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In this monograph, a compilation-type work is carried out on the importance of auditing for quality improvement in the provision of friendly services for young people and adolescents in Colombia. Taking into account the purpose for which this strategy was created to meet the needs within the development of adolescence and youth where problems related to public health arise such as unwanted pregnancy, drug addiction, sexually transmitted diseases among other problems encountered related to both physical and mental characteristics of this stage of life. Therefore, this document presents the importance of the audit process for the quality in the provision of this type of services and the need to implement improvement plans in the institutions that have implemented friendly programs and to be able to examine, the way in that these are administered, managed and executed, and how through the program it can have an impact on social and health change in the adolescent and young population. The importance of the audit for the quality of friendly services lies in the evaluation, which should allow exploring the characteristics and conditions related to the services, with the implementation of the model and with the provision of care; describe the occurrence of the processes and identify the reasons related to the fluctuation of demand by adolescents and young people.

The health audit in Colombia is based on verifying compliance with the regulations in the institutions that provide health services, to identify flaws and weaknesses in the execution of the processes, which are the object of investigation by the auditors in training of the university of Cordoba. The research "Relationship between auditing regulations and the research themes of the health auditing program of a public university in Montería, Colombia 2021", aimed to determine the relationship between auditing regulations and the thematic axes of the investigations of the health audit program of the University of Córdoba, 2016-2020, Descriptive study with a quantitative approach, with a sample of 110 degree works of the specialty in quality auditing, in the period 2016-2020. It was determined that 32.7% of the investigations are related to the quality management system, 28.18% with patient safety, 11.8% access and care in health services, 7.3% process auditing, 6.4% health costs, 5.5% clinical practice guidelines, 3.6% glosses management, 2.7% occupational health and safety, and 1.8% generalities of the health system. There is a relationship between the auditing regulations in Colombia and the thematic axes of the investigations of the health auditing program of the University of Córdoba, since their investigations are based on the legislation subject to verification in health.

The audit for the improvement of quality in health is a systematic and continuous element of evaluation and improvement of the quality observed with respect to the expected quality of the care received by users; The Colombian political constitution establishes the right to health as fundamental, that is, inherent to people and mandatory. This monograph seeks to compile the available documentary information on the role of health auditing in the quality assurance system and the protection of users' rights; For this purpose, a systematic review of scientific documents was carried out in two successive phases: heuristics or search and selection and the hermeneutics known as assimilation or writing of the texts by the authors. Little documentary material was obtained in which this important topic is addressed, which makes this area a wide field for future research. For the audit against the quality assurance system and user rights to be effective, it must be considered as a valuable tool not only in terms of correction but also prevention, as more audit processes are carried out, it will decrease the probability of making mistakes, which impact both isolated institutional aspects and the life cycle of the person who accesses a health service.

The concurrent audit assesses in a systematic, continuous and comprehensive way the quality of medical assistance offered to patients, which includes the procedures used for their diagnosis, treatment and rehabilitation, taking into account the rational and adequate use of services, and the final result obtained. In addition, of what you are billed, corresponds to the coverage according to current regulations. In this sense, the purpose of this work research is to define, through an integrative review of the literature, the role of the concurrent auditor against the Mandatory System of Quality Assurance in Health in Colombia in the period 2015-2020. Initially, a review is carried out on the theoretical concepts and the fundamentals of the audit and the main factors to take into account for its execution are described, as well as the concepts of the Mandatory Health Quality Assurance System. Subsequently, a diagnosis of the procedure is done to carry out a concurrent quality audits in health institutions. Consecutively, an analysis is carried out by identifying the existing tools, parameters and audit plans in the exercise of the concurrence and in front of the SOGCS, establishing the concurrent auditor as a health risk manager; verifying the application of a health model in its processes, to identify in the shortest possible time the risks to which users are exposed, adjusting timely intervention actions through tools, preventive and corrective programs and the restoration of services in the different health care situations of the organization, and so to achieve an appropriate execution, proceeding in accordance with the applicable criteria, requirements and regulations in force.

The audit is defined as a component of continuous improvement of the Mandatory System of Quality Assurance in Health, understood as the systematic and continuous mechanism of compliance with quality standards "consistent with the intent of the accreditation standards higher than those determined as basic in the Unified System of Qualification”. The main objective was to describe the role played by the audit against the Quality Assurance System in Health in Colombia in the period from 2015 to 2020. A compilation monograph was carried out, where a search of the literature was carried out in scientific databases, in the period from 2015 to 2020. The main conclusion indicates that the audit in Colombia has made significant progress, becoming not only a tool, but also a fundamental pillar in the achievement of objectives and goals established since the senior management for the benefit of the organization.

The study of patient safety and adverse outcomes requires two complementary perspectives: a collective one, based on the epidemiological method and aimed at quantifying healthcare risks, and an individual one, based on qualitative methods, aimed at analyzing the causes and factors. The evaluation of the patient safety program at the vascular clinic in Bogotá, allowed us to obtain precise data on the level of compliance compared with the standards, for this, a checklist and evaluation are applied to the collaborating staff of the institution, with which we obtain relevant information to assess compliance in each component of the program. The evaluation of each component showed that the level of compliance with good patient safety practices was 80%, which is a good rating.

With the purpose of designing a proposal for restructuring the strategic platform based on management systems, for the E.S.E. Cesar Uribe Piedrahita Hospital, a descriptive study supported by primary sources was developed: interviews with the leaders and coordinators of the institution and creation of formal working groups, the members who participated were the managers of the other areas of the company and the members of the Team of the Administrative area. And secondary sources such as: management theory, organizational design, organizational behavior, strategic management and strategic management. The current diagnosis of the company and the application of administrative tools such as value chain, the SWOT matrix (weaknesses, opportunities, strengths and threats), showed that in process improvements, a process critical to improve is the administrative area, in which weaknesses of the administrative structure that can be transformed into opportunities for improvement and growth, which the proposed administrative restructuring of the hospital has been identified. The main recommendations of the proposal are to perform the following matrices: matrix addressing array of functional areas matrix competitive profile, assessment matrix external factors evaluation matrix of internal factors, matrix SWOT matrix PEYEA, and balanced score card.

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.