title: [Institute for clinical management of nephro-urological diseases: the benefits of a quality care programme].
abstract: The Clinic Institute of Nefro and Urology (ICNU) was formed in Clinic Hospital of Barcelona in 1999. It grouped together services of Nephrology, Urology and Renal Transplant. At the same time, in order to ensure Quality in this process of change, we designed a specific quality program. In this program, we defined objectives to improve the quality of these services in one year and we defined different quality indicators in order to maintain and monitor health quality. The indicators referred to technical quality and perceived quality and we periodically evaluated their evolution. The results of the last five years indicate that the majority of the indicators have improved, except those concerning infections surgery and the response to complaints. This has helped the consolidation and recognition of the work of this innovatory project in the health management of the nephrologic and urinary systems that locate the patient in the center of the organization and recognize the health professionals as the true managers of this model.
authors.affiliation: Dirección de Calidad y Seguridad Clínica, Hospital Clínic de Barcelona, Barcelona, Spain. msantina@clinic.ub.es
authors.forename: M
authors.initials: M
authors.lastname: Santiñá
authors.forename: P
authors.initials: P
authors.lastname: Arrizabalaga
authors.forename: A
authors.initials: A
authors.lastname: Prat
authors.forename: A
authors.initials: A
authors.lastname: Alcaraz
authors.forename: J M
authors.initials: JM
authors.lastname: Campistol
authors.forename: A
authors.initials: A
authors.lastname: Trilla
mesh_terms: D000047:Academies and Institutes / Q000458:organization & administration*; D019468:Disease Management; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D010343:Patient Admission / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000458:organization & administration; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration; D011057:Politics; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D012017:Referral and Consultation / Q000706:statistics & numerical data; D013030:Spain; D014570:Urologic Diseases / Q000628:therapy*; D013520:Urologic Surgical Procedures / Q000592:standards / Q000706:statistics & numerical data