Por Rosana Aquino rorryaquino@hotmail.com
Edición: Nancy Villagra enfernancy@hotmail.com
En Paraguay hablar de calidad y seguridad del paciente es un concepto que está evolucionando. En este sentido, el Ministerio de Salud Pública y Bienestar Social (MSP y BS) asume el compromiso político y técnico de elevar la calidad de atención en salud para todos los habitantes de la República del Paraguay. La finalidad es avanzar hacia el acceso universal y cobertura de la población al sistema de salud; esto responde a los principios y estrategias establecidas en la Política Nacional de Salud 2015-2030 del MSP y BS.
La seguridad del paciente, como una de las dimensiones claves de la calidad asistencial, se convierte en un objetivo prioritario para la gestión de la calidad en los sistemas de salud. Según Altarribas, Castán, Rubio y Aibar (2018), uno de los principales enfoques es el desarrollo de indicadores para la monitorización de la calidad de atención, con el objetivo de comparar instituciones, identificar oportunidades de mejora y evaluar el impacto de las intervenciones.
El desafío a nivel país es ambicioso: alcanzar la práctica de los protocolos logrando mejorar la calidad de atención de los pacientes en los distintos niveles de salud. A esta línea de acción se suma el proyecto Calidad de los servicios de enfermería. Esta iniciativa nació como desafío de la Dirección Nacional de Enfermería del MSP y BS y la Asociación Paraguaya de Enfermería (APE). El modelo busca mejorar la calidad de atención a través de la acreditación de calidad en los servicios y de los profesionales.
A la fecha, el equipo compuesto por representantes de la Dirección de Enfermería, la APE y la Universidad Católica se encuentra en la etapa final de la redacción del documento que establece el mecanismo de evaluación y las dimensiones que se van a verificar.
El proceso inicia con la solicitud de un servicio de enfermería para ser evaluado; una vez aceptada la solicitud por el Comité de Acreditación, se entregarán los requisitos para que los servicios realicen una autoevaluación de las condiciones en que se encuentren y puedan corregir los aspectos que han identificado como débiles. Esto tendrá un periodo a ser fijado; posteriormente y una vez que el servicio se sienta preparado, presentará nuevamente la solicitud para que el comité de evaluación realice una visita para verificar las condiciones del servicio.
Las evaluaciones se realizan utilizando un instrumento que valora 5 dimensiones, entre otras, la organización de los servicios, el conocimiento y desempeño de los profesionales, además de la satisfacción de los usuarios según la atención recibida.
La comisión acreditará a los servicios según la evaluación obtenida en los procesos. En síntesis, un proyecto ambicioso que apunta a la mejora continua y al reconocimiento de los esfuerzos que los profesionales de enfermería realizan diariamente para ofrecer un servicio de calidad en todas las instituciones del país.
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