ARTICULO NOMBRE: ALONSO ENRIQUE LPEZ PATIO GRUPO: DEL VIERNES

Quality Improvement

Quality improvement (QI) uses quantitative and qualitative methods to improve the effectiveness, efficiency, and safety of service delivery processes and systems, as well as the performance of human resources in delivering products and services. The fundamental concept underlying improvement is that a system left unchanged can only be expected to continue to produce the same results. To achieve better performance, one must change the system in ways that enable it to produce the improved result. In health care, improvement science emphasizes changes in health care service delivery processes and systems in ways that will enable the implementation of high-impact, evidence-based interventions to achieve better results. The approach also identifies unnecessary, redundant, or incorrect parts of processes and then changes them to yield streamlined and efficient care delivery. URC has over 30 years of experience applying improvement methods to health care and has demonstrated that significant improvements in health care quality are attainable in even the most resource-constrained settings. Our approach to health care improvement applies the main principles of QI: Focusing on the client, Involving teams of health workers in testing changes to make health care better, and Making changes to processes and systems of care delivery to yield improvement.

Building on traditional approaches to making the content of health care more effective through evidence-based standards and guidelines, URC focuses improvement methods on strengthening health care delivery processes, thereby achieving much greater impact. Successful changes to improve processes and systems of care are then spread throughout the health system, using proven strategies to enable implementation of the innovations. URC applies a range of approaches and methodologies to improve the quality of care in low- and middle-income countries. Our assistance has included national quality policy and program design; system and process redesign; regulatory strategies such as accreditation, integrating continuous quality improvement within district health management; and collaborative improvement approaches. Working with partners at the national, sub-national, and facility levels, URC has designed, introduced, and ensured implementation of clinical guidelines and standards, monitoring and assessment methodologies, improved training approaches, and effective job aids that have contributed to sustainable improvements in quality of care and improved interpersonal communications and patient satisfaction

Cometario

Llas organizaciones han buscado mejorar su competitividad implantando programas y tcnicas para el mejoramiento de la calidad de sus productos y servicios, y la productividad de su operacin. El centro de calidad ha estado presente en todos estos cambios apoyando a las empresas en el establecimiento de programas de mejoramiento continuo; sin embargo, en la poca actual y en el futuro, las organizaciones tendrn que lograr no solo la satisfaccin del cliente

mediante productos y servicios de calidad sino tambin de los otros grupos que de una u otra forma tengan algn inters y esperen algn beneficio de la empresa (empleados, la comunidad y los ecosistemas con los que interacta). Esto requiere que la implantacin de programas de mejoramiento continuo se realice con un enfoque sistemtico que asegure la estabilidad estructural y cultural entre el sistema organizacional y los principios de calidad total.