Calidad asistencial y prevención de enfermedad tromboembólica venosa. Nuevo modelo de gestión

Abstract

One of the goals of any health program should be to achieve high quality of care. To do this, certain concepts need to be kept in mind such as scientific-technical standards, efficacy, effectiveness, efficiency, appropriateness, continuity, accessibility, and patient satisfaction, as well as others such as solidarity, equity and ethics. For any quality improvement plan, active professional participation is important. For this reason, a new management model was created, based on small units or groups composed of professionals, whose functions were the planning, execution, control and evaluation of the different activities related to a specific process, such as those related to teaching, research, management and medical care (ERMA groups). In the present study, one of the groups formed was given the task of improving the prevention of venous thromboembolic disease, which has multiple therapeutic criteria. Therefore, it is essential to specify what is done, how it is done and what results are obtained. For this reason, the group of professionals drew up a guideline with recommendations for the prevention of venous thromboembolic disease. The group participated in the plan's diffusion, and measured the results and their subsequent evaluation and application. These results show the quality grade obtained in a specific process, allow areas of low quality to be rapidly detected and corrected, thus guaranteeing quality.