Proposal of actions to improve the process of transferring the critical cardiac newborn
Keywords:
neonatal transfer, congenital heart diseaseAbstract
Introduction: The "William Soler" Pediatric Cardiocenter is the reference center for cardiopediatric care in Cuba. Among its missions is the coordination of the cardio-pediatric network in the country, which is a complex process of guarantee to the continuous improvement of the quality of life of a vulnerable population that requires timely diagnosis, medical, surgical, interventionist and rehabilitation treatment, throughout the life cycle. The teamwork with intersectorial participation in function of this activity managed to reduce infant mortality due to congenital heart disease in the country. Despite the achievements, organizational weaknesses are recognized in the transfer process of newborns with critical heart disease.
Objective: Identify the necessary actions to improve the process of transfer of critical newborn heart disease.
Methods: We carried out a research in health systems and services that included a documentary review, a working group was formed that, through brainstorming, identified weaknesses in the care of critical cardiac neonates for their transfer, from which the Cause Effect and Pareto diagrams, in addition to the DAFO Matrix.
Results: The critical path of the transfer of critical newborn heart disease in the current Cuban context was established, the existing weaknesses were evidenced.
Conclusions: The identification of the problems related to the process of transfer of critical newborn heart disease allowed the elaboration of actions for modification.
Downloads
References
2. Informe al MINSAP sobre la aplicación de las transformaciones en el Sistema de Salud en el Cardiocentro Pediátrico; Viceministerio de Asistencia Médica, MINSAP, La Habana, diciembre 2014.
3. Anuario Estadístico de salud, La Habana, Cuba, 2017.
4. Yeager S, Horbar J,Greco K.Pretransport and posttransport characteristics and outcomes of neonates who were admitted to a cardiac intensive care unit. pediatrics. 2006; 118:1070-9.
5. Coppola C.P. Tyree M, Larry K. A 22-year experience in global transport extracorporeal membrane oxygenation. Journal of Pediatric Surgery.2008; 43: 46-52.
6. World Medical Association (WMA). World Medical Association Inc. Declaration of Helsinki-Ethical Principles for Medical Research Involving Human Subjects [homepage en Internet]; 64ª Asamblea General, Fortaleza, Brasil, octubre 2013. Disponible en: https://www.wma.net/en/30publications/10policies/b3/index.html).
7. Lineamientos de la Política Económica y Social del Partido y la Revolución, 7mo congreso PCC, La Habana, Cuba, 2017.
8. Sánchez Vignau B S. Contribución al conocimiento de la administración pública. Editorial Universitaria Félix Varela, 2016.
9. Resolución Ministerial No.35/1983 sobre la constitución del Programa de Atención Materno infantil, MINSAP, La Habana, Cuba, 1983.
10. Pardo A, Duverger J, Maynard G.I, Izquierdo A.A, Rojas J.C, et al. Matriz de Balance de Fuerza Innovada (BAFI).2005. Disponible en: www.sld.cu/galerias/doc/sitios/infodir/la_matriz_bafi_2005.doc Guantánamo.
11. Constitución de la República de Cuba, Asamblea Nacional del Poder Popular, Gaceta Oficial de la República de Cuba, La Habana, 2019.
12. Programa Nacional de Atención al Niño Cardiópata, Departamento Nacional de Atención Materno –Infantil (PAMI), MINSAP-1985, actualizado en la 30 Reunión de la Red Cardiopediátrica Nacional, Santiago de Cuba, marzo 2018.
13. Sola, Rogido M. Cuidados especiales del feto y el recién nacido. capitulo XXVIII. Ed. Científica Americana: 2001.
14. Castell-Florit Serrate P. Gispert Agreu E. Intersectorialidad selección de lecturas. Editorial Centros de Estudio de Derecho 2016.
15. Teorías de la complejidad: un paradigma para el estudio de las organizaciones. Materiales complementarios del módulo de Gestión del Diplomado de Administración Pública, ENSAP, La Habana, 2017.
16. Replanteando el control y la complejidad, por Ing. Carlos Mora Vanegas, Publicado en Globalización, Integración Internacional y Apertura Económica. Universidad de Carabobo, Venezuela, 2012.
Published
How to Cite
Issue
Section
License
Those authors who have published with this journal, accept the following terms:
a. The authors will keep their copyright and guarantee the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution License that allows third parties to share the work as long as the author and first publication of this magazine are indicated.
b. The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (e.g., deposit it in an institutional telematic archive or publish it in a monographic volume) as long as the initial publication in this journal is indicated.
c. Authors are allowed and recommended to disseminate their work through the Internet (e.g.: in institutional telematic archives or in their web page) before and during the submission process, which may produce interesting exchanges and increase the number of citations of the published work. (See The effect of open access).
