{"id":16656,"date":"2018-03-09T09:04:22","date_gmt":"2018-03-09T09:04:22","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/aportaciones-en-gestion-de-un-servicio-de-urgencias\/"},"modified":"2018-03-09T09:04:22","modified_gmt":"2018-03-09T09:04:22","slug":"aportaciones-en-gestion-de-un-servicio-de-urgencias","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aportaciones-en-gestion-de-un-servicio-de-urgencias\/","title":{"rendered":"Aportaciones en gesti\u00f3n de un servicio de urgencias"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Fortes Figuerola <\/strong><\/h2>\n<p>Las urgencias hospitalarias son un punto clave del sistema sanitario p\u00fablico por su complejidad, demanda alta y creciente, coste y consecuencias personales y sociales.  objetivos  conocer mejor el proceso urgente, determinar el nivel de adecuaci\u00f3n de la demanda, analizar el papel de los indicadores de gesti\u00f3n cl\u00ednicos y proponer indicadores nuevos que los complementen.  material y m\u00e9todos  se ha utilizado una metodolog\u00eda din\u00e1mica, que se ha adaptado a cada objetivo. Muestreos aleatorios independientes por unidades funcionales, aplicaci\u00f3n del protocolo de adecuaci\u00f3n de urgencias de sempere, sendra y peir\u00f3, aplicaci\u00f3n del grouper 3m para clasificaci\u00f3n y gesti\u00f3n por grd, consulta a dos paneles de expertos; m\u00e9dicos de urgencias hospitalarias y directivos del sas, utilizando la metodolog\u00eda delphi para el consenso.  resultados y conclusiones  hay una evoluci\u00f3n alcista de 7,7% anual ininterrumpido durante la \u00faltima d\u00e9cada. La mayor\u00eda de los pacientes van por iniciativa propia, incluso los graves que s\u00f3lo son atendidos por el 061 en un 33% en nuestra serie. los aspectos esenciales de buen funcionamiento para los expertos son 8: tener un plan funcional, suficiente personal, protocolos de coordinaci\u00f3n con otros servicios, protocolos asistenciales propios, analizar las reclamaciones y hacer encuestas de satisfacci\u00f3n a los pacientes, plan de formaci\u00f3n continuada, realizar todas las fases de la atenci\u00f3n con celeridad y ser un servicio aut\u00f3nomo. Los indicadores cl\u00e1sicos del sas (5) no estudian estos elementos esenciales, por lo que sobre ellos se proponen 13 indicadores nuevos, lo que har\u00edan un total de 18 indicadores para la mejor toma de decisiones directivas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aportaciones en gesti\u00f3n de un servicio de urgencias<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aportaciones en gesti\u00f3n de un servicio de urgencias <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Fortes Figuerola <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/04\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>crehuet Navajas Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Dom\u00ednguez rojas <\/li>\n<li>enrique Gomez garcia (vocal)<\/li>\n<li>Jos\u00e9 Francisco Guillen solvas (vocal)<\/li>\n<li>Mar\u00eda  concepcion Perez romero de la cruz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Fortes Figuerola Las urgencias hospitalarias son un punto clave del sistema sanitario p\u00fablico por su complejidad, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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