[Nursing service certification. Norm UNE-EN-ISO 9001-2008]

Area of Science:

• Healthcare Management
• Nursing Quality Improvement
• Patient Safety

Background:

• Nursing services require robust quality management systems for optimal patient outcomes.
• Adherence to international standards ensures consistent and high-quality care delivery.
• Continuous improvement processes are essential for adapting and enhancing healthcare services.

Purpose of the Study:

• To certify nursing services using an international quality management system.
• To establish a framework for continuous improvement in nursing care.
• To enhance patient safety and care quality through standardized procedures.

Main Methods:

• Revised an international standard and updated Quality Management System documentation, including a Quality Manual and control procedures.
• Coded operational procedures and associated them with indicators for monitoring and improvement.
• Integrated standardized nursing terminologies like North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC).

Main Results:

• Successfully implemented a quality management system incorporating 28 care and 11 technical procedures.
• Established 30 indicators for process monitoring, achieving low incidence of falls and chronic skin wounds.
• Demonstrated high compliance with safety indicators (90% patient identification, 100% hygiene protocol) and high nurse confidence (91%).

Conclusions:

• Certification improved nursing service quality through a structured, data-driven process.
• Continuous analysis of results and addressing non-conformities led to significant service enhancements.
• The implemented system provides a foundation for ongoing quality assurance and patient safety initiatives.