Tabla de Contenidos: :: Library Catalog

Guardado en:

Detalles Bibliográficos
Autor principal:	Deborah Gazzoli
Formato:	Artículo científico
Lenguaje:	es
Publicado:	Asociación Bioquímica Argentina 2021
Materias:	Medicina riesgo calidad gestión probabilidad mejora continua
Acceso en línea:	https://www.redalyc.org/articulo.oa?id=65171749002 https://www.redalyc.org/journal/651/65171749002/ https://www.redalyc.org/journal/651/65171749002/html/ https://www.redalyc.org/journal/651/65171749002/65171749002.epub https://www.redalyc.org/journal/651/65171749002/movil
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

Tabla de Contenidos:

Matriz de riesgo: experiencia en nuestro laboratorio Deborah Gazzoli Silvina Sebastián Cecilia Ghisolfi Medicina riesgo calidad gestión probabilidad mejora continua Introducción: la norma IRAM ISO15189: 2014 refiere en el requisito 4.14.6 que el laboratorio debe analizar los procesos de trabajo y posibles fallas potenciales que puedan impactar en los resultados y, por lo tanto, afectar la seguridad del paciente. Objetivo: aplicar los requisitos 4.11 (acción preventiva) y 4.14.6 (gestión de riesgo) de la norma en nuestra institución y analizar los números de probabilidad de riesgo (NPR) obtenidos. Materiales y métodos: se tomaron los sectores de Química Clínica y de Inmunoserología como puntos de análisis para realizar la matriz de riesgo. Se buscaron las fallas potenciales de los mismos y se estimó una puntuación para la probabilidad (P), severidad (S) y detectabilidad (D) de ocurrencia del error. Estos valores surgieron de indicadores de calidad y de la experiencia de trabajo de cada sector. Consideramos como criterio de toma de acción NPR ≥ 25. Resultados: en Química Clínica se detectaron, como fallas potenciales o puntos críticos, los interferentes, el funcionamiento de equipos, la falta de interfase para algunas determinaciones, el error humano en la validación, el cálculo de testosterona biodisponible y la liberación de resultados. En Inmunoserología, el proceso manual de las IFI (inmunofluorescencia indirecta), la observación de VDRL-IFI y el ingreso manual de resultados. En todos los casos, los NPR fueron menores que el criterio definido, salvo la liberación de resultados con un NPR = 15 - 45. Conclusiones: en el transcurso del análisis, pudimos destacar procesos críticos dentro de las áreas evaluadas y el impacto potencial en nuestros resultados. 2021 artículo científico 1515-6761 https://www.redalyc.org/articulo.oa?id=65171749002 https://www.redalyc.org/journal/651/65171749002/ https://www.redalyc.org/journal/651/65171749002/html/ https://www.redalyc.org/journal/651/65171749002/65171749002.epub https://www.redalyc.org/journal/651/65171749002/movil es http://www.redalyc.org/revista.oa?id=651 Bioquímica y Patología Clínica application/pdf Asociación Bioquímica Argentina Bioquímica y Patología Clínica (Argentina) Num.1 Vol.85

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
language	"es"
VUFIND_SESSION	"2af33d856ecf489ab740fd7a66a02368"
ui	"standard"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1784610003.7526 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "2af33d856ecf489ab740fd7a66a02368" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1583}
SessionHelper	Laminas\Stdlib\ArrayObject {#1772}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"language=es; VUFIND_SESSION=2af33d856ecf489ab740fd7a66a02368; ui=standard"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.85"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"27235"
REDIRECT_URL	"/Record/redalyc_65171749002/TOC"
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/redalyc_65171749002/TOC"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1784610003.748
REQUEST_TIME	1784610003

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
language	"es"
VUFIND_SESSION	"2af33d856ecf489ab740fd7a66a02368"
ui	"standard"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1784610003.7526 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "2af33d856ecf489ab740fd7a66a02368" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1583}
SessionHelper	Laminas\Stdlib\ArrayObject {#1772}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"language=es; VUFIND_SESSION=2af33d856ecf489ab740fd7a66a02368; ui=standard"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.85"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"27235"
REDIRECT_URL	"/Record/redalyc_65171749002/TOC"
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/redalyc_65171749002/TOC"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1784610003.748
REQUEST_TIME	1784610003

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler

Ejemplares similares

Environment & details:

Environment & details: