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Dashboard for assessing patient flow management in hospital institutions
Tablero de control para evaluar la gestión de los flujos de pacientes en instituciones hospitalarias
DOI:
https://doi.org/10.15446/dyna.v91n232.111259Palabras clave:
management control; patient flow; hospital management; indicators; dashboard (en)control de gestión; flujo de pacientes; gestión hospitalaria; indicadores; tablero de control (es)
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Proactive control of hospital processes has a significant influence on patient performance and satisfaction. The objective of the research is to develop a dashboard for the evaluation of patient flow management in hospital institutions. Based on a descriptive quantitative study, a procedure is proposed for the development of a dashboard for the evaluation of patient flow management in hospital institutions, structured in five stages and nine steps, including procedures for the identification of key variables and aggregation of indicators. A dashboard was developed for the General Surgery service of a Clinical Surgical Teaching Hospital, which is composed of 18 indicators, six synthetic indexes and one comprehensive indicator. Among the positive implications for healthcare managers is the possibility of monitoring and comparing strategies with a process vision between different departments in support of proactive and strategic decision making in order to improve hospital performance.
El control proactivo de los procesos hospitalarios influye de forma significativa en el rendimiento y satisfacción de los pacientes. El objetivo de la investigación es desarrollar un tablero de control para la evaluación de la gestión del flujo de pacientes en instituciones hospitalarias. Se desarrolló un estudio cuantitativo descriptivo y se analizaron metodologías precedentes. Se elaboró un proceder para la confección de un tablero de control para la evaluación de la gestión de los flujos de pacientes en instituciones hospitalarias, estructurado en cinco etapas y nueve pasos, incluye procedimientos para la identificación de variables clave y agregación de indicadores. Se confeccionó un tablero de control para el servicio de Cirugía General de un hospital Clínico Quirúrgico Docente, que está compuesto por 18 indicadores, 6 índices sintéticos y un indicador integral. El indicador integral obtuvo un valor de 0,79 (4), lo que es muestra de la eficacia de las acciones implementadas durante el despliegue del modelo de mejora. Entre las implicaciones positivas para los gestores sanitarios está la posibilidad de monitorear las estrategias con una visión de proceso.
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