Evaluación de la Metodología de Paciente Trazador en la Fundación FOSUNAB

Abstract

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.