Elaboración de una guía de diseño de servicios clínicos: Del área de emergencia

Abstract

In Ecuador's hospitals, the emergency area faces challenges that affect service quality and operational efficiency, such as patient saturation, the lack of clear standards in the design of clinical spaces, and an inadequate distribution of resources. Therefore, it was necessary to design a comprehensive guide for the optimization of clinical services, focused on improving the quality of care and reducing response times in critical situations. To conduct this study, a qualitative approach was adopted to evaluate the current services of a health center through normative review and direct observation. The field research with a non-experimental design also included the participation of the Head of the emergency area of a tertiary hospital in the city of Guayaquil, with more than 15 years of experience as an Emergency and Trauma Surgeon. The evaluation found that regulatory requirements are generally met, but there are critical areas that require improvement. Through the interview, it was identified that the principles of timely care and triage are followed, applying the Manchester Model and maintaining high standards of clinical quality, as indicated by ISO standards. However, it faces significant barriers such as lack of staff, issues with infrastructure, and limited ongoing training. As a proposal, it was considered to implement a digitalized registration system that thoroughly documents cleaning and disinfection tasks, the inclusion of a strategy for optimizing clinical services, and management indicators for the emergency area.