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2016, vol. 69, br. 1-2, str. 31-36
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Značaj integrisanog sistema menadžmenta u zdravstvenim ustanovama sa ciljem podizanja kvaliteta lečenja
Importance of integrated management system applied in health establishments in order to raise treatment quality
aUniverzitet Educons, Sremska Kamenica, Srbija bUniverzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti, Srbija cUniverzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti, Srbija + Univerzitet u Novom Sadu, Medicinski fakultet, Srbija
e-adresa: bibica.dodic@gmail.com
Sažetak
Uvod. Termin menadžment najbolje se može okarakterisati kao upravljanje privrednim ili društvenim procesima u svrhu postizanja određenih ciljeva putem racionalnog korišćenja materijalnih i nematerijalnih resursa uz primenu principa, funkcija i metoda menadžmenta. Istraživanje je urađeno sa ciljem evaluacije vrednosti integrisanog sistema menadžmenta kvalitetom implementiranog u procedure primenjivane na Institutu za kardiovaskularne bolesti Vojvodine a za podizanje kvaliteta lečenja. Materijal i metode. U periodu od 2008. do 2010. godine, oko 40 zaposlenih sa Instituta za kardiovaskularne bolesti Vojvodine prisustvovalo je različitim kursevima koje su realizovali predavači sa Fakulteta tehničkih nauka na kojima su objašnjavani funkcija i značaj Internacionalne/Međunarodne organizacije za standarde (International Standards Organization), nakon čega su standardi značajni za našu instituciju implementirani u različite procedure i uputstva. Rezultati. Na Klinici za kardiologiju uvedeno je 11 kardioloških procedura sa pet specijalnih uputstava, 14 opštih procedura i sedam specifičnih procedura sa dva uputstva. Na Klinici za kardiohirurgiju implementirano je sedam procedura. Za perioperativnu procenu kardiohirurškog rizika uveden je u praksu Vojvodina skor model. Tokom 2014. godine Institut za kardiovaskularne bolesti - Vojvodine dobio je akreditaciju na period od 7 godina. Zaključak. Radi postizanja visokog nivoa zdravstvene zaštite u najkraćem mogućem vremenu i uz najmanji mogući utrošak materijalnih i ljudskih resursa, neophodno je implementirati integrisani sistem menadžmenta kvalitetom. Primena ovog sistema u praksi omogućava realan uvid u radne procese i olakšava njihovo funkcionisanje. Ujedno zahteva i traži konstantno praćenje efikasnosti sistema uz neprekidne promene i unapređivanje svih elemenata radnog procesa i funkcionalnih jedinica.
Abstract
Introduction. The term 'management' is best characterized as 'managing' economic or social processes to achieve objectives through a rational use of material and immaterial resources by applying the principles, functions, and management methods. This study has been aimed at evaluating the value of an integrated quality management system implemented at the Institute of Cardiovascular Diseases of Vojvodina to improve the quality of treatment. Material and Methods. In the period from 2008 to 2010 about 40 employees from the Institute of Cardiovascular Diseases of Vojvodina attended various courses given by the lecturers of the Faculty of Technical Sciences, where the function and significance of the 'International Standards Organization' were explained, after which standards of interest were implemented at the Institute of Cardiovascular Diseases of Vojvodina. Results. The Department of Cardiology has introduced 11 cardiac procedures with 5 special instructions, 14 general procedures, and 7 specific procedures with 2 instructions. The Department of Cardiac Surgery has introduced 7 procedures to be implemented. The 'Vojvodina score' model was put into practice for the perioperative evaluation of cardiac surgery risk. During 2014, the Institute of Cardiovascular Diseases of Vojvodina obtained accreditation for the period of 7 years. Conclusion. The integrated quality management system must be applied in order to achieve a high level of health care in the shortest possible time and with the least possible consumption of material and human resources. The application of this system in practice gives a realistic insight into the working processes and facilitates their functioning. It demands and requires constant monitoring of the system efficiency along with continuous changes and improvements of all elements of the working processes and functional units.
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