title: [Inverse innovation models in the nurse clinic of a Urology Department].
abstract: OBJECTIVE
  In the urology clinics there is an important volume of limited-complexity pathology that consumes an important part of resources. Delegating some tasks of this type to Nurses may imply a competitive advantage in economic terms without decrease in the quality of the care given to patients and their level of satisfaction. This is an example of the concept of inverse innovation. In this work we try to make public our experience in the management by nursing staff of features of the urology consultation traditionally reserved to physicians, as well as the design of the related processes.
  
  
  METHODS
  We developed the most frequent processes competence of the nursing staff in the unit: 1) Care of ambulatory urological surgery pathology; 2) Urologic ultrasound; 3) Traditional urologic nurse consultation.
  
  
  RESULTS
  During 2013 the nursing staff performed 423 ambulatory urologic surgery pathology clinic visits, 931 urologic ultrasounds and 1019 varied actions corresponding to traditional urological nurse work.We developed stabilization formularies and flow diagrams of the aforementioned processes. We performed a quantification of the amount of money saved in comparison with the costs generated if a nurse or a physician was employed. Such saving was 2,78 and 4,00 Euros in the ambulatory urological surgery pathology and urologic ultrasound, respectively. Total savings in both processes was 4900 Euros.
  
  
  CONCLUSIONS
  Implication of urological nursing staff in certain care tasks traditionally reserved to the physician is possible without increase in quality defects, obtaining an advantage in terms of economic cost and flexibility in staff organization thanks to the expansion of the competence array.
authors: Diplomado Universitario en Enfermería. Unidad de Urología. Hospital Universitario Infanta Cristina. Parla. Madrid.
authors: Manuela
authors: M
authors: Gamarra
authors: Maria C
authors: MC
authors: López
authors: Marcos
authors: M
authors: Luján
authors: Jose Ramón
authors: JR
authors: Mora
mesh_terms: D006748:Hospital Departments / Q000458:organization & administration*; D017146:Models, Organizational; D009729:Nursing; D011996:Records; D014572:Urology / Q000458:organization & administration*