BANJA “ILIDŽA”: Razvoj i stalno poboljšanje kvaliteta i sigurnosti u pružanju zdravstvenih usluga

06/12/2019 | objavio Radio Gradačac

Sponzorisani sadržaji

Agencija za kvalitet i akreditaciju u zdravstvu u Federeaciji Bosne i Hercegovine (AKAZ) ove sedmice je provodila vanjsku ocjenu u svrhu re-akreditacije Javne zdravstvene Centar za fizikalnu medicinu, rehabilitaciju i banjsko liječenja Banja „lidža“ u Gradačcu.

Vanjski ocjenjivački tim na čelu sa Almirom Kovačevićem, te članovi Sabaha Dračić, Sanela Čović, Srebrenko Prcić i Nermina Vehabović-Rudež, za zadatak su imali da utvrde trenutno stanje ispunjenosti standarda, te naprave komparaciju sa prethodnom vanjskom ocjenom.

Procesom re-akreditacije JZU Banja „Ilidža“ nastavlja unaprjeđenje propisanih standarda kvaliteta, ali i ispunjava svoju zakonsku obavezu uspostave sistema sigurnosti, odnosno posjedovanja odgovarajućeg certifikata u smislu ugovaranja pružanja zdravstvenih usluga sa kantonalnim zavodom zdravstvenog osiguranja.

Inače certifikacija u suštini podrazumijeva postupak kojim se ocjenjuje i potvrđuje da zdravstvena ustanova zadovoljava unaprijed definisane i objavljene optimalne standarde sigurnosti u procesu pružanja zdravstvene zaštite. Certifikat nakon uspješno sprovedene procedure i postupka izdaje Agencija za kvalitet i akreditaciju u zdravstvu u Federaciji Bosne i Hercegovine (AKAZ).

Podsjećamo Banji “Ilidža” Gradačac je Rješenjem o akreditaciji Upravnog odbora AKAZ-a krajem 2016. godine, dodijeljena je bezuslovna akreditacija sa 94 % ispunjenih akreditacijskih standarda čime je ustanova dobila potvrdu da je na ljestvici visoko pozicioniranih ustanova profesionalnog kvaliteta, a i standarda poslovanja.

Boravak tima komisije vanjskih ocjenjivača AKAZ-a u Banji Ilidži iskoristili smo za razgovor sa vođom tima Almirom Kovačevićem, o provođenju vanjske ocjene, te kriterijima i segmentima poslovanja koji se sagledavaju.

Prema njegovim riječima, prilikom vanjskog ocjenjivanja radi se o bolničkim standardima koji su regulirani od strane Agencije i preko 1200 kriterija koji se unutar pregleda procjenjuju.

– Zato je sam tim sastavljen od većeg broja ocjenjivača, a bilo nas je pet. Osnovni kriteriji i standardi koji se provjeravaju jesu oni koji se odnose na upravljanje i menadžment ustanove, iskustva pacijenata, praćenje organizacije rada organizacionih jedinica, kao i specifične usluge koje se unutar ustanove provode, kaže Kovačević.

Kada je u pitanju značaj certifikata za ustanovu, on ističe da ovaj certifikat doista mnogo znači za ovu ustanovu, jer je prije svega riječ o lječilištu, odnosno o banji koja je možda prva certificirana iz reda ovakvih banjskih lječilišta na teritoriji Federacije BiH. To je dokaz da ova ustanova u fokus stavlja pacijenta i njegove potrebe, odnosno da se prilagođava određenim standardima koji će danas-sutra postati osnovna praksa u svim ustanovama.

Ocjenjivački tim, prema procedurama, nije ovlašten da nakon pregleda daje ocjene, jer to radi Upravni odvor Agencije, ali su, kako saznajemo, utisci članova tima veoma dobri.

– Nismo imali veliko posao, premda smo u ova dva dana pregledali mnoštvo medicinske dokumentacije, pričali i napravili intervju sa mnogo pacijenata i sa osobljem. Prema onome što smo vidjeli, Ustanova je već u ranijem periodu uspostavila jedan nivo kvaliteta, a u ovoj re-akreditaciji smo pratili unaprjeđenje uspostavljenog sistema, odnosno šta je ustanova dodatno unaprijedila u svome radu. Ja sam bio vanjski ocjennivač i vođa tima i prije 3 godine i mogu reći da mi je bilo mnogo lakše učestvovati u ovom vanjskom pregledu, tako da vide se definitivno pomaci u samom lječilištu, što se tiče proširenja kapaciteta, izgradnje novog prostora sa oko 200 kreveta. Došlo je do rekonstrukcije i radova u prostoru 1. sprata gdje se nalaze pacijenti sa poteškoćama u kretanju i proširen je dijapazon usluga, tako da ustanova stremi povećanju i kapaciteta i broja usluga, istče Almir Kovačević.

Kovačević na kraju razgovora navodi da certifikat vrijedi tri godine, a svaka ustanova može dobiti uslovnu ili bezuslovnu akreditaciju, te nakon tri godine mora ponovo proći isti proces u kojem se prati šta se uradilo u odnosu na prethodni period.

Očekuje se da bi do kraja ove godine mogli biti poznati rezultati re-akreditacije, što zavisi od Upravnog odbora Agencije.

Banja „Ilidža“ je prije 3 godine bila među prvim zdravstvenim ustanovama ovog tipa u Federaciji BiH koja je dobila AKAZ certifikat, a svoje zadovoljstvo razvojem i poboljšanju klvaliteta usluga kao i uslova u Ustanovi nije krila ni Umihana Sahačić koordinatorica kvaliteta JZU Centar za fizikalnu medicinu, rehabilitaciju i banjsko liječenja Banja „Ilidža“.

– Sve aktivnosti koje su se provodile u protekle 3 godine, od akreditacije do danas, bazirane su na održavanju postignutog nivoa uz stalno unaprjeđenje sistema kvaliteta i sigurnosti zdravstvenih usluga, po preporukama AKAZ-a i u skladu sa akreditacijskim standardima za bolnice, zakonskim propisima i dobrom medicinskom praksom. Svo osoblje naše ustanove je svojim predanim radom doprinijelo da dobijemo status akreditirane ustanove od Agencije za kvalitet i akreditaciju u zdravstvu u Federaciji BiH. Ovom prilikom se zahvaljujem svom osoblju naše ustanove. Naša popunjenost i zadovoljstvo naših pacijenata najbolje govore o kvalitetu naših usluga. Vanjski ocjenjivači su u ova dva dana utvrdilio nivo postignutog. Uspostava kvaliteta i sigurnosti zdravstvenih usluga je trajan proces i stalno ga treba unaprjeđivati i dograđivati, kazala je Umihana Sahačić, nakon provođenja vanjske ocjene za re-akreditaciju Ustanove.

Prema onome što smo zabilježili, jasno je da će JZU Banja „Ilidža“ u Gradačcu i u narednom periodu biti nosilac daljeg razvoja, ne samo pružanja kvalitetnih medicinskih usluga u segmentu banjskog liječenja i rehabilitacije, nego i u oblasti zdravstvenog, ali i drugih vidova turizma.

Radio Gradačac / Banja “Ilidža” Gradačac

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CustomEvent("pixel",{detail:{type:"click"}}))}}dispatchEvent(e){document.dispatchEvent(new CustomEvent("pixel",{detail:e}))}}var State;!function(e){e[e.Pending=0]="Pending",e[e.Loaded=1]="Loaded",e[e.Failure=2]="Failure",e[e.TimedOut=3]="TimedOut",e[e.Errored=4]="Errored"}(State||(State={}));const CAF_SCRIPT_SRC=`https://www.google.com/adsense/domains/caf.js?${GOOGLE_MV3_URL_PARAMS}`,TIMEOUT_SCRIPTS=Number(GOOGLE_CAF_TIMEOUT_SCRIPTS),TIMEOUT_CALLBACKS=Number(GOOGLE_CAF_TIMEOUT_CALLBACKS);class StateMachine{constructor(){this.state=State.Pending}transitionTo(e){this.state=e}transitionFromPendingTo(e){this.done||(this.state=e)}get loaded(){return this.state===State.Loaded}get timedOut(){return this.state===State.TimedOut}get done(){return this.state!==State.Pending}}class Ads{constructor(e,t){this.state={script:new StateMachine,blocks:new StateMachine},this.blocksLoaded=[],this.injectScriptTags=()=>__awaiter(this,void 0,void 0,(function*(){return new Promise((e=>{const t=document.createElement("script");t.type="text/javascript",t.src=CAF_SCRIPT_SRC,t.addEventListener("load",(()=>e(!0))),t.addEventListener("error",(()=>e(!1))),document.body.appendChild(t),TIMEOUT_SCRIPTS>0&&setTimeout((()=>e(!1)),TIMEOUT_SCRIPTS)}))})),this.onPageLoaded=(e,t)=>{if(this.pageLoaded={requestAccepted:e,status:t},this.state.script.done)return;const n=null==t?void 0:t.error_code;n?(this.state.script.transitionTo(State.Failure),this.failureReason=`caf_pageloaderror_${n}`):this.state.script.transitionTo(State.Loaded)},this.onBlockLoaded=(e,t,n,i)=>{this.blocksLoaded.push({containerName:e,adsLoaded:t,isExperimentVariant:n,callbackOptions:i}),this.state.blocks.done||(t?this.state.blocks.transitionTo(State.Loaded):this.blocksLoaded.length>=this.blocks.length&&(this.state.blocks.transitionTo(State.Failure),this.failureReason=`caf_adloadfail_${e}`))},this.onTimeout=()=>{this.state.script.transitionFromPendingTo(State.TimedOut),this.state.blocks.transitionFromPendingTo(State.TimedOut)},this.blocks=e,this.options=t}get loaded(){return this.state.script.loaded&&!this.blocksLoaded.map((e=>e.adsLoaded)).includes(!1)}waitForBlocks(){return __awaiter(this,void 0,void 0,(function*(){return new Promise((e=>{const t=()=>{const n=performance.now();if(this.state.blocks.done)return this.cafLoadTime=Math.round(n-this.cafStartTime),void e();const i=this.blocksLoaded.map((e=>e.adsLoaded));i.includes(!1)||i.length>=this.blocks.length?e():setTimeout(t,50)};t()}))}))}inject(){return __awaiter(this,void 0,void 0,(function*(){try{const e=yield this.injectScriptTags();return this.cafStartTime=performance.now(),e&&void 0!==window.google?(new window.google.ads.domains.Caf(Object.assign(Object.assign({},this.options),{pageLoadedCallback:this.onPageLoaded,adLoadedCallback:this.onBlockLoaded}),...this.blocks),TIMEOUT_CALLBACKS>0&&setTimeout(this.onTimeout,TIMEOUT_CALLBACKS),yield new Promise((e=>{const t=()=>{this.state.script.done?e():setTimeout(t,10)};t()}))):void this.state.script.transitionTo(State.Failure)}catch(e){return void(this.error=e.toString())}}))}toCallbacks(){return{adLoadedCallback:this.blocksLoaded.slice(-1)[0],pageLoadedCallback:this.pageLoaded,cafTimedOut:this.state.script.timedOut||this.state.blocks.timedOut,cafLoadedMs:this.cafLoadTime,googleAdsFailure:!!this.failureReason}}toContext(){const e={cafScriptWasLoaded:this.state.script.loaded,cafScriptLoadTime:this.cafLoadTime,callbacks:this.toCallbacks};return this.error&&(e.js_error={message:this.error}),this.state.script.loaded||(e.zeroclick={reason:"googleAdsFailure"}),e}mockFailedState(){this.state.blocks.transitionTo(State.Failure),this.state.script.transitionTo(State.Failure)}}class TagManager{constructor(e){this.injected=!1,this.identifier=e}inject(){if(this.injected)return;if(!this.identifier)return;if("TEST"===this.identifier)return;const e=document.createElement("script");e.setAttribute("src",`https://www.googletagmanager.com/gtag/js?id=${this.identifier}`),document.head.appendChild(e),this.track(),this.injected=!0}track(){this.push("js",new Date),this.push("config",this.identifier)}push(e,t){window.dataLayer||(window.dataLayer=[]),window.dataLayer.push(arguments)}}const ADS_PARAM="caf",ADS_TRACKING_URL="_tr",BLOCKS_TYPE="ads",BLOCKS_CONTAINER="rs",KNOWN_CAF_PARAMS=["caf","query","afdToken","pcsa","nb","nm","nx","ny","is","clkt"];class Google{static build({pageOptions:e,preferredLanguage:t,blocks:n,googleAnalytics:i},s,a,o){let r={};e&&(r=Object.assign({},e),r.hl||(r.hl=t));let d=null==e?void 0:e.resultsPageBaseUrl;d||(d=window.location.origin);return new Google(s.uuid,n,r,i,d,o)}constructor(e,t,n,i,s,a){this._blocks=t,this._pageOptions=n,this.uuid=e,this._baseURL=new URL(s),this._signature=a,this.ads=new Ads(this.blocks,this.pageOptions),this.tagManager=new TagManager(i)}injectTagManager(){this.tagManager.inject()}injectAds(){return __awaiter(this,void 0,void 0,(function*(){yield this.ads.inject()}))}waitForBlocks(){return __awaiter(this,void 0,void 0,(function*(){return this.ads.waitForBlocks()}))}get blocks(){return(this._blocks||[]).filter((e=>this.wantsToServeAds?e.type===BLOCKS_TYPE:e.container===BLOCKS_CONTAINER)).map((e=>{const t=this.baseURL;new URLSearchParams(window.location.search).forEach(((e,n)=>{t.searchParams.has(n)||t.searchParams.append(n,e)}));const n=Object.assign({},e);if(n.resultsPageBaseUrl=t.toString(),this.wantsToServeAds){const e=new URLSearchParams;e.append("click","true"),e.append("session",this.uuid);const t=Object.assign({},this._signature);delete t.ad_loaded_callback,delete t.caf_loaded_ms,delete t.caf_timed_out,delete t.flex_rule,delete t.frame,delete t.js_error,delete t.no_ads_redirect,delete t.page_headers,delete t.page_request,delete t.page_loaded_callback,delete t.popup,delete t.screen_resolution,delete t.user_has_ad_blocker,delete t.user_preference,delete t.user_supports_darkmode,delete t.user_using_darkmode,delete t.zeroclick,e.append("signature",encode(t)),n.clicktrackUrl=`${TRACKING_DOMAIN}${ADS_TRACKING_URL}?${e.toString()}`}return n}))}get baseURL(){const e=new URL(this._baseURL.origin);return e.searchParams.append(ADS_PARAM,"1"),this._baseURL.searchParams.forEach(((t,n)=>{e.searchParams.append(n,t)})),e}get pageOptions(){const e=Object.assign({},this._pageOptions);return Object.keys(this._pageOptions).forEach((t=>{t.startsWith("bodis")&&delete e[t]})),e}get cannotLoadAds(){return!this.ads.loaded}get wantsToServeAds(){return new URLSearchParams(window.location.search).has(ADS_PARAM)}get adsMode(){return this.ads.loaded&&this.wantsToServeAds}get adsReady(){return this.wantsToServeAds&&!this.cannotLoadAds}get noAdsRedirectUrl(){const e=new URLSearchParams(window.location.search);return KNOWN_CAF_PARAMS.forEach((t=>e.delete(t))),`${window.location.origin}?${e.toString()}`}get callbacks(){return this.ads.toCallbacks()}toContext(){return Object.assign({blocks:this.blocks,pageOptions:this.pageOptions},this.ads.toContext())}}class CookieConsentManager{constructor(){this.injectScriptTag=()=>__awaiter(this,void 0,void 0,(function*(){return new Promise((e=>{const t=document.createElement("script");t.setAttribute("src",COOKIE_CONSENT_JS_URL),t.addEventListener("load",(()=>this.awaitConsent(e))),t.addEventListener("error",(()=>e(!1))),document.head.appendChild(t)}))}))}inject(){return __awaiter(this,void 0,void 0,(function*(){this.injected||!COOKIE_CONSENT_JS_URL||isLocal()||(this.injected=yield this.injectScriptTag())}))}awaitConsent(e){let t=0;const n=setInterval((()=>{t+=1,20===t&&(clearInterval(n),e(!0)),void 0!==window.__tcfapi&&(window.addEventListener("ConsentActivity",(t=>{const{detail:{status:n}}=t;n&&e(!0)})),clearInterval(n))}),50)}}class App{main(){var e,t;return __awaiter(this,void 0,void 0,(function*(){if(this.parkResponse=decode(),this.findDomainResponse=yield getFindDomain(),!this.findDomainResponse)throw new Error("Domain failed to load.");this.pixels=Pixels.build(this.findDomainResponse),null===(e=this.pixels)||void 0===e||e.listenForEvents(),this.adblock=new Adblock,yield this.adblock.inject(),this.google=Google.build(this.findDomainResponse,this.parkResponse,this.adblock,buildSignature({context:this.context,callbacks:null===(t=this.google)||void 0===t?void 0:t.callbacks},"click")),this.google.injectTagManager();const n=Parking.build(this.findDomainResponse,this.google);Render.prerender(n),this.cookieConsentManager=new CookieConsentManager,yield this.cookieConsentManager.inject();let i=Failed.cannotPark(this.findDomainResponse);if(i)return void(yield this.transitionToFailed(i,n));yield this.google.injectAds();let s=Disabled.build(this.findDomainResponse,this.adblock.state);if(s)return void(yield this.transitionToDisabled(s,n));const a=this.adblock.hasAdblocker();a&&this.adblock.handleAdblocked();const o=Sales.build(this.findDomainResponse);if(o)return void(yield this.transitionToSales(o));this.eligibleForZeroClick&&(this.zeroClickResponse=yield getZeroClick(this.context));const r=Redirect.build(this.findDomainResponse,this.zeroClickResponse,this.google);if(r)yield this.transitionToRedirect(r);else{if(a)return s=Disabled.build(this.findDomainResponse,this.adblock.state),void(yield this.transitionToDisabled(s,n));i=Failed.noSponsors(this.google),i?yield this.transitionToFailed(i,n):yield this.transitionToParking(n)}}))}transitionToParking(e){return __awaiter(this,void 0,void 0,(function*(){this.state=e,Render.template(e),Render.revealPage(),yield this.google.waitForBlocks(),yield this.track()}))}transitionToRedirect(e){return __awaiter(this,void 0,void 0,(function*(){this.state=e;const t=this.track();Render.revealPage(),yield waiter(e.delay,(e=>Render.loading(e))),yield t,window.location.href=e.url,log(`➡ Redirecting [${e.url}]`)}))}transitionToFailed(e,t){return __awaiter(this,void 0,void 0,(function*(){this.state=e,Render.message(e.message),Render.injectJS(t.javascript),Render.revealPage(),yield this.track()}))}transitionToSales(e){return __awaiter(this,void 0,void 0,(function*(){this.state=e,e.init(this.context),yield this.track()}))}transitionToDisabled(e,t){return __awaiter(this,void 0,void 0,(function*(){this.state=e,Render.message(e.message),Render.injectJS(t.javascript),Render.revealPage(),yield this.track()}))}track(){var e;return __awaiter(this,void 0,void 0,(function*(){if(!this.state.track)return Promise.resolve();try{const t=this.state.trackingType;return null===(e=this.pixels)||void 0===e||e.dispatchEvent({type:t}),trackVisit({context:this.context,callbacks:this.google.callbacks},t)}catch(e){return}}))}get eligibleForZeroClick(){const{cannotPark:e,canZeroClick:t,zeroClick:n}=this.findDomainResponse,{cannotLoadAds:i,wantsToServeAds:s}=this.google;return this.adblock.state!==Blocking.BLOCKED&&(!!t&&(!!e||(!(!i||s)||!!(null==n?void 0:n.reason))))}get context(){var e,t,n,i;const s=this.findDomainResponse,a=this.parkResponse,o=null===(e=this.state)||void 0===e?void 0:e.toContext(),r=null===(t=this.adblock)||void 0===t?void 0:t.toContext(),d=null===(n=this.google)||void 0===n?void 0:n.toContext(),c=browserState(),l=Object.assign(Object.assign({},null===(i=this.findDomainResponse)||void 0===i?void 0:i.zeroClick),this.zeroClickResponse);return Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign(Object.assign({app_version:APP_VERSION},s),a),r),d),o),c),{zeroClick:l})}init(){return __awaiter(this,void 0,void 0,(function*(){try{window.__parkour=this,yield this.main()}catch(e){console.error("app",e);const t=Failed.fromError(e);this.state=t,Render.message(t.message),Render.revealPage()}}))}}(new App).init(),exports.App=App}));

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