[Design and implementation of management strategies for the improvement in the implementation of the warnings of isolation in a pediatric hospital]. / Precauciones de aislamiento en un hospital pediátrico estrategias de gestión para mejorar su cumplimiento.

INTRODUCTION: children's Hospital Vail d'Hebron in 2007 children admitted 7086, requiring isolation 440 (6.2%). The purpose of this study was to raise the overall level of adherence to the basic precautions of isolation. The nursing management by objectives allowed us to raise as a management strategy in pediatric inpatient units, improved compliance with isolation measures, multidisciplinary goal framed the need for pediatric patient safety OBJECTIVES: to achieve compliance with the protocol of isolation described in 80-90% of patients. METHODOLOGY: it provides all pediatric units a dossier of consultation on the types of insulation and measures to follow, informative posters in the areas of work and training sessions. It develops and implements a standardized checklist for the proper performance of isolation measures in two of the six child health. RESULT: working in an MBO has focus and unify the resources for the improvement in the performance of isolates. In the units where they have implemented the checklist has found a fulfillment of isolation measures in 96% of cases. CONCLUSIONS: this experience has allowed us to confirm that the strategies carried out by monitoring compliance contribute to a more effective isolation measures hospital and export the model of implementation of the checklist to other pediatric units.

Precauciones de aislamiento en un hospital pediátrico. Estrategias de gestión para mejorar su cumplimiento / Design and implementation of management strategies for the improvement in the implementation of the warnings of insulation in a pediatric hospital

Introducción: en el hospital infantil de la Vall d’Hebron durante el año 2007 ingresaron 7.086 niños, requiriendo aislamiento 440 (6,2%). El propósito de este estudio fue elevar el nivel general de adherencia a las precauciones básicas de aislamiento. La dirección de enfermería por objetivos permitió plantear como estrategia de gestión, en las unidades de hospitalización pediátrica, la mejora en el cumplimiento de las medidas de aislamiento, objetivo multidisciplinar enmarcado en la necesidad de seguridad del paciente pediátrico. Objetivo: conseguir que se cumpla el protocolo de aislamiento indicado en el 80- 90% de los pacientes. Metodología: se proporciona a todas las unidades pediátricas un dosier de consulta sobre los tipos de aislamiento y las medidas a seguir, carteles informativos en las áreas de trabajo y sesiones formativas. Se elabora e implementa una lista de comprobación para estandarizar el correcto cumplimiento de las medidas de aislamiento en dos de las seis unidades pediátricas. Resultado: el trabajo en una dirección por objetivos ha permitido focalizar y unificar los recursos para la mejora en el cumplimiento de los aislamientos. En las unidades donde se ha implementado la lista de comprobación se ha obtenido un cumplimiento del 96% de los casos. Conclusiones: esta experiencia nos ha permitido confirmar que las estrategias llevadas a cabo por la supervisión contribuyen a un cumplimiento más efectivo de las medidas de asilamiento hospitalario y a exportar el modelo de implementación de la lista de comprobación al resto de unidades pediátricas(AU)

Introduction: children's Hospital Vall d'Hebron in 2007 children admitted 7086, requiring isolation 440 (6.2%). The purpose of this study was to raise the overall level of adherence to the basic precautions of isolation. The nursing management by objectives allowed us to raise as a management strategy in pediatric inpatient units, improved compliance with isolation measures, multidisciplinary goal framed the need for pediatric patient safety. Objectives: to achieve compliance with the protocol of isolation described in 80-90% of patients. Methodology: it provides all pediatric units a dossier of consultation on the types of insulation and measures to follow, informative posters in the areas of work and training sessions. It develops and implements a standardized checklist for the proper performance of isolation measures in two of the six child health. Result: working in an MBO has focus and unify the resources for the improvement in the performance of isolates. In the units where they have implemented the checklist has found a fulfillment of isolation measures in 96% of cases. Conclusions: this experience has allowed us to confirm that the strategies carried out by monitoring compliance contribute to a more effective isolation measures hospital and export the model of implementation of the checklist to other pediatric units(AU)