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Combalia, A. Prat" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Santiñá" "email" => array:1 [ 0 => "msantina@clinic.ub.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Combalia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Prat" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Quality Program. Evaluation, Support and Prevention Unit, Medical Division, Hospital Clínic, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Department of Orthopedic and Trauma Surgery, Institute for Medical and Surgical Specialties, Hospital Clínic, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Modelo de programa de calidad asistencial en Cirugía Ortopédica y Traumatología" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-06-28" "fechaAceptado" => "2007-12-04" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec102169" "palabras" => array:3 [ 0 => "Healthcare quality program" 1 => "Quality in orthopedic and trauma surgery" 2 => "Quality assessment" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec102170" "palabras" => array:3 [ 0 => "Programa de calidad asistencial" 1 => "Calidad en cirugía ortopédica y traumatología" 2 => "Evaluación de la calidad" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Healthcare quality entails the capacity of a team of healthcare professionals to do what needs to be done, to do it well and in a timely manner striving to meet the patients’ needs through a judicious use of available resources. Total Healthcare Quality is a dynamic concept whereby everybody in an organization undertakes to work to a methodology aimed at continuous improvement. It is a model characterized by the commitment and involvement of every professional, where communication and information play a crucial role. A methodology that seeks continuous quality improvement comprises 4 essential stages: identifying areas for improvement and how improvement can best be achieved; implement the measures to obtain the improvements; assess the implementation and act on the basis of the results achieved. The quality model must include an information system (IS) that provides the data that may be necessary when it becomes necessary. This IS must be integrated within the IS of the entire organization and must be reliable. The IS will generate the indicators that will make it possible to monitor the achievement of the improvement goals previously set. For the success of this model, it is essential to put together a quality improvement team at the Department of Orthopedic and Trauma Surgery. This team, multidisciplinary in nature, will be headed by a professional with proven Leadership skills and will work to a continuous improvement methodology.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Calidad asistencial es la capacidad de un equipo de profesionales de la medicina para hacer las cosas que hay que hacer, hacerlas bien, en el momento que hay que hacerlas, satisfaciendo las necesidades del paciente y utilizando adecuadamente los recursos disponibles. El modelo de calidad asistencial total es un concepto dinámico, en el que todos los profesionales que componen una organización se comprometen a trabajar de acuerdo con la metodología de la mejora continua. Éste es un modelo de compromiso e implicación de todos los profesionales, donde la comunicación y la información tienen un papel esencial. La metodología de la mejora continua de la calidad es un proceso que sigue cuatro pasos esenciales: identificar lo que hay que mejorar y cómo hacerlo; implementar la mejora; evaluar la implementación y actuar con base en el resultado obtenido. El modelo de calidad debe disponer de un sistema de información (SI) que proporcione los datos que se necesitan en el momento adecuado. Este SI debe estar integrado en el SI de la organización y debe ser fiable. De él se extraerán los indicadores que permitirán realizar un seguimiento del cumplimiento de los objetivos de mejora que se hayan establecido a través del cuaderno de calidad. Para el éxito de este modelo es esencial la constitución de un equipo de mejora de la calidad en el servicio de cirugía ortopédica y traumatología, de carácter multidisciplinario, que trabaje siguiendo la metodología de la mejora continua y dirigido por un profesional con reconocida capacidad de liderazgo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fundamentos de la planificación y gestión hospitalarias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.A. Asenjo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Gestión diaria del hospital" "paginaInicial" => "15" "paginaFinal" => "46" "edicion" => "3.ª ed." 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