Plan de mejora de la seguridad del paciente en una Unidad de Gestión Clínica de Cirugía Torácica

Abstract

Aims: The main aim of this study is to develop the Patient Safety Plan in the Clinical Management Unit of Thoracic Surgery in the University Hospital Virgen de las Nieves of Granada in order to improve Patient Safety, including possible preventive actions to reduce the occurrence of adverse effects in this population and achieve a higher quality of care. Methods: An analysis of the current situation about patient safety on the Clinical Management Unit was performed. It was assumed the coordination of the activity from the point of view of a multidisciplinary team work within a time schedule. Firstly, the thoracic patient process of care was developed and its flowchart was designed for May and June of 2013. Subsequently, a catalog of possible adverse events, failures and sources was developed by failure mode and effects analysis in healthcare. Results: The SWOT analysis has lack of professional training on patient safety, underreporting of adverse events and lack of feedback between the clinical management leaders and professionals; among its strengths, there are involved leaders who are experts on quality assurance. The flow chart provides information on the activities of each professional at every stage of the patient process from the beginning of their disease until completion of the process. The catalog lists the 29 adverse events identified in the Clinical Management Unit, classifying its failures and causes, and corresponding preventive measures. Conclusions: The Plan to Improve Thoracic Surgery Patient Safety allows understanding the risk map, also determines the thoracic patient process and develops a catalog of adverse events by a multidisciplinary team in the Clinical Management Unit of Thoracic Surgery in order to ensure quality of this care process.