 5 domains. Results: In a total of 171 patients, the overall results of the IPS showed a general average of 5.20, which suggests a favorable assessment. Similarly, all dimensions showed averages greater than 5, with the Empathy dimension being the highest (5.35) and the Responsiveness dimension the lowest (5.06). Conclusions: Patients in the IPS dentistry area positively perceive the quality of the service, although there are some variables scored below the acceptable average, such as Tangibility and Responsiveness, which shows difficulties with the lack of effectiveness on the part of IPS employees when having specialized dentistry services available.
Análisis de las glosas por pertinencia en el año 2022 de la E.S.E Hospital Regional de García Rovira
(Universidad Santo Tomás, 2025-01-21) Portilla Portilla, Alvaro; Castellanos Caballero, Yuli Mabel; León Gaines, Andrés Ricardo
Problem: Over the past four years, the E.S.E. HR García Rovira hospital has significantly increased its services, resulting in a proportional rise in pertinent glosses. The lack of an efficient management system for these glosses has caused substantial economic losses. Objective: This study examined the frequency and financial impact of relevance glosses in 2022 to establish a historical baseline and identify improvement strategies for managing these discrepancies. Method: A quantitative, descriptive, and retrospective study was conducted, analyzing glosses reported in 2022. Data were gathered from the hospital's audit files, focusing on frequency, acceptance, and economic losses. Results: In 2022, 12,109 glosses were reported; 159 (1.33%) were due to relevance, causing a financial loss of $7,075,539, accounting for 34.1% of total losses. Discussion: Although relevance glosses were few, their financial impact was significant. Strengthening staff training, adherence to clinical guidelines, and concurrent auditing is recommended to reduce their occurrence.
Análisis del nivel de responsabilidad penal en la mala praxis de las intervenciones quirúrgicas según normatividad colombiana
(Universidad Santo Tomás, 2024-10-25) Guevara Brijaldo, Angie Katalina; Universidad Santo Tomas
This study analyzes the level of criminal liability in cases of malpractice during surgical interventions in Colombia, according to current regulations. The research employs a qualitative methodology, based on documentary analysis of articles, scientific journals, and essays, complemented by the study of specific medical malpractice cases. Interviews with a surgeon and a criminal lawyer are conducted to obtain specialized perspectives. The analysis focuses on the application of Law 23 of 1981 and Law 599 of 2000, which regulate medical ethics and criminal liability respectively. The results suggest that the determination of criminal liability in these cases depends on factors such as adherence to medical protocols, risk assessment, and the existence of informed consent. This study contributes to a better understanding of medical criminal liability in Colombia and can help improve the application of existing regulations, protecting both patient rights and the professional integrity of doctors.
Evaluación de la Metodología de Paciente Trazador en la Fundación FOSUNAB
(Universidad Santo Tomás, 2024-12-06) Cáceres Marín, Lida Caterine; Vásquez Martínez, Johana Alexandra; Cupabán Hernández, Gloria Amparo
The tracer patient methodology tracks information from an organization by following the patient's experience of care, treatment, or services throughout the entire service delivery process, identifying performance issues in the interfaces of the processes. The objective of this work is to conduct a review of the Tracer Patient methodology at the FOSUNAB Foundation, applied from 2021 to 2023, addressing the problem: Is the FOSUNAB Foundation's Tracer Patient quality management tool effectively fulfilling its role in managing continuous improvement of accreditation requirements, patient safety, and the delivery of services with high-quality standards? To answer this, a descriptive-explanatory study was conducted on the functioning and effectiveness of the Tracer Patient methodology at FOSUNAB, through data collection with the process leadership team and a document review from 2021, 2022, and 2023. It was identified that 49 applications were made, and the compliance percentages did not show a sustained development and strengthening curve, with global results of 87%, 83%, and 87%, respectively. The most evaluated services were: Surgery, Hospitalization, Heart Institute, Clinical Laboratory, Pulmonologists, Health Professionals, and ICU, generating 92 opportunities for improvement. It was concluded that the tracer tool is effectively fulfilling its role in managing continuous improvement of accreditation requirements, patient safety, and the delivery of services with high-quality standards. Hospitalization, ICU, and Surgery were prioritized as they had the lowest compliance percentages, leading to a proposal for criteria for a tracer instrument based on SUA requirements.
Propuesta de estrategias para reducir las glosas relacionadas con las tarifas de la E.S.E. Hospital Regional de García Rovira durante el año 2023
(Universidad Santo Tomás, 2024-11-15) Bohórquez Pinzón, Iván Giovany; Castellanos Avila, Nancy Dayana; Parra Gómez, Gloria Xiomara; Chacón Mejía, Catalina
The study "Proposal of Strategies to Reduce Billing Discrepancies Related to Tariffs at the ESE Hospital Regional de García Rovira during 2023" focuses on a critical financial issue in the healthcare sector in Colombia: billing discrepancies. These discrepancies, which are objections to the amounts billed to insurers, have significantly impacted the hospital's revenues, jeopardizing its economic sustainability. The deductions applied by insurers arise from billing errors, regulatory interpretations, and discrepancies in the application of contractual tariffs. To address this problem, a thorough analysis of the billing processes, documentation, and staff training was conducted. The results revealed that the main deficiencies stem from a lack of training on current regulations and errors in service coding, leading to inconsistencies in issued invoices. Additionally, it was found that the billing process lacks automation, increasing the likelihood of human errors. In response to these findings, the study proposes several strategies to reduce the incidence of billing discrepancies. It suggests automating the billing process to decrease coding errors and facilitate the review of amounts billed. It also recommends strengthening staff training on regulations and updated information systems, as well as implementing quality controls at each stage of the billing process. These actions could significantly improve the hospital's financial stability and optimize its administrative management.
Estrategias para el fortalecimiento del programa de Seguridad del Paciente en la ESE Hospital San Rafael de Concepción
(Universidad Santo Tomás, 2024-10-29) Carvajal Gómez, Yuly Hazarmaveth; Chacón Mejía, Catalina
Patient safety is considered a priority in healthcare; however, it is not entirely feasible to guarantee that adverse events will not occur. This is due to the interaction between system-related factors and human actions, which could lead to severe consequences, including death. The objective of this project is to propose strategies to strengthen the patient safety program, aiming to contribute to providing safe care to all users during their stay in the emergency and/or observation service at ESE HSR in Concepción, Santander. Method: A qualitative descriptive study was conducted at a first-level healthcare institution. A sample of 118 users was taken from the 170 who attended the emergency and outpatient services during July 2023. A survey on patient safety perception was used for data collection, and the findings were analyzed to interpret the diagnosis provided and to create valid tools to mitigate the occurrence of adverse events in the institution. Results: Weaknesses were found in the application of aseptic techniques, waiting times, and inadequate communication between patients and healthcare staff, which affected the perception of service quality. Conclusions: The diagnosis obtained from the instrument was interpreted, and tools were proposed to strengthen the current patient safety program at ESE HSR.
Diagnóstico correcto, paciente seguro, un proceso conjunto para la seguridad del paciente
(Universidad Santo Tomás, 2024-10-04) Rojas Diaz, Maribel; Gomez Arciniegas, Luis Enrique
This literature review aims to gather information on accurate diagnosis for patient safety, within the framework of its annual celebration, which in 2024 seeks to promote the importance of correct and timely diagnosis to safeguard patient safety. According to the World Health Organization (WHO, 2024), diagnostic errors account for 16% of preventable harm in healthcare. Therefore, the goal is to strengthen both individual and collective actions among the various actors involved in service delivery, including patients, their families, healthcare professionals, and institutions. To enhance accurate and timely diagnosis, it is necessary to address organizational-level deficiencies that contribute to breakdowns in communication and the professional-patient relationship, work overload, and shortcomings in the availability of diagnostic supplies and tools. The objective is to prevent delayed, incorrect, or absent diagnoses, which could lead to disease progression, disability, death, or increased costs for the healthcare system. This article covers definitions, processes, and strategies aimed at reducing the likelihood of diagnostic errors and mitigating their consequences.
Comportamiento de las PQRD en la Supersalud, en el periodo 2023 tras el anuncio de la propuesta a la reforma de la salud en Colombia
(Universidad Santo Tomás, 2024-10-16) Machado Arias, Diego José; Montoya Ostia, Angie Paola; Reatiga González, Danixa; Bracho Colina, Erimar Carolina
The present thesis Objective evaluates the behavior of PQRDs (Petitions, Complaints, Claims, and Denunciations) in the Colombian Superintendence of Health during 2023, following the announcement of the proposed health reform in Colombia. The central Problem lies in the uncertainty generated by the reform, which raises questions about its effect on user perception and service quality. The research method employed a qualitative approach with an explanatory scope and a bibliographic design, analyzing data from the National Health Superintendence and comparing PQRDs from 2023 with those from 2022 to determine any changes. The Results revealed an increase in PQRDs in 2023, mainly associated with barriers to access to health services for users. This growing trend in PQRDs highlights users' concerns about access and quality of services within the context of the reform. The comparison with similar reforms in Chile and Peru underscores common challenges in the region. The Conclusion reflects that the reform and the proposed new changes in healthcare must address these concerns to guarantee an equitable and efficient health system, recommending transparent and participatory management to strengthen user confidence.
Propuesta proceso para la contratación de proveedores de servicios de salud en riesgos profesionales
(Universidad Santo Tomás, 2011) Cárdenas Pulgarín, Julio Ernesto; Montagut Cardona, Jacqueline; Sabogal Rodríguez, Andrea; Universidad Santo Tomás
For the Professional Risk Managers the issue of provider contracting for health services is a complex issue because of the responsibility not only medical but legal when the ARP responsible for providing them, guaranteeing the more favorable for members in terms of opportunity, access and security, all of this in pursuit of setting standards to assess in terms of quality of services provided. This requires a unified set of requirements and / or criteria to be clear and enforceable guidelines for the development of recruitment and selection process of suppliers. It is key to the allocation of responsibilities and roles to the actors involved, it will have the same feedback that is by setting checkpoints or support are those that facilitate the identification of faults with the possibility of converting them into a strategy to transform weaknesses into opportunities for improvement conducting a series of steps in which the provider will have a key role in compliance with applicable requirements ultimately will be reflected in an excellent service delivery to the member along with the continuous monitoring and evaluation the insurer as guarantor thereof.
Evaluación del impacto en la implementación de la resolución 3047 de 2008 en el Hospital Simón Bolívar de Bogotá : estudio de caso de la prueba piloto desarrollada tomando como referencia los pacientes pertenecientes a la EPS Humana-Vivir
(Universidad Santo Tomás, 2010) Flórez Cañetes, Carlos A; Forero Flórez, Javier Francisco; Universidad Santo Tomás
Optimización del proceso asistencial para egreso del paciente en el servicio de hospitalización de la clínica San Francisco De Asís - Bogotá, 2015
(Universidad Santo Tomás, 2015) Jiménez Mejía, María Alexandra; Rozo Falla, Anyelit Cristina; Romero Prada, Yesid; Universidad Santo Tomás
Proceso de atencion de pacientes con diagnostico de tuberculosis pulmonar en consulta externa de la unidad basica loma de bolivar E.S.E Imsalud
(Universidad Santo Tomás, 2011) Vargas Rodríguez, Heiddy Patricia; Universidad Santo Tomás
For all service provider entities is of great importance to public health program on TB for the great proportional increase has taken place over time, having the knowledge of the severity of the disease by failing to take preventive measures or lack to diagnose a presumptive risk, therefore many of the IPS are focused on quality service to users or patients who are symptomatic or diagnosed with the disease. Of interest is the proper use and standardization of guidelines and protocols of the institution of therapeutic management of patients with TB for all staff and administrative assistance in contact with the public health program to reduce the percentage of failures in the process to be performed. It is of great importance is the allocation of roles and responsibilities of each person, that brings benefit coordination of the process, what to do, how to act and when to intercede each person, thereby facilitating the moment the user found, this will finally be reflected in an excellent service delivery, assessing the control points of the IPS, which are indicators of the TB program because these are the ones that will measure the percentage of the quality of service.
Aportes del análisis forense a la auditoria en salud
(Universidad Santo Tomás, 2009) Támara Patiño, Liliana Marcela; Universidad Santo Tomás
Diseño y aplicación del proceso de Auditoría en facturación y cuentas médicas para las clinicas II y III de la E.S.E Luis Carlos Galán Sarmiento
(Universidad Santo Tomás, 2007) Hincapie Márquez, Claudia María; López, Rocio; Universidad Santo Tomás
Análisis de los factores Médico / Administrativos que contribuyen con la demora en cirugía de reemplazo de cadera en un hospital de tercer nivel en Boyacá.
(Universidad Santo Tomás, 2024-08-02) Parra Fandiño, Gina Ibeth; Parra Fandiño, Gina Ibeth; Gomez.Arciniegas, Luis Enrique; Gomez Arciniegas, Luis Enrique; Universidad Santo Tomás
Introduction: Hip fracture in the elderly population frequently requieres multidisciplinary approach due to the presence of comorbidities in this age group, which become an adjuvant factor to administrative procedures in delaying surgical intervention. Objective: To analyse the medical/administrative factors that contribute to the delay of hip replacement surgery in adults over the age of 60 in a tertiary hospital in Boyacá Methodology: Observational, documentary, retrospective and cross-sectional study. The study includes patients over the age 60 with a confirmed hip fracture.
Análisis de los principales Factores de Riesgo Psicosocial que afectan la salud mental en el entorno laboral y universitario de la USTA Tunja
(Universidad Santo Tomás, 2024-09-25) Bernal Dotor, Martha Carolina; Gomez Arciniegas, Luis Enrique; UNIVERSIDAD SANTO TOMAS
This work highlights the importance of mental health in all aspects and circumstances of our lives, specially in university environments, due to its impact on formative processes. The objective of this research is to understand the difficulties in front of administrative issues, teaching and student staff at USTA Tunja, focusing on the main problems that affect psychosocial risks. These challenges usually arise mainly from excessive workloads, inadequate work environments, interpersonal relationships, academic pressures, scarcity of resources and expectations of Professional and work growth. Through a quantitative study, we seek to develop and describe those psychosocial risk factors, in order to propose a strategy to prevent significant impacts and promote healthy and sustainable work and academic environments.
Nivel de cumplimiento del plan de gestión integral de residuos hospitalarios (PGIRH) por los prestadores de servicio de salud en Colombia
(Universidad Santo Tomás, 2024) Gutiérrez Alarcón, Lina Yohana; Pedraza, Adriana María; Universidad Santo Tomás
The management of hospital waste is a highly relevant aspect within the administration and health entities are obliged to comply rigorously. The inadequate management of these, can cause negative effects on health and the environment, that is why this article seeks to analyze the level of compliance with the integrated management plan of hospital waste PGIRH in Colombia, through the systematic review of articles in databases such as; Science direct, Scopus, SciELo, Redalyc, of which 31 articles were found and 6 were selected according to the inclusion criteria. As a main result, it became evident that the lack of knowledge about the regulations and their application. This is one of the main causes of poor management, which reflects a low level of adherence, application and compliance with the regulations issued.
Eventos adversos prevalentes en las instituciones de salud mental generados por vacíos dentro de las políticas de seguridad del paciente.
(Universidad Santo Tomás, 2024) Sierra Medina, Natalia Mileny; Monsalve, Eliana
Patient safety in mental health institutions in Colombia faces significant challenges due to gaps in the established policies. Although there are regulations such as Law 1616 of 2013 and Resolution 4886 of 2018, adverse events that affect the quality of care for patients with mental health conditions still largely still occur. These events, which are closely related to medication errors, falls, and aggressive behaviors, may result from the lack of clear, adapted, and specific guidelines tailored to the needs of patients with mental illnesses. This research aims to identify the most prevalent adverse events in these institutions and the regulatory gaps that may contribute to their occurrence, with the objective of providing a review of patient safety policies in the field of mental health.

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