Rosete SL, Mendoza RE, Fuentes LAM, Cabrera PMF, Flores TN

Language: Spanish
References: 10
Page: 94-98
PDF size: 84.13 Kb.

ABSTRACT

In the Service of Nephrology of the National Institute of Cardiology Ignacio Chavez is made the procedure of hemodialysis with extracorporeal equipment that has a high cost, reason why settles down its reusability . The process of maintenance of this one equipment carries out it the infirmary personnel; what does necessary to know the quality whereupon is made this one process, thus is made is investigation. Objectives: To determine the efficiency index and to establish a quality standard that allows to evaluate the procedure. Material and methods: The study was observational, nonparticipant, descriptive, qualitative and prospective; evaluation it was with an audit certificate; been worth the certificate with the Alpha of Crombach. The interventions for the improvement included; qualification of the personnel of infirmary and diffusion of the standardized process. Results: In each evaluation stage 144 processes were observed, in the first index of global efficiency was of 72%, in second 92% and in third 95 %, determination which activities was with deficient. Conclusions: Investigation allowed to validate the audit certificate, to obtain the index of global efficiency and the standard of quality of the procedure, thus like evaluating the effectiveness of the interventions of improvement; that it represents greater benefit for the patient with hemodialysis .

REFERENCES

1. Treviño BA, Bermudez JA, Aguilar SCA, Guerra JA. Tratado de Nefrología. México: Prado S.A. de C.V.; 2003.

2. Pollack V, Kant K, Parnell S, Levin N. Repeated use of dialyzers is safe. Nephrol 1986; 42: 217.

3. Daugirdas JJ. Manual de diálisis. 2° ed. Barcelona, España: Masson–Littl, Brown; 1996.

4. Rosete LS, Mendoza RE. Manual de procedimientos técnicos del Servicio de Nefrología. México: Instituto Nacional de Cardiología Ignacio Chávez. 1995.

5. Pérez GH. Filtro dializador de hemodiálisis. En: Treviño BA, Bermudez JA, Aguilar SCA, Guerra JA, editores. Tratado de Nefrología. México: Prado S.A. de C.V.; 2003.

6. Vinhas J, Vaz A. Reutilización de dializadores. La ficción y los hechos. Valderrábano F. Tratado de hemodiálisis. Barcelona: Médica Jims 1999.

7. Solozábal CA. Monitores de hemodiálisis. Desinfección. En: Valderrábano F, editor. Tratado de hemodiálisis. Madrid (España): Médica Jims S.L.; 1999.

8. The Joint Commission on Accreditation of Health Care Organizations. Manual de Acreditación para hospitales 1996. Fundación Avedis Donabedian. Barcelona: S G Editores; 1995.

9. Sánchez CIF, Maya MMC, Obregón SP. Gerencia. Guía 1. Guía de intervención en enfermería basada en la evidencia científica. Santafé de Bogotá (Colombia): Editado por Convenio Instituto del Seguro Social y Asociación Colombiana de Facultades de Enfermería, ACOFAEN; 1998.

10. Norma Oficial Mexicana NOM-171-SSA1-1999, Para la práctica de hemodiálisis. Publicada en el Diario Oficial de la Federación el 29 de septiembre de 1999. México: Secretaría de Salud; 1999.