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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.

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.

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.

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.

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.

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.

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.

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 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.