Caracterización de los motivos de la estancia prolongada en usuarios hospitalizados en la sala de cirugía mujeres del hospital universitario del valle, en el último trimestre del año 2019

Abstract

Time spent in hospital is an indicator of resource efficiency used as a containment strategy in hospitals (1 ). This is due to the fact that over time there are cost overruns in the institutions that provide health services. Since the health audit, the general objective of this research has been to determine the reasons for delays in care, which generate prolonged stays in users hospitalized in the women's surgery room of the Hospital Universitario del Valle (hereinafter HUV), by means of an instrument that allows for monitoring the provision of health services in the last quarter of 2019. Initially, the population that participated in this research was characterized by an observational, quantitative and analytical study. A digital logbook was built to manually systematize the information on the clinical records to which access was obtained; the total population was 277 patients who were admitted to the HUV women's surgery room service during the last quarter of 2019. This academic exercise is part of a descriptive study of patients in the HUV female surgery room service during the last quarter of 2019. The data will be collected according to the information of the clinical histories of the hospitalized patients in the analyzed period, allowing the analysis of the studied phenomenon, as well as each one of its components, as it is manifested and this way to relate each element of evaluation to the interior of the health service in the mentioned room. In order to transform the data and findings of this study into relevant information, the analytical method is assumed because the elements of the phenomenon will be distinguished and each one of them will be reviewed separately. It consists of extracting the parts of a whole, in order to study and examine them separately, to see, for example, the relationships between them. The data obtained were modeled from the completely randomized design of the DCA, through which it is concluded that the specialty of general surgery is the service variable that should be given greater attention for the analysis of optimal functioning, this because the days of prolonged stay exceed 40 days. The results obtained expose the need for future research to develop studies that allow an integral approach that contemplates the most susceptible variables within the process in the provision of health services, hence the need for a fundamental role on the part of the hospital administration; thus improving the variables related to the admission of the patient and the factors that converge in the care. Through this investigative exercise, it is recommended that future investigations include the design of a protocol that contemplates indicators from the diagnosis that relate the days of attention to be included in a tool that allows an efficient audit of the service, protecting the available resources to ensure greater efficiency.