Optimización de los recursos financieros en la Unidad de Cuidados Intensivos mediante la implementación de ecografía clínica (POCUS): una estrategia de gestión eficiente en salud
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Fecha
2025
Autores
Rojas Gamez, Raúl Eduardo
Bello Rosales, Luis Daniel
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Ediciones Universidad Simón Bolívar
Facultad de Administración y Negocios
Facultad de Administración y Negocios
Resumen
En las UCI, los estudios imagenológicos de alto costo como TAC, radiografías
seriadas o ecocardiogramas consumen gran parte del presupuesto y pueden
generar retrasos diagnósticos, riesgos en traslados y dependencia de servicios
externos. La ecografía clínica o POCUS se presenta como una alternativa rápida,
segura y costo-efectiva, al poder realizarse al pie de la cama por el mismo equipo
tratante. Estudios internacionales reportan reducciones del 30-40% en costos de
imagenología y cerca del 20% en la estancia hospitalaria tras su implementación.
Este trabajo analiza el impacto de POCUS desde una perspectiva clínica,
administrativa y financiera, resaltando su capacidad para optimizar recursos, acortar
tiempos diagnósticos, fortalecer la autonomía médica y mejorar la calidad
asistencial. Asimismo, propone un protocolo de uso sistemático en UCI que integre
criterios clínicos, económicos y de sostenibilidad.
In Intensive Care Units (ICUs), high-cost imaging studies such as CT scans, serial X-rays, and formal echocardiograms consume a significant portion of the budget and may lead to diagnostic delays, risks during patient transfers, and dependence on external services. Point-of-Care Ultrasound (POCUS) emerges as a rapid, safe, and cost-effective alternative, as it can be performed at the bedside by the treating team. International studies have reported reductions of 30–40% in imaging costs and nearly 20% in hospital length of stay following its implementation. This work analyzes the impact of POCUS from clinical, administrative, and financial perspectives, highlighting its ability to optimize resources, shorten diagnostic times, strengthen medical autonomy, and improve quality of care. Furthermore, it proposes a systematic ICU protocol that integrates clinical, economic, and sustainability criteria
In Intensive Care Units (ICUs), high-cost imaging studies such as CT scans, serial X-rays, and formal echocardiograms consume a significant portion of the budget and may lead to diagnostic delays, risks during patient transfers, and dependence on external services. Point-of-Care Ultrasound (POCUS) emerges as a rapid, safe, and cost-effective alternative, as it can be performed at the bedside by the treating team. International studies have reported reductions of 30–40% in imaging costs and nearly 20% in hospital length of stay following its implementation. This work analyzes the impact of POCUS from clinical, administrative, and financial perspectives, highlighting its ability to optimize resources, shorten diagnostic times, strengthen medical autonomy, and improve quality of care. Furthermore, it proposes a systematic ICU protocol that integrates clinical, economic, and sustainability criteria
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Palabras clave
POCUS, UCI, Costo-efectividad, Optimización de recursos, Calidad asistencial, Sostenibilidad en salud
