Reingeniería de enfermería en un hospital de segundo nivel: estrategias de gestión del cuidado

Abstract

Objective: The reengineering of healthcare processes is defined as the reinvention of the way these processes are organized to achieve unprecedented quality improvement. The present study summarizes the results obtained after 4 years of applying this technique to the process of epidural analgesia in labor. Material and method: We describe the reengineering of the process of epidural analgesia in labor. Its implantation was evaluated using rates of delivery with epidural analgesia. Our results were compared with those of other hospitals in Murcia (Spain) using external monitoring techniques. Results: Our hospital has the highest consolidated rates of delivery under epidural analgesia (93.3%) and is above the hospitals in our environment that represent the relative excellence of the group. The use of epidural analgesia in labor is uneven in the public hospitals in Murcia. Conclusions: The reengineering of the process of epidural analgesia in labor was useful in achieving and consolidating high rates of delivery under epidural analgesia.