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With decree 1072 of 2015, companies at the national level are obliged to comply with multiple legislations on safety and health at work. The health sector is one of the sectors that must have full compliance in terms of occupational health, which is why this research is aimed at determining the percentage of compliance with the minimum standards of the occupational health and safety management system of the companies. providers of health services public institutions of the department's Alto Sinú. The information will be collected through the technical annex of resolution 0312 of 2019, the compliance of each item that makes up the numerals of the minimum standards will be qualified according to the table of values of the resolution and the percentage of compliance will be determined. The aim is to produce relevant information in the health sector in terms of occupational health in social enterprises in the state of the department of Córdoba, to sensitize workers and beneficiaries of the health sector about the scope and value of a well-integrated and fully functioning management system. only in the field of occupational health but also in economic activity, that is, in the provision of health services to the community.

The growing prevalence of mental disorders has led to serious implications for public health, impacting the figures for disability, morbidity and premature mortality; In addition to this is added the health crisis unleashed by the Covid-19 pandemic in 2020, where nearly 24,000 mental health remote guidance interactions were carried out that accounted for the use of services and in which it was found between The main problems addressed were anxiety, symptoms of depression and exacerbation of symptoms of previous mental disorders. Given this, the objective of this study was to establish the behavior of the use of mental health services through information registered in the Integrated Information System of Social Protection (SISPRO) in the municipality of Montería during the period 2011 to 2020. The type of study is retrospective descriptive with a quantitative approach, according to recorded information on the number of events of people who used mental health services. For the collection of the data, record sheets were designed in the Excel office tool where a descriptive statistical analysis was made with the information collected. It was possible to establish regarding the diagnosis that care for mental and behavioral disorders presented the highest average use of services among all diagnoses, in terms of sex, women reached a significant average of 55% higher use than men and by age the use was given in early ages and adults. In addition, it was shown that the use of services decreased with respect to these variables in 2020 as a result of the Covid-19 pandemic, where the priority was to attend to those infected by the virus. However, given the negative effects of the pandemic on mental health, it is likely that use will increase in the coming years when the provision of services stabilizes throughout the population. These results are expected to be input for the actors in charge to take pertinent actions in order to improve care, promote mental health and prevent mental disorders in the municipality.

Departmental health Organization (DDS by its acronym in Spanish) are facing a changing and competitive environment accentuated by the COVID-19 pandemic. Human resources and the organizational climate are essential for planning management strategies to achieve institutional objectives. Objective. Design management strategies that promote a good working climate in a DDS during the COVID-19 pandemic in Colombia in 2021. Materials and Methods. Crosssectional descriptive study with quantitative approach. Sample made up of 21 workers of the DDS of the Department of Córdoba to whom a survey was applied to measure the working climate and the influence of COVID-19. Results. Workers comply with health protocols for the management of the pandemic by covid-19, 95% know the mission, vision and objectives of the DDS, 23% do not have the necessary resources for their work, 47% do not feel encouraged to achieve their objectives, while more than half of the staff believe that the pandemic affected the workload and communication; For this reason, management strategies were proposed to strengthen the labor climate, such as reviewing work tools and better implementation of training, recognition, leisure and communication activities. Conclusions. Respondents have a good organizational orientation and are trained to do their job, offering their skills to cope the COVID-19 that has affected the mental health of staff due to insufficient work well-being activities and deficiencies in the institutional physical environment.

Introduction: Patient safety becomes the focus of researchers worldwide, in view of the magnitude of the problem, and assumes an essential dimension for the quality of health in the most diverse areas. Objective: The main objective of the following work is to evaluate the level of patient safety culture in a low complexity IPS, Cereté - 2022. Materials and methods: A descriptive, cross-sectional study with a quantitative correlational approach was carried out among health professionals assigned to the low complexity IPS of the municipality of Cereté, located in the urban area. Results: In this study, it is evident that the degree of patient safety within the chosen institution is excellent based on the results obtained through the application of the instrument, constituting one of the strong areas of the institution and of the study. It is important to highlight this point since it speaks well of the institution and its plan for the implementation of a solid and lasting patient safety culture within the institution. Conclusion: Management should prioritize workload studies to measure objectively, is the opinion found in the survey. If the findings are confirmed during the investigation, the competent authority should initiate corrective actions, e.g., reassignment of shifts, reassignment of tasks and hiring more employees.

Introduction: The evaluation of the impact of a professional university training program, through the performance, satisfaction and perception of its graduates and those who interact with them in the workplace, is a technique that allows higher education institutions to take the necessary corrective measures to improve the quality of academic training and project a better professional performance, aimed at continuing to favor the development of the environment for which the program was created. The Health Administration program, created in 2008 and whose first cohorts entered the market in 2013, continues to provide society with professionals capable of making decisions in health, until 2021 it has graduated 1,942 people with a professional profile to perform in processes of planning, organization, execution, and evaluation of activities or administrative procedures in health. The transformation of the health system in 1993 requires sufficient competent personnel to carry out and direct the processes and procedures inherent to its reason for being. Objective: To describe the social and labor impact generated by the Health Administration program of the University of Córdoba on graduates and in the health sector between 2013 and 2021-1. Methodology: The target population was the 1,942 graduates registered in the institutional databases of whom contact information is available and who were approached by phone, email and an electronic survey structured in eight components that included social, demographic, academic aspects, labor, remuneration, achievements, satisfaction and future plans. Information on graduates was consolidated by location, socioeconomic level, age, sex, employment relationship with the sector or other sectors, salary levels, complementary and postgraduate training, positions held according to their training, levels of satisfaction according to academic training and job performance achieved. The results indicate that more than 50% are working with an acceptable remuneration and according to the country's economy.

El presente informe tiene por objetivo realizar un plan de mejoramiento para mitigar síndrome del edificio enfermo en el área de auditoría de cuentas de una institución prestadora de salud en córdoba, 2021. Se hizo un diagnóstico en el área de Auditoría de Cuentas Médicas de la clínica de Traumas y fracturas ya que se evidenció que los funcionarios del área están la mayor parte del tiempo sentados. Una vez se obtuvo el diagnóstico de la Práctica Institucional en la que se evidenció que no se había desarrollado este tipo de estudios, se observaron las condiciones locativas previas en la que se observan espacios reducidos y algunos síntomas osteomusculares, se procedió al diseño y ejecución de un estudio descriptivo, transversal, observacional. Se pudo determinar la presencia del SEE en la salud de los funcionarios del área de auditoría de cuentas médicas de la clínica de Traumas y Fracturas, en el cual se evidenciaron factores físicos en el ambiente locativo como los propios de las oficinas cerradas, factores sicosociales como la percepción de excesiva carga laboral y sintomatología propia del SEE como los oculares, dermatológicos, respiratorios y osteomusculares.

This internship report was developed at the Central Clinic of the municipality of Monteria. The objective was to establish the elements of safety and protection in the imaging unit for patients and workers of the Central clinic. The methodology that was applied to said project was divided into four phases; the first was a diagnostic analysis, in phase 2 the information obtained in a 5W1H technique was systematized, in phase 3 the analysis of the documents that make up the radiological risk management manual was carried out in accordance with current regulations and they were socialized risks with internal and external stakeholders. In phase 4, an evaluation of the documents was made and a structure of the recommendations made was generated. From the results it was observed that the current regulations were not complied with and there was no relationship between what was planned and what was executed. Due to this, the risk manual was updated in its entirety and was entitled radiology protection manual. Divided into two parts: radiological surveillance and radiological protection. In conclusion, the risk manuals of the aforementioned clinic should be kept updated to improve the quality of the service offered.

The SARS-CoV-2 virus, known as Covid-19, caused people to make changes in the way they carried out their activities for their precaution and to mitigate their contagion according to the biosecurity protocols established in the pandemic. One of these changes was the teaching process in educational institutions, where e-learning was adopted. Despite the resilience to this, the perception of the students of the Health Administration Program (PAS) to the change from synchronous face-to-face to virtual meetings and how it impacted their mental health and academic performance was unknown. Therefore, the purpose of this study was to determine the impact of the change from face-to-face to virtual teaching on the mental health of the students of the Health Administration program at the University of Córdoba during the Covid19 pandemic. The type of study was descriptive transversal with a quantitative approach, the population consisted of 341 students from V to X semester. The technique used was the structured survey, whose questionnaire was composed of 32 closed questions. For the analysis of the information, descriptive statistics with absolute and relative frequencies and crossed tables in Microsoft Excel software were used. As results, it was found that 79% of the students are between 19 and 25 years old, belong to stratum 1 (86%) and almost half of them study and work (48%). The most used platform for the teaching-learning process was Google Meet (30%), followed by Whatsapp, which was also used for communication with classmates (97%) and teachers (87%). More than half managed to adapt to the virtual classes and 75% perceived that they did not present alterations to their mental health during the virtual teaching-learning process; however, they expressed feeling stress in situations such as not understanding the topics in classes, lack of social interaction with classmates and low academic performance. It is believed that it has a good handling in the use of TIC, promotes better experience in the virtual classes as a teaching methodology, whereby it is recommended that this means be encouraged 15 as a strategy for improving the constraints in the management of digital tools, without knowing the possible levels of stress that can cause them in the students if not moderately used, In addition, for future studies, it is suggested to involve teachers to understand this situation from their perspective.

By the year 2021, the department of Córdoba will have a population of 1,844,076 inhabitants distributed in 30 municipalities, 49% living in rural and dispersed areas and 51% in urban areas. 49.7% are men and the rest are women. It is the second poorest department in Colombia and has a health services network of more than 1,000 institutions at all levels of complexity. These aspects directly or indirectly affect the access to medium complexity health services, since out of the 30 municipalities only seven offer this type of services, the rest must refer their patients to institutions that are more than two hours away by car, with access roads in regular conditions, subject to the regulation opportunity of the EPS, availability of beds of the receiving entity, among others. Objective: To describe the geographical, economic and administrative characteristics that affect access to medium complexity health services, from the basic level of care in the department of Córdoba during the year 2021. Methodology: A mixed retrospective descriptive retrospective study was carried out. The target population were public institutions of low and medium complexity of the department. A non-probabilistic sample was taken from EPS, ESE and nursing homes, as well as from patients' relatives for interviews. The information collection instruments are a data collection form for geographic and economic data, available resources and production of services where distances and time for geographic access and availability of ambulance type vehicle from one institution to another were recorded. Likewise, the number of referrals generated from the low complexity classified by services and type of services. To collect information from patients' relatives, a questionnaire was prepared with 10 questions aimed at obtaining information on indirect costs for transportation, lodging and meals. Administrative accessibility was evaluated on the basis of the fractionation of contracting and the estimated average regulation time. Results: were consolidated in contingency tables with absolute and relative values, using descriptive statistics for qualitative and quantitative variables. This 13 information was represented in maps, figures and graphs to identify the variables analyzed. Positive aspects were identified and those that need to be improved by departmental and health authorities in order to contribute to reduce the risks of complications and indirect expenses that patients must pay when they are referred outside their municipality. The results will be published in a scientific journal in the form of a scientific article.

La expresión seguridad del paciente en las instituciones prestadoras de servicios en salud, es un tema de mucha envergadura, que trae inmerso en sí, diversos procesos y estrategias que van en pro de garantizar a los usuarios una optimización de la calidad de los servicios. Factores como el seguimiento, análisis y evaluación de riesgos o eventos adversos se constituyen en procedimientos trascendentales en dichas instituciones de salud que tienen como fin único registrar los diferentes motivos que dan origen a las situaciones que ponen en riesgo la salud y vida de los pacientes, para posteriormente analizarlos y establecer variables de prevención que disminuyan parcial o totalmente estos sucesos. La seguridad del paciente busca prevenir a tiempo los eventos desfavorables y adversos en el paciente como resultado de los procesos asistenciales, como la atención de urgencias, consulta externa, sala de parto, entre otras. En Colombia, laPolítica de Seguridad del Paciente es liderada por elSistema Obligatorio de Garantía de Calidad de la Atención en Salud, cuyo objetivo es “prevenir la ocurrencia de situaciones que afecten la seguridad del paciente, reducir y eliminar la ocurrencia de Eventos adversos para contar con instituciones seguras y competitivas internacionalmente”. Dado esto, garantizar seguridad a los pacientes en las instituciones prestadoras de servicios en salud, es cumplir con los propósitos de la Política Nacional de Prestación de Servicios de salud, es garantizar el acceso, optimizar el uso de los recursos y mejorar cada día la calidad de los servicios que se presta a la población. Por consiguiente, el control de los eventos adversos se establece como un factor ligado a la seguridad y por ende a la calidad de los servicios de salud. En consecuencia se desligan de él, diversas normas, requisitos, mecanismos y procesos deliberados y sistemáticos que desarrolla el sector salud, para generar, mantener y mejorar la calidad de los servicios. Esto en un proceso de mejoramiento continuo, el cual debe llevar a la búsqueda de niveles superiores de calidad. La calidad se convierte en una necesidad en las empresas, y constituye la parte más importante de todo el sector de las compañías de salud por la competencia, orientándose en unas características del sistema que brinda la disponibilidad de una normatividad y unos niveles y estándares desarrollados para un sistema de gestión de la calidad. Esto permite que las entidades puedan tomar decisiones basadas en unos objetivos que son: orientar, monitorear, referenciar y estimular toda la gestión de calidad basada en hechos y datos. En este sentido, el presente documento hace una revisión bibliográfica sobre el tema de los eventos adversos, su importancia a nivel nacional y mundial enfatizando la situación en el departamento de Córdoba, específicamente en el área asistencial dela E.S.E CAMU Santa Teresita De Lorica, en donde se realizó una evaluación, a los procesos y medidas implementadas por la ESE, para el seguimiento y control de los eventos adversos presentados desde el año 2011 hasta el año 2013.

Today's world has been presenting a multiple transformation in the labor and public health context, causing workers to have new demands on their activities and causing the manifestation of the Burnout syndrome. This has been defined as a result due to chronic work stress, made up of negative attitudes and feelings towards people in their work environment, their own professional role, among others. At the Traumas y Fracturas Clinic, workers can develop chronic stress that generates certain health alterations such as: physical, psychological, social and work disturbances, which leads to exhaustion. Burnout syndrome has become a psychosocial problem and therefore it is necessary to know widely how we can help health personnel to avoid damage associated with the syndrome since they are the front-line warriors in this battle against COVID-19. This study will allow a better understanding of the emotional state, experience and risks to which they are exposed during the pandemic and thus the protection of personnel through an improvement plan that helps minimize the manifestation of the syndrome in human talent of the Clinic, determining what strategies and tools should be applied specifically to improve prevention plans for this phenomenon, analyzing the prevalence of factors associated with Burnout Syndrome in health professionals in the emergency department, in the period of March to June 2021 of the Trauma and Fracture Clinic. An evaluation instrument called Maslash Burnout Inventory was used, the objective of which is to identify which individual has the necessary characteristics to suffer from this phenomenon, through 3 items which are high emotional exhaustion, high depersonalization and low personal fulfillment. The results shown show that 7.1%, which is equivalent to 3 workers, have this syndrome and 92.9%, which is equivalent to 39 workers, do not. In conclusion, the institution must consider the importance of promoting prevention programs that avoid the deterioration of health, helping not only to improve the organizational climate but also to the management of self-care measures in the 10 personnel, creating security and confidence in them, to that their productivity and charisms are intact even in extreme conditions such as a pandemic, ensuring that they provide effective performance in accordance with the objectives of the organization.

Hospital waste and the like are those products generated from health activities, with the characteristic of being potentially contaminating as they have been used in clinical treatments, making them risky for both healthcare, administrative and general services staff as well as patients and visitors; hence the need to carry out a literary review in the Scopus, ScienceDirect and Embase databases of the scientific production (articles) associated with this topic during the period between 2015 - 2020; taking into account indicators such as the total number of articles published per year, number of citations received, main journals, average number of citations per year, name, country and institutional affiliation of the most cited authors; The foregoing will be useful for the academic community when conducting an exhaustive review of the subject that will allow evidence of its evolution and management over time. This qualitative systematic review has as its unit of analysis the publications (articles) identified with the descriptors Medical AND Waste; Health AND Care AND Waste; AND Waste Hospital. In addition, the Excel tool was used for data processing. The analysis of the literary review carried out concludes the important role of health institutions, hospitals, clinics, laboratories and the like in the management of their hospital waste, as well as the relevance of continuous training in these organizations for all collaborators in order to create social and environmental awareness. This study aims to contribute to the field of environmental management from the Health Administration of the University of Córdoba, and serve as a consultation for students and teachers and in the same way promote research.

The objective was to evaluate the organizational climate for patient safety in a thirdlevel IPS in the municipality of Montería, 2021. The methodology used was a descriptive, cross-sectional study with a quantitative approach, which was developed with a population of 81 people where it was applied the checklist for good patient safety practices to the Patient Safety committee and an organizational climate survey for patient safety to the healthcare staff of a Health Service Provider Institution located in the city of Montería. The information was evaluated digitally, through a matrix in Excel 2013, which recorded the fulfillment of each of the items on the checklist and the registration of the results of the survey. From the results obtained, it was possible to conclude that the strengthening, deployment and adherence to the cause analysis system, as well as the identification and characterization of risks, and the improvement of quality indicators. They should be improved through promotion, monitoring improvement actions and monthly monitoring of the regulated quality indicators. In the same way, continuous improvement, teamwork between the areas of the I.P.S, general perceptions of security; therefore, collaborative work is presented as a weakness, therefore, it is proposed to improve both horizontal and vertical communication conditions as well as the participation of staff in the decisive processes of the entity.

Objective. Determine the impact produced by covid-19 on the quality of work life of employees of a company in the health sector of the city of Montería-Córdoba in the year 2020 methodology. The type of study is descriptive cross-sectional with a quantitative approach. For data collection, a structured questionnaire adapted from the Emotional Impact Questionnaire COVID-19 was used.The structured questionnaire has three parts: Socio-demographic information (sex, age, educational level, work seniority, number of dependents, stratum, gender, place of residence ), information and aspects related to the adoption of COVID-19 containment measures in aspects related to Organizational Orientation, Communication and integration, Leadership and Work Environment, Health status, administrative and environmental measures for the prevention of COVID-19. Conclusions: Employees state that as a result of the current situation due to the COVID 19 pandemic, there are episodes that affect the mental health of workers and the organizational climate within the entity. Therefore, an improvement plan is proposed that is expected to be received in the best way by human resources and management of this entity, in which intervention measures are used that can improve the quality of working life of employees.

Faced with the current COVID-19 pandemic, governments implemented biosecurity protocols and prevention actions to mitigate its spread, the number of infected and deaths. One of these measures is the dissemination through advertisements promoted by the control bodies and the health sector to promote a culture towards its prevention; However, the characteristics that these ads have as part of the marketing strategy to generate better behavior in Colombians is unknown at the national level. The purpose of the study was to evaluate the advertisements promoted for the prevention and mitigation of the COVID-19 pandemic by the World Health Organization (WHO), Pan American Health Organization (PAHO), Ministry of Health and Social Protection (Minsalud) and Government of Córdoba for the health well-being of Colombians. The type of study is exploratory, descriptive and documentary with a qualitative approach to the ads published on virtual platforms such as Facebook, Instagram, official web pages and Google images; of which a total of 100 advertisements issued by agencies and entities were taken. The messages and pictographic characteristics presented by these advertisements were analyzed. As a result, it was found that the studied advertisements have similar characteristics to promote self-care against COVID-19, use drawings, photographs and illustrations together with their messages to capture the viewer's attention more and influence, in a certain way, the behavior change in the community ; in addition to using its logo and blue tones that are part of the organizations and entities studied as corporate identity. It is recommended to continue publishing ads on your web pages and social networks where there is a greater influx of viewers for the promotion of prevention and control.

Currently COVID-19 is a pandemic that affects many countries around the world. Currently in the world there are more than 20 million infected by COVID-19, among them there have been more than 700 thousand deaths worldwide. A pandemic that the human body did not recognize and therefore has not developed immunity, this has affected the characterization of the human being as a "social being" due to distancing, a disease that has subjected humanity to live in confinement causing changes drastic in the way of living, within which you have to reinvent yourself every day for survival; Due to the fact that this disease is transmitted through the saliva, mucus or sweat of any infected person, the established protection methods are frequent hand washing, the use of a mask, avoiding crowds and maintaining a minimum distance of two meters with the rest of the people. This disease has affected not only health, but also the global economy, entrepreneurs have failed, companies have had to close, thousands of people have been unemployed, children have abandoned their schools, families go hungry and the world turns. Around technology. The institutions that provide health services must remain firm in the battle, but how is the day-to-day life of the people who fight to guarantee the health and well-being of the community and in what way has the COVID-19 impacted the organizational climate of these institutions? The organizational climate is born from the idea that man lives in complex and dynamic environments, since organizations are made up of people, groups and communities that generate diverse behaviors and that affect that environment. There are authors who state that the origin of the organizational climate is in sociology; where the concept of organization within the theory of human relations emphasizes the importance of man in his work function and for his participation in a social system. Because this pandemic has a high incidence in all countries of the world, this research project aims to design actions to improve the organizational climate during the COVID-19 pandemic in a clinical laboratory in the municipality of Chinú Córdoba, which is located located in the Masinga neighborhood, Carrera 6 # 20-04 corner, in the municipality of Chinú, Córdoba. The necessary data and information collection was carried out by applying 8 the types of exploratory and quantitative study, by means of which action strategies and the necessary instruments for the collection of information are established, such as: observation, consultation of research materials, and the application of the survey to the personnel involved in order to identify and analyze the impact of COVID-19 on the work environment of this institution, after knowing the results, we proceeded to the development and presentation of a proposal for the improvement of the organization's environment.

This research refers to the factors that in one way or another affect the organizational climate of the ESE CAMU Santa Teresita de Lorica Córdoba during the second half of 2020. It is necessary to take into account that, if an entity, organization or company aims to function more efficiently and achieve optimal development, it is essential that its internal intellectual resource, be it human capital, human resource or human talent, maintains a conducive environment where the values and principles of the entity govern. Within the health systems, everything related to the employee is treated very thoroughly, taking into account the different dimensions and specializations, their way of acting or behaving in any situation, the entity's reason for being, its purpose, its culture, its values and its principles. With the launch of this research work, it is sought to determine how culture, behavior, values, education, leadership and external factors can influence or affect the organizational climate; identifying that the discrepancy when making decisions, can generate certain conflicts that can affect the good work environment, since it generates tension, disagreement and discomfort when carrying out the tasks on the part of some collaborators; The causes will be prioritized, which not only affect the institution's staff, but each and every one of the people who may receive the service provided. When detecting this problem, through a questionnaire carried out by Google drive to the members of the institution, it will seek to determine a solution to such an incident, in which the experiences that the collaborators have are not affected, and what better way to determine it that by means of the identification of the origins that promote a bad work climate in the ESE Camú Santa Teresita, in order to propose solution strategies that are aimed at improving the organizational efficiency represented in the satisfaction to the end user; in turn, the entity is expected to 11 implement the strategies proposed at the end of the investigation, which are focused on improving the employment situation.

In Colombia, patient safety is one of the five characteristics that the Ministry of Health and Social Protection (MINPRO) incorporates in the Mandatory System for the Quality Assurance of Health Care (SOGCS), which seeks to reduce and eliminating the risk of suffering unnecessary harm caused by health care and / or system failures and mitigating their consequences (Ministry of Health and Social Protection [MINPRO], 2006). However, today receiving health care involves potential risks, even though millions of people are cared for safely every day. Therefore, when an IPS implements safe practices, it promotes causal analysis that allows identifying the reasons for which the adverse event, incident and / or death occurred, so that the system can be continuously improved; define measurement methods that determine and inform strategies or actions that improve the patient care system and reduce the risk of recurrence. Likewise, the damages or deaths in the patient are born as a result of medical errors, which also imply failures in the health systems. These adverse events generate the creation of standards that help minimize errors and their consequences in health systems and therefore in patients. Consequently, the different IPS must comply with good practices for patient safety, which allows minimizing failures in the security levels in the provision of the service and innovative strategies are carried out that protect the patient from avoidable risks derived from health care. For this reason, and in order to continuously verify good practices for patient safety and minimize the occurrence of adverse events, the present research work was drawn up, which has as its main objective to evaluate compliance with good practices for patient safety at the ESE Camú Santa Teresita de Lorica - Córdoba. In addition, recommendations will be made so that the ESE remains focused on continuous improvement, through the implementation of different strategies that help reduce the occurrence of adverse events and ensure the health of people, thus minimizing the risk of suffering adverse events, or mitigating its consequences. This research work comprises a cross-sectional descriptive study, with a quantitative approach to compliance with good practices for patient safety in the ESE Camu Santa Teresita - Lorica, 2020. Its scope ranges from carrying out a diagnostic process that allows knowing the situation current topic of safe care and evaluate it through a checklist of "Good practices for patient safety in health care", of the Ministry of Health and Social Protection, as applicable to the complexity of the ESE Camu Santa Teresita; until results are obtained that guide the prioritization of specific health care processes according to the opportunity for improvement that they show. The results obtained show that the tasks carried out by health personnel are not focused on providing safe care to patients, the issue of the perception of the safety culture is evidenced with little encouraging results in each of the components of the safety of the patient, since the ESE complies in 87% with the guide of good practices for patient safety. In addition, the practice with the lowest compliance is to prevent pressure ulcers since it only complies in 63.6%, indicating that its quality level is poor. Therefore, senior management must focus sufficiently on the implementation and development of patient safety, providing equipment and supplies to the staff and the ESE in general, implement protocols and evidence their progress; further train healthcare personnel, and that if there is no greater control of it, it can cause a risk in health care.

The consumption of psychoactive substances (SPA) generates negative effects on society such as insecurity, crimes, increased addiction, among others, which leads to alterations in their health and the well-being of the community. This study intends to know the needs of the unsatisfied demands of the services for the rehabilitation of SPA consumers and how this offer is supplied by one of the Service Provider Institutions (IPS). Therefore, the objective of this study was to determine the perception of SPA consumers about the rehabilitation services required in the city of Montería, Córdoba. The study is descriptive with a quantitative approach; where the qualitative technique of semi-structured interview with the administrative head of a IPS and a structured survey of SPA consumers and former consumers was used; Information organized, tabulated and analyzed using descriptive statistics, which was represented in figures and that of the interview was organized through narrative analysis. Among the results, it was found in SPA consumers that the male sex predominated (71%), they are young people between 14 and 29 years old (92%) and single marital status (75%), they have accessed secondary education (91%), technical and university, 37% work and 29% study; they live in socioeconomic stratum 1 (69%). The SPA that consume the most is alcohol (41%), followed by marijuana or cannabis (38%) and cigarettes (10%) among other substances. It was also possible to establish that 82% have not received rehabilitation services in an IPS and of those who received the service, 69% are aware that they require such treatment and among the most valued aspects when accessing the service is their good care (43%) and the quality of the service (31%). On the other hand, of the people who have not received rehabilitation services in an IPS, 70% stated that they did not know how to access it and 70% were not aware of the existence of IPS that offer such services; On the contrary, SPA consumers who have had a treatment, 55% indicated having accessed in a particular way, the rest did so through the EAPB and 55% maintain that they return to the same IPS that attended them in case of needing such service. On the other hand, in the interview obtained, the head of 15 administration stated that in most of the institutions that provide services to drug addicts they do so in a hospital manner and that in montería there is only one care center for drug addicts, which is Visalud IPS. Based on these factors, it could be said that in the city of Montería there is part of the population belonging to consumers of psychoactive substances with insufficient rehabilitation centers, thus creating opportunities to formulate action for future entrepreneurs.

The present work consists in carrying out an improvement plan in the purchasing area for the O.H.L Ltda. Central clinic so that it can reduce its operational and administrative risks. The purpose of the work has been to improve the findings found in the study of the clinic's purchasing area, which are in which improvement is required, and to guarantee the supply of supplies or general stationery for the operation of the entire organization. With the study that was carried out in the purchase process, the importance of good management of purchases within any organization was analyzed and emphasized, allowing the development of a correct implementation of all its procedures and instructions to solve the problems presented within of the organization, so it is required that the relationship between the efficiency of each of the processes involved generate a positive impact on the supply chain. Having all this information and understanding it gives us the opportunity to have a reliable and efficient area at the time of making decisions allowing in the same way to minimize nonconformities and detect the real causes of each eventuality. The activities developed to achieve the objective are, the analysis and study of requirements of each department of the organization preventing the request of inefficient products or articles that generate cost overruns and little utility, manage an inventory of each of the articles or elements stored in the Organization implementation of calculation tools that allow to reduce the times. Using a method of non-experimental observation research where some flaws could be found, such as the misuse of the inputs in the processes, which can be 12 corroborated with a survey that cost 10 questions where the heads of 16 functional areas were applied , where only 10 answered the survey, which are: hospitalization, 6th, 5th, and 4th floors, Emergency, Adult ICU, Neonatal ICU, Surgery, Imaging, Comprehensive hospital management and cleaning, Food, Document Management, infrastructure, billing , information system, pharmaceutical service, These are the functional areas that were taken to make the study purchasing process with this staff will take the sample. With the study that was done, an improvement was made in the process where it was possible to see results in the functional areas where all that you are part of the processes gave proper use to all the inputs of these and not to misuse them.