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
| datacite.rights | http://purl.org/coar/access_right/c_f1cf | |
| dc.contributor.advisor | Rodríguez López, Jorge Rafael | |
| dc.contributor.advisor | Acosa Villa, Carlos Manuel | |
| dc.contributor.author | Rojas Gamez, Raúl Eduardo | |
| dc.contributor.author | Bello Rosales, Luis Daniel | |
| dc.date.accessioned | 2025-09-16T16:25:14Z | |
| dc.date.available | 2025-09-16T16:25:14Z | |
| dc.date.issued | 2025 | |
| dc.description.abstract | 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. | spa |
| dc.description.abstract | 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 | eng |
| dc.format.mimetype | ||
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/16929 | |
| dc.language.iso | spa | |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Administración y Negocios | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | eng |
| dc.rights.accessrights | info:eu-repo/semantics/embargoedAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | POCUS | spa |
| dc.subject | UCI | spa |
| dc.subject | Costo-efectividad | spa |
| dc.subject | Optimización de recursos | spa |
| dc.subject | Calidad asistencial | spa |
| dc.subject | Sostenibilidad en salud | spa |
| dc.subject.keywords | POCUS; ICU; cost-effectiveness; resource optimization; quality of care; healthcare sustainability. | eng |
| dc.subject.keywords | ICU | eng |
| dc.subject.keywords | Cost-effectiveness | eng |
| dc.subject.keywords | Resource optimization | eng |
| dc.subject.keywords | Quality of care | eng |
| dc.subject.keywords | Healthcare sustainability | eng |
| dc.title | 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 | spa |
| dc.type.driver | info:eu-repo/semantics/other | |
| dc.type.spa | Otros | |
| dcterms.references | Van Schaik GWW, Van Schaik KD, Murphy MC. Point-of-care ultrasonography ( (POCUS) in a community emergency department: an analysis of decision making and cost savings associated with POCUS. Journal of Ultrasound in Medicine. 2019;38(8):2133- 2140. https://pubmed.ncbi.nlm.nih.gov/30593670/. | eng |
| dcterms.references | Jones T, Leng P. Clinical impact of point of care ultrasound (POCUS) consult service in a teaching hospital: effect on diagnoses and cost savings. Chest. 2016;149(4s):A236. https://journal.chestnet.org/article/S0012- 3692(16)00863-1/fulltext. | eng |
| dcterms.references | Rusiecki D, Douglas SL, Bell C. Point-of-care ultrasound use and monetary outcomes in a single-yayer health care setting. Journal of Ultrasound in Medicine. 2021;40(9):1803- 1809. https://onlinelibrary.wiley.com/doi/10.1002/jum.15560. | eng |
| dcterms.references | Lentz B, Fong T, Rhyne R, Risko N. A systematic review of the cost-effectiveness of ultrasound in emergency care settings. Ultrasound Journal. 2021;13(1):16. https://theultrasoundjournal.springeropen.com/articles/10.1186/s13089-021- 00216-8. | eng |
| dcterms.references | Herrero C, Colon Y, Nagapurkar A, Castañeda P. Point-of-care ultrasound reduces visit time and cost of care for infants with developmental dysplasia of the hip. Indian Journal of Orthopaedics. 2021;55(6):1-6. https://link.springer.com/article/10.1007/s43465-021-00541- z. | eng |
| dcterms.references | Kruse KK, Dilisio MF, Wang WL, Schmidt CC. Do we really need to order magnetic resonance imaging? Shoulder surgeon ultrasound practice patterns and beliefs. JSES Open Access. 2019;3(2):93-98. Published 2019 Apr 26. doi:10.1016/j.jses.2019.01.004. | eng |
| dcterms.references | Asmar Soto S. Los costos de operación de una cama UCI en Colombia van desde $1,5 millones al día. La República. 25 May 2021. | spa |
| dcterms.references | Ministerio de Salud y Protección Social. Se define valores de referencia a pagar por servicios UCI de COVID-19 [boletín de prensa]. Bogotá (Colombia): Ministerio de Salud y Protección Social; 18 jun 2020. Disponible en: Ministerio de Salud y Protección Social. | spa |
| dcterms.references | Stephens, K. F. (2025, 22 de enero). Rutgers Study Finds POCUS Reduces Hospital Stays and Costs. Axis Imaging News. Recuperado de Axis Imaging News | eng |
| dcterms.references | Oks M, Cohen R, Koenig S, Narasimhan M. The use of point of care ultrasound in the medical intensive care unit reduces healthcare cost and patient radiation exposure. Chest. 2013 Oct;144(4_MeetingAbstracts):542A. doi:10.1378/chest.1704776. | eng |
| dcterms.references | Tierney D, Sipsey L, Miner R, Hanson K, Smith C, Rosborough T. Impact of internal medicine point-of-care ultrasound on length of stay, costs, and formal imaging: A propensityscore matched prospective cohort study. Abstract presented at: SHM Converge 2022; 2022 Apr; Nashville, TN. Society of Hospital Medicine | eng |
| oaire.version | info:eu-repo/semantics/acceptedVersion | |
| sb.investigacion | Sistemas de gestión para el desempeño organizacional | spa |
| sb.programa | Especialización en Gestión Administrativa y Financiera en Salud | spa |
| sb.sede | Sede Barranquilla | spa |
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