Clinical management: quality and safety of interdisciplinary obstetric gynaecological care in a health care institution

Abstract

Safe surgery in public hospitals is a primary objective for the achievement of services-safety and -quality provided in the health sector. Within this framework, the research aimed to establish how clinical management affects the quality and safety of interdisciplinary obstetric gynecological care received by the user of a Lima public hospital. The population consisted of 150 health professionals: doctors, obstetricians, nurses and technicians. The instruments applied in the data collection were three questionnaires, the results of which indicate that clinical management is a tool of continuous process of quality improvement directly linked to the moral commitment of health institutions to safeguard the quality and safety of the care provided to the user from a right to health context. The statistical significance of the regression model proposed to express the analogy between clinical management and quality was 0.056, higher than the theoretical significance. However, the statistical significance of the regression model proposed to expose the analogy between Clinical Management and Safety was 0.019, lower than the theoretical significance. It is concluded that hospital management is a complex process, which requires the intervention of all actors involved in the process of care to assume the commitment to control, monitor and improve the risks that may affect the quality and safe environment of the services provided to the patient.