Análisis de las glosas por pertinencia en el año 2022 de la E.S.E Hospital Regional de García Rovira

Abstract

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.