title: [IMPLEMENTATION OF A QUALITY MANAGEMENT SYSTEM IN A NUTRITION UNIT ACCORDING TO ISO 9001:2008].
abstract: BACKGROUND
  the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients.
  
  
  OBJECTIVE
  to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit.
  
  
  METHODS
  the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation.
  
  
  RESULTS
  a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013.
  
  
  CONCLUSIONS
  the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes.
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. cvelasco.hgugm@salud.madrid.org.
authors: Cristina
authors: C
authors: Velasco Gimeno
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. cuerda.cristina@gmail.com.
authors: Cristina
authors: C
authors: Cuerda Compés
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. a.alonsopuerta@gmail.com.
authors: Alba
authors: A
authors: Alonso Puerta
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. lfrias.hgugm@salud.madrid.org.
authors: Laura
authors: L
authors: Frías Soriano
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. mcamblor.hgugm@salud.madrid.org.
authors: Miguel
authors: M
authors: Camblor Álvarez
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. irenebreton@gmail.com.
authors: Irene
authors: I
authors: Bretón Lesmes
authors: Servicio de Medicina Preventiva y Gestión de la Calidad. Hospital General Universitario Gregorio Marañón, Madrid. España.. rosa.pla@salud.madrid.org.
authors: Rosa
authors: R
authors: Plá Mestre
authors: Servicio de Medicina Preventiva y Gestión de la Calidad. Hospital General Universitario Gregorio Marañón, Madrid. España.. iizquierdo@salud.madrid.org.
authors: Isabel
authors: I
authors: Izquierdo Membrilla
authors: Unidad de Nutrición Clínica y Dietética. Hospital General Universitario Gregorio Marañón. Instituto de Investigación Sanitaria Gregorio Marañón, Madrid.. pgarciap@salud.madrid.org.
authors: Pilar
authors: P
authors: García-Peris
mesh_terms: D006748:Hospital Departments; D006801:Humans; D044623:Nutrition Therapy / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods / Q000458:organization & administration