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Insufficient patient safety in care is a current publichealth problem because it is present in all social groups on the planet, from less developed to more developed countries. It is precisely in this context that administrative and logistical work become particularly important, so they should be part of strategies to address, understand and control the different links in the chain of adversely effectsgenerating situations. Therefore, the understanding of patient safety policies aimed at the actors of the health process in Latin American institutions becomes a challenge of fundamental need. Therefore, this work aimed to analyze research products related to patient safety policy as a quality standard in health care, in intensive care units in Latin America,2017- 2020. This was done through an investigative descriptive monograph, which analyzed 76 official documents, articles, Spanish or Portuguese language reports on patient safety in Latin America. Finding themselves, a considerable number of legal, operational and regulatory documents show that patient safety programs in the region have a number of essential actions that strengthen Good Patient Safety Practices, such as: ensuring patient identification in all care processes, Developing and Managing communication between caregivers and caregivers, Improving safety in the use of medicines, among others. Incorporating methodologies of specific measurable elements in each of these practices.

El objetivo central de esta monografía es analizar el cuidado brindado a maternas de bajo riesgo obstétrico desde el primer nivel de atención en salud en tiempos de pandemia por COVID-19 se debe tener en cuenta que el riesgo puede aumentar en una persona embarazada de enfermarse gravemente, es por eso importante entonces el control prenatal se realice de forma adecuada y definir muy bien el riesgo obstétrico que la paciente revele. Con base a los múltiples esfuerzos que ha hecho el Ministerio de Salud, se ha evidenciado contagios en gestantes de bajos riesgo, donde muchas superan el COVID-19, pero otras no, donde existen diferentes causas de tipo social, familiar o incluso del equipo de atención de primer nivel y su implementación de protocolos para la atención en tiempos de pandemia.

Adverse events will always be present when entering a health entity, for this reason, the importance of identifying preventive actions and strategies that contribute to improving patient safety, avoid possible occurrences and factors that influence the incidence of events, thus in Adult Intensive Care Units (ICUA) To achieve the above, A literature review was conducted with the aim of compiling the documentation that exists about the behavior of adverse events presented in adult intensive care patients in Colombia. The study highlights the importance of internal audits that contribute to the continuous improvement of the quality of health care; in this regard, a systematic documentary review study was used, corresponding to a compilation scientific monograph, the results will allow the auditor and the NICU to relate the information and identify the preventive measures of adverse events such as, patient safety and quality policies, risk management, general reporting culture, safety barriers. it is concluded that the strategies regarding AS in the ICUA are important since, they are actions that prevent the occurrence of events, achieving a better patient safety, guided by the SOGC in health and safety policy, These strategies serve as support for health systems, strengthening health quality and achieving the reduction of these AEs.

Infections associated with health care have generated great economic problems because they are a cause of over-costs in health institutions and in turn in the Colombian health system. The objective of the study is to collect and analyze information to find out which IAAS at the surgical site generate the greatest impact of cost overruns in health institutions in Colombia in the last five years. For this study, documents were used as reference population, including 4 books, 3 databases such as Embase, Science Direct, Proquest, 39 articles, 9 journals, 10 consulted reports and web records of official sites that deal with cost overruns. generated by infections associated with health care, from the surgical site in health institutions in Colombia in the last five years, a total of 57 documents were used to nurture and build this work.

This intervention is intended to generate information for the Health Service Provider Institutions (IPS) on the accreditation and its benefits. Probably due to the lack of knowledge on the part of the actors in charge, as well as in making the decision to start a high quality process in health such as accreditation, they may be missing out on great benefits such as prestige, recognition, greater contracts, satisfaction for users, peace of mind for insurers regarding the provision of the service, greater number of users, greater coverage, growth in their profits and possible increase in their cash flow, generated by the accreditation. The objective is to design an intervention proposal to provide pertinent information on accreditation with the logical framework methodology, allowing the IPS directives to know the benefits, through the management of resources necessary for the acquisition of innovative technology, establishing standards of negotiation with suppliers defining the training schedule on accreditation of human talent and implementing mechanisms for evaluating the scope of continuous improvement. The intervention proposal seeks to provide these institutions with adequate and important information in the accreditation process in case their directives decide to carry out this process, where they will undoubtedly obtain great benefits.

The series of ISO (Internacional Organization for Standardization) 9000 Standards is a tool to develop a Quality System in companies, based on a descriptive, application design, using the projective research model, the research team set out to develop the structure of strategic planning within the system of quality management under ISO 9001: 2008 for an IPS, as a competitive strategy of the organization. The results show that the strategic platform considers compliance with the 8 principles of quality under the ISO 9001 of 2008, the activities and tasks of the mission and support processes required to maintain the quality of care were identified and graphed in health, which are presented in flowcharts. Indicators designed to measure compliance with quality management in efficiency, effectiveness and effectiveness were designed. The final conclusion is that ISO 9000 and 9001 are susceptible to apply completely to the strategic planning of health companies for the purpose of continuous improvement of their quality processes.

Objetivo: Determinar los costos para la implementación de la Ruta Materno Perinatal en las Instituciones de Salud en Colombia. Metodología: El estudio por realizar es descriptivo, tipo monografía análisis de experiencia donde se estableció a través del manual tarifario de la Entidad Promotora de Salud del Seguro Social (EPS-ISS) y las actividades emitidas en la Ruta Integral de Atención Materno Perinatal, el costo que genera para una institución de salud la implementación de esta. Resultados: Este estudio reafirma la importancia de la alta gerencia en reunirse con su grupo de trabajo para evaluar y analizar de manera correcta los costos en el que se incurre, al momento de prestar sus servicios dentro de este modelo de atención, siendo prioridad determinar las actividades a implementar sin descuidar la atención integral que requiere la Ruta Integral de Atención Materno Perinatal y las condiciones de calidad, oportunidad y accesibilidad en la prestación del servicio, establecer costos por medio de los manuales tarifarios emitidos por el Ministerio de Salud permitiendo obtener un valor estándar para el pago de los servicios prestados Conclusiones: El costo de la implementación de las Rutas de Atención Materno Perinatal en Instituciones de Salud se puede determinar teniendo en cuenta los diferentes métodos de costeo y las actividades contratadas, ya que el sistema de costos puede variar dependiendo de los servicios ofertados. El estudio permitió establecer un costo aproximado de los gatos que generaría la implementación de la Ruta Integral de Atención Materno Perinatal en una institución de salud.