Quality and knowledge management in hospital services in time of pandemics
Keywords:
COVID-19, quality management, knowledge management, hospital services, risksAbstract
Introduction: Health facilities directors’ role in the confrontation with COVID-19 offers the opportunity to explore the links between quality and knowledge in hospital services.Objective: To assess how knowledge management allows establishing the actions procedures in hospital services to maintain quality in a pandemic situation.
Methods: A qualitative, research-action study was carried out supported by the analysis of documents and participant observation of the actions taken at National Center of Minimum Access Surgery during the two months that passed since the first case of COVID-19 was identified in Cuba.
Result: Two procedures were conducted, one for epidemic situations and another specific for COVID-19, which regulate actions for the prevention of the disease, patients' care, workers' and companions' protection, which makes possible to maintain the quality of medical-surgical services in these risk scenarios.
Conclusions: Management of knowledge and its conversion into documented information allows the incorporation of external knowledge and lessons learned in the actions of the institution, contributing to the strategic and operative decision making, managing the risks on the basis of scientific evidence, to guarantee the quality of the hospital services in times of coronavirus.
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References
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13 Ti LK, Ang LS, Foonge TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anesth. 2020 March 6:1-3. Disponible en: https://link.springer.com/article/10.1007/s12630-020-01617-4.
14 Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Annals of Surgery 2020; Apr 27. DOI: 10.1097/SLA.0000000000003924
15 Torres Montes de Oca A, Puente Téllez H, Ramírez López B. Desafíos para el anestesiólogo en pacientes con COVID-19. Revista Cubana de Anestesiología y Reanimación 2020; 19(2):e654.
2 MINSAP. Protocolo vs COVID-19 de abril de 2020 [citado 30 Abr 2020]. Disponible en: https://instituciones.sld.cu/facultadfinlayalbarran/files/2020/04/Protocolo-Cuba-vs-COVID-4-4-2020.pdf. La Habana: Ministerio de Salud Pública (MINSAP); 2020.
3 MINSAP. Resolución128. Disposiciones sanitarias para la etapa de prevención y control de la propagación de la COVID-19. La Habana: Ministerio de Salud Pública (MINSAP); 2020.
4 Torres Peña, R. Consideraciones sobre el manejo de pacientes quirúrgicos durante la epidemia de COVID-19 en Cuba. Infodir 2020 (enviado).
5 Roque González R, Guerra Bretaña R M, Torres Peña R. Gestión integrada de seguridad del paciente y calidad en servicios de salud. Revista Habanera de Ciencias Médicas 2018, 17(2):315-24.
6 UNE. Norma UNE-EN 15224: 2017 Sistemas de gestión de la calidad. Aplicación de la Norma EN ISO 9001:2015 en los servicios sanitarios. Madrid: Asociación Española de Normalización (UNE), 2017.
7 Karamitri I, Talias M A, Bellali, T. Knowledge management practices in healthcare settings: A systematic review. The International Journal of Health Planning and Management 2015, 30(3):1-15.
8 Mura M, y otros. Behavioural operations in healthcare: knowledge sharing perspective. International Journal of Operations and Production Management 2016, 36(10):1222-46.
9 Simon, L. The relationship between knowledge management tools and interprofessional healthcare team decision making. Walden University, 2016.
10 Franch León K, Guerra Bretaña R M. Las normas ISO 9000: una mirada desde la gestión del conocimiento, la información, innovación y el aprendizaje organizacional. Cofín Habana 2016, 11(2):29-54.
11 Oficina Nacional de Normalización. Norma NC-ISO 9001:2015. Sistemas de gestión de la calidad. Requisitos. La Habana: NC; 2015.
12 MINSAP. Manual de Acreditación Hospitalaria. La Habana: Ministerio de Salud Pública (MINSAP); 2016.
13 Ti LK, Ang LS, Foonge TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anesth. 2020 March 6:1-3. Disponible en: https://link.springer.com/article/10.1007/s12630-020-01617-4.
14 Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Annals of Surgery 2020; Apr 27. DOI: 10.1097/SLA.0000000000003924
15 Torres Montes de Oca A, Puente Téllez H, Ramírez López B. Desafíos para el anestesiólogo en pacientes con COVID-19. Revista Cubana de Anestesiología y Reanimación 2020; 19(2):e654.
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Published
2020-06-03
How to Cite
1.
Roque Gonzalez R, Ruiz Torres JF, Torres Peña R de la C, Brito Álvarez G, Guerra del Valle D, Guerra Bretaña RM. Quality and knowledge management in hospital services in time of pandemics. INFODIR [Internet]. 2020 Jun. 3 [cited 2025 Oct. 1];(33). Available from: https://revinfodir.sld.cu/index.php/infodir/article/view/850
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