Evaluación de la eficiencia en las salas de cirugía de un hospital de segundo nivel del Instituto Ecuatoriano de Seguridad Social en Guayaquil.

Abstract

To improve production processes, it is necessary to be efficient with the factors of production of services. The purpose of this research was to evaluate the efficiency in the operating rooms of a level II hospital of the IESS-Guayaquil, during the first semester of 2019. The research is quantitative: descriptive, retrospective, not experimental, which I use the variables: performance, suspended surgeries, delay in the start of surgery, degree of use of human talent. Regarding the results: From January - June 2019, ten operating rooms for elective surgery, 93% available days and one emergency operating room. 5595 elective surgeries and 2284 emergency surgeries were performed. The time used in elective surgeries, 7 to 15 hours, 72.40% and 15 .20 hours 45.86%, rate of suspension of scheduled surgeries 4.63%. The remnant of surgeries was 15%. The use of human talent fluctuated between 20% to more than 90% according to the occupational category. The proposal is to implement an automated and standardized computer system for the registration of information. It is concluded that the level of efficiency is influenced by production that causes the underutilization of resources and there are deficiencies in the information system.