Utilidad de los sistemas analíticos a la cabecera del enfermo en condiciones emergentes y con accesibilidad limitada / Utility of the Point-of-Care-Testing devices in emergent conditions and with limited accessibility

RESUMEN

Introducción: La seguridad del paciente es uno de los objetivos principales de todo sistema sanitario. El Hospital de Ronda atiende a más de 120.000 habitantes. Da cobertura a seis áreas básicas de salud, en total treinta y un puntos de atención médica. La Comarca de la Serranía de Ronda es un entorno rural montañoso. Presenta una amplia dispersión geográfica y comunicaciones difíciles por carretera. El tiempo medio de acceso al hospital de Ronda es de 60 minutos. El perfil poblacional de la comarca es característico de una zona rural. Metodología: El análisis sobre seguridad del paciente constató que la dispersión geográfica y la dificultad de acceder al hospital eran problemas prioritarios. Se proporcionó a los equipos móviles urgentes de sistemas analíticos portátiles (i-STAT, Abbott) capaces de realizar analíticas rápidas y fiables a la cabecera del enfermo. Resultados y conclusiones: Los profesionales han valorado muy positivamente esta medida al poder resolver mayor número de asistencias sin tener que trasladar al paciente (AU)

ABSTRACT

Introduction: Patient safety is one of the main objectives in our health system for the continuous improvement of quality of care and the promotion of clinical excellence. The Ronda Hospital covers a population of more than 120,000 inhabitants in two different provinces, being split into six Basic Health Areas with their corresponding health centres plus three associated Medical Centres, making thirty one points of care that have to be staffed. The rural area of Serranía de Ronda, due to being mountainous, is geographically complicated. It is widely dispersed and communication it has a difficult transportation due to be carried out by secondary roads, which are even worse during winter. The average travelling times to Ronda Hospital, which is the only hospital in the region, is around 60 minutes. The population profile of the Rural Area is characteristic of an ageing population. Methodology: An analysis of Patient Safety showed the geographical dispersion and difficulty to get to hospital was detected as priority problems and those which had most influence on patient safety. Ten dry chemical analysers (i-STAT, Abbott) have been installed in the ambulances which attend the reference population. Results and Conclusions: The professionals positively value the availability of another diagnostic tool, as well as having had a response to their demands to the referred patient safety (AU)