SWOT ANALYSIS OF THE EMERGENCY

SERVICE

ANA
LYSIS INTERNAL
STRENGTHS (F) WEAKNESSES (D)
1. Teamwork 1. Physical area
2. Staff disposition 2. Staff training
3. Teamwork organization 3. Lack of training
4. Puntuality 4. Insufficient consumables
5. Medical personnel specialized in 5. Unexcused absenteeism
the area 6. Communication barriers
6. electro medical equipment

AN
ALYSIS
OPPORTUNITIES (O)
1. Continuous training
2. Personal incentive program
3. Exchange and training agreement
with different institutions.
4. Creation of action programs
EXTERNAL
THREATS (A)
1. Staff with different academic
preparation
2. Communication problems that
impact the work environment
3. Lack of commitment from staff
4. Excused absenteeism
5. Lack of knowledge of the
procedures to be carried out in the
area.

SWOT MATRIX
1. Seek training and certification of personnel regarding patient care in
emergencies, for example BLS, ACLS, ATLS, Red Car Driving.
2. Seek exchanges with institutions in charge of emergencies for the training of
personnel, for example (Hospital Civil de Guadalajara Viejo9 since in this institution
triage is managed completely by nursing staff.
3. Creation of a rapid response team (blue team) with the intention of
improving the performance of nursing staff in a patient in cardiorespiratory arrest.
4. Encourage nursing staff to become professional.
5. Support to nursing staff for their specialization.
6. Conferences regarding management and work-related problems and stress
for emergency department personnel.
7. When absenteeism occurs, send trained personnel to manage said area.
8. Update and improve the procedure manual and ensure that the nursing staff
is aware of it.
9. Improve conditioning of the physical emergency area since there is no
adequate area for the management of first-contact patients as well as the healing
and injection area.
10. Correct management of consumer inputs for proper use.

SWOT ANALYSIS OF THE OPERATING ROOM

SERVICE
INTERNAL ANALISIS STRENGTHS WEAKNESSES
 Statistical records  Reluctance to
 of all patients constantly train
treated.
 Correct  Refuses to perform
identification of procedures with new
patients. innovative
 Development of the techniques
Safe Surgery
strategy.  Surgical deferral.
 Development of
projects for  Lack of teamwork.
improvement in
Nursing.  Saturation of
 Efficiency in the programming per
tasks assigned operating room.
 Adequate physical
plant to meet the  Lack of coordination
demand of patients in staff.
in the operating
room.  Poor Interpersonal
 Equipment Communication.
according to
standard.
 There is an
Organization
Manual and
procedures.
 Nursing staff and
students are
available and take
advantage of the
resources and time
to do the
procedures.
 Use of the
ANALYSIS Electronic Medical
Record.
EXTERNAL  Accredited Hospital
for Catastrophic
Expenses.
 There are minimal
and necessary
supplies for hospital
surgical pathology.

THREATS FA GIVES
 Increase in demand.  Maintain the offer of  Take advantage of
 Non-sensitized substitute services and the technological
personnel, sent by the specialties for the and physical
State Selection benefit of the resources available
Department. population as well in the HGZ and
 Increase in Seguro as take advantage restructure the
Popular affiliates. of the hospital thematic contents,
 Decrease in hospital infrastructure to making them
budget contemplate the attractive to the
 Threat of new viruses and inclusion of new staff and thus
diseases specialties and preserve the
 Constant change of work services. incentives provided
team to the workers.
 Disinterest of senior
nursing staff in
training/education.
OPPORTUNITIES FO DO
 Constant training  Promote a culture  Carry out a
of continuous diagnosis of
 Access to hospital improvement personal and
resources projects for institutional training
participation in needs, to be able to
 Quality stimuli to motivate quality stimuli and carry out training
staff and improve care motivate and based on the
incentivize nursing diagnosis,
 Quality in technical and staff structuring the
material resources.  Contribute to the thematic contents to
improvement of capture the attention
organization and of the nursing staff.
procedure manuals
to improve the
quality of technical
resources.

SWOT ANALYSIS OF THE HOSPITALIZATION

SERVICE
 INTERNAL DIAGNOSIS
STRENGTHS
1. Experience in the hospital care area
2. Highly complex patient care
3. Technology compatible equipment
4. Adequate physical plant to meet the
demand for services.
5. Assume responsibilities.
6. Promote changes in work
organization.
7. Meet the needs of the patient.
8. Staff who work have ethical
principles and vocation-
9. Nursing staff is available and takes
advantage of the time resource to
carry out the processes.
10. Sufficient supplies.
11. Daily productivity log.
12. Delivery and reception of health
status in each shift.
13. Nursing care 24 hours a day.
14. Decision making.
EXTERNAL ANALYSIS
OPPORTUNITIES
1. Encourage teamwork.
2. Solve problems and make decisions
that promote patient care
3. Promote changes in the organization of
the service.
WEAKNESSES
1. Possibly unstable work
environment.
2. Carrying out processes at the
wrong time
3. Some nurses in the services do
not inform the patient or family
member about what is being
administered or the care that is
being provided to them.
4. Waiting times to execute medical
instructions.
5. Lack of controlled medications
6. Lack of complete equipment for
personalized care for patients
(e.g. lack of more monitors)
7. Deficiency and lack of material in
the different services.
8. Shortage of clean clothes.
9. Reduced area for the preparation
of medications.
10. Lack of staff for infusion therapy.
11. Insufficient staff for work demand
THREATS
1. resistance to change,
2. Individual interests.
3. Absenteeism of permanent
staff, substitutes.
4. Prolonged hospital stay
 4. Interaction with Urge Quirófano 5. Areas with lack of ventilation
services. (isolated)
5. Pharmacy and warehouse provide 6. Workload
consumer materials. 7. Process times
6. Laundry meets the demand for clothing. 8. Negative attitude from staff
7. Make appropriate records and notes on 9. Lack of resource leak control
the nursing sheet.
8. Integrate the nursing sheets into the file.
9. Provide comfortable and hygienic care
to patients
SWOT ANALYSIS OF THE PEDIATRICS SERVICE

INTERNAL ANALISIS STRENGTHS WEAKNESSES

 Little commitment to
 Complete and the inspection and
sufficient nursing maintenance of the
staff. emergency car
 Daily supervision  Loss of input material
formats and in each and support
shift established by equipment,
Headquarters.  The nursing
 Experience of professional has little
operational staff in or no interest in
the area of care in nursing indicators.
pediatric patients  The nursing
 Personnel with high professional shows
resolution capacity in little or no interest in
various tasks continuous training.
 Tendency towards  Deficient management
horizontal of biological-infectious
management of waste.
human talent.  Activities of nursing
 Sufficient ability to professionals that are
direct and teach by routine and lack
the floor manager. reflection.
 Adequate  Little accepted and
infrastructure distorted image of the
 Equipment nursing professional.
compatible with  Negative attitudes
technology. towards accreditation
processes.
 Little or little existence
of nursing notes
 No existence of
culture regarding
EXTERNAL ANALYSIS
THREATS FA GIVES
 Decrease in the  Promote teamwork  Update to the staff of
federal budget for the among the Pediatric the Pediatrics service
health sector. service staff to satisfy on the correct
 Budget cuts for hiring the demand for management of
temporary nursing attention to client Infectious Biological-
staff (professional needs. Pathological Waste.
and non-professional)  Implementation of the  Application of the
 Establishment of culture of care and quarterly Institutional
health standards rational use of all Regulations to
(Non. ecological) equipment and evaluate the nursing
 Increase in the materials, as well as staff and implement
culture of demand in the physical structure recognition for the
society today of the department staff that obtains the
and the organization. highest score during
 Implementation of the that quarter.
new Nursing sheet
and training of clinical
guidelines.
 The floor manager
must balance
workloads.

OPPORTUNITIES FO DO
 Measurement  Conducting surveys  Establish lines of
instruments regulated by to evaluate job action with the
the Institution on performance and purpose of improving
evaluation of work detect training needs, the processes of the
performance, user analyzing them first level manager,
satisfaction and detection allows the floor towards the
of training needs. manager to develop recognition of the work
 Program: National strategies and performance of
Crusade for Continuous implement actions to operational personnel
Improvement . satisfy the demands considering the
of the internal user current national
(operational staff). program of continuous
improvement in health
services.
ANALYSIS

The nursing professional does not make nursing notes, he carries out procedures and
activities only following instructions, which is why they appear to lack reflection. The cause
may perhaps be excessive work and lack of balance in workloads, apart from the fact that
there is no updating among the staff, since there are those who have not been
commissioned for courses for several years, fewer attend on their own initiative. .

There really is commitment of the staff to their job, the only thing left is to implement a
strategy in which they are continuously trained and of course all staff are taken into
account regardless of the type of hiring.

The floor manager is an important part when establishing this strategy since, as he is the
person in charge of ensuring that the service flows correctly, he is the one who will assign
the personnel according to observation.

STRATEGIES:
• Implement a MANDATORY induction course for new nursing staff, as well
as the evaluation of knowledge, since this will evaluate the weaknesses and
strengths they have.

• If it is the case of an Annual role change, they will be trained for a week in
the new service, this will help the staff not to feel strange and/or disoriented during
the adaptation process.
• Manage that there is an exclusive Committee for the implementation of the
new sheet and the New Nursing Care Model and management of clinical
guidelines.

 And that it is dedicated exclusively to Training, Supervision, Monitoring and

Individual Consulting.
• Implementation of a course to be able to apply the new Nursing Care model
to all nursing staff, since this is a systematic and organized method to administer
nursing care. It will be the basis for reducing routine nursing activities that lack
reflection.

• Supervision, monitoring and individual advice of the New Model of Care

Committee for staff on the application of the Clinical Guides after the course has
been taught, to clear up doubts that have remained unresolved during the course.

• The floor managers must carry out a Situational Diagnosis every year at the
beginning of the role and based on this the necessary training will be given.

• They must carry out an annual role of activities and assignment of functions
within the service, in which they will rotate each month.

• Conduct a survey among nursing staff to detect REAL training needs.

• Carry out mandatory training on quality indicators and the eight essential
actions. Which will be included in the evaluation

• Analysis of the results produced by the quality indicators and implement

improvement actions. Apply twice a month, until the results are positive.

• Application of the monthly Institutional Regulations to evaluate the nursing

staff and implement recognition for the staff who obtain the highest score during
that month, manage the installation of a roll of honor at the entrance of the
Hospital, so that their work is recognized by both internal clients as external and,
thus, continue to perform its activities better and better, this will stimulate the rest
of the staff.

• There will also be feedback to personnel who do not respect the guidelines
and ignore the instructions during the supervisions, if the behavior does not
change, they will be sent to take the training and if they do not change habits and
customs, the sanction measures will be applied. set the general conditions for
health workers.

• The floor manager will have the obligation to balance the workloads of the
nursing staff under his/her charge, ensuring that the staff feels supported and
encouraged to perform their activities better, and the patients will receive quality
nursing care.

• Resume the biweekly sessions taught by the floor managers and

supervisors on duty, after eating food for half an hour in the hospital classroom,
committing the staff to attend. It will have a high value in the quarterly evaluation.

SWOT ANALYSIS OF THE CEyE SERVICE

Nursing Service = Human Capital

Strengths Weaknesses
There are sufficient personnel Lack of knowledge and lack of interest
according to indicators to carry out in the service.
the functions by processes.
Incidents with inexperienced
Staff are encouraged to improve personnel to carry out sterilization
sterilization practices. processes are covered.

Staff who like the service. Little or no interest in supervision to

achieve the training of operational
Staff are motivated by celebrating personnel new to the service.
Internal analisis

their birthday.
There is no execution and supervision
in the establishment of an internal role
of functions by processes to work in
each area, without cross activities
being carried out that endanger the
sterility of the processed material.
Opportunities Threats
Encourage staff to improve Cutbacks in nursing staff at the state
sterilization practices through level, which translates into a shortage
continuous training in hospital of human resources to achieve the
sterilization and disinfection training of operatives, since there is
processes, in different teaching not enough staff within the workforce
External analysis

forums at the state and national to cover incidents.

level.

Invite eligible staff to participate in

the federal quality stimulus.

Have staff who like the service.

Service = Physical Area
Strengths
There is an ideal unidirectional
physical structure and well-defined
areas to carry out the Zinner circle
(sterile product cycle) properly, to
achieve a sterile product.
Thermo-Disinfector Washer
Internal analisis
Ultrasonic washer.
It has ideal environmental
conditions for storing the material,
which guarantees that the products
remain sterile.
Opportunities
The management commitment of
the nursing leadership so that the
processes are carried out correctly,
respecting the distribution of the
External analysis
CEyE areas and optimization of
resources.
Weaknesses
Constant breakdown of autoclaves,
since the preventive maintenance
schedule is not carried out.
There is no optimization of the
“sterrad” sterilizer, so sterilizing agent
cartridges constantly expire.
Threats
The authorities do not give importance
to the provision of supplies for the
operation of the thermo-disinfector
washer.
No interest from the administration in
providing supplies for the correct
filtration of hard water and thus avoid
breakdowns in the autoclaves and
damage to surgical instruments.
Material Resource

Strengths Weaknesses
Have the necessary material to There is no control of healing material,
carry out monitoring of the consumption and surgical clothing,
sterilization process (chemical and which is why it is requested in excess.
biological indicators).
Functional tests of the instruments are
The provision of material and not carried out, so those that are
equipment to hospitalization, damaged are not replaced in a timely
outpatient surgery and operating manner.
room services is provided in a
timely manner and in the requested The surgical sets (trays) are not
quantities. standardized.

There is control (records) of There is not enough equipment for

Internal analisis

processed material. trauma and orthopedic surgical

procedures.
The computerized recording of
critical parameters in the
sterilization process is carried out
both in the autoclaves and in the
sterrad system.
Opportunities Threats
Provision in time and manner of No effective communication and
healing and consumption material. requisition procedures with the central
office and hospital administration.

Little and prolonged management by

External analysis

fixed asset personnel in the

acquisition of surgical instruments.

External suppliers of osteosynthesis

equipment and material that do not
guarantee the correct cleaning of their
instruments.
FO Strategies:

Optimize human resources through the correct distribution of functions by areas

and processes, based on continuous training, stimulation and motivation through
verbal and written congratulations when a member of the team carries out an
activity worthy of being recognized for the best job performance.

Request high-commitment management intervention from the nursing

leadership to put the thermo-disinfect and ultrasonic washing machines into
operation, as well as supervise the proper functioning of the areas so that the
sterile cycle is carried out.

Maintain the method of distribution of sterile material to the internal user in a

timely manner, maintain control of the sterilization process through traceability of
the sterile product (critical parameters, chemical and biological indicators).

DO Strategies:

Involve and raise awareness among supervisors and middle managers of

the importance of CEyE and its processes for the safety of care provided mainly to
surgical patients, in such a way that training and encouragement of staff is
prioritized.

Request the intervention of the nursing leadership in the management of

rehiring companies that are experts in preventive and corrective maintenance of
autoclaves and the sterrad system, for their correct functioning and optimization of
material resources.

Design technical-administrative tools to control the material resource

through a minimum and maximum stock, request from the pharmacy and clothing
warehouse only what is required in the service to guarantee correct supply and
distribution of healing and consumption material, as well as such as the
management of osteosynthesis equipment (drillers), maintenance and replacement
of instruments, correct identification of products and the standardization of surgical
sets.

FA Strategies:

Stimulate and constantly recognize the staff by the floor manager,

supervisors and nursing management, to create commitment and awareness of the
staff shortage to cover incidents, in such a way that absenteeism is minimal and,
on the contrary, there is interest in the process improvement.

Carry out a cost-benefit study that demonstrates to hospital administrators

the importance and impact that the operation of washing machines has on the
cleaning process of surgical instruments.

Maintain the high level of guarantee that the CEyE has in the process of its
products, it is very important to involve central and hospital level authorities in
managing the acquisition of osteosynthesis equipment and surgical instruments for
the standardization of sets and replacement, in such a way that the patient's
exposure to items of questionable quality from external suppliers is as little as
possible.
 SWOT ANALYSIS OF NURSING HEAD
INTERNAL STRENGTHS WEAKNESSES
ANALISIS  lack of improvement
 Complete nursing projects for
staff. management.
 Daily supervision  Lack of a quality
formats and in each management
shift established by system.
Headquarters.  Inadequate
 Personnel with a communication
specialty in channels.
management.  Lack of procedures
 Personnel with high manual.
resolution capacity in 
various tasks.
 Trend towards human
talent management.
 Sufficient ability to
direct and teach.
 Adequate
infrastructure
 Equipment
compatible with
technology.
 Nursing positioning.
 Personnel with
experience in
supervision.
 Positive attitudes
towards accreditation
processes.
 Adaptation of
personnel to change
EXTERNAL ANALYSIS processes.

THREATS FA GIVES
 Decrease in the federal  Preparation of  Creation of
budget for the health administrative folder, administrative folder
sector. organization manuals and organization
 Budget cuts for hiring and all those manuals to identify
temporary nursing staff instruments that help each of the functions
(professional and non- implement the to be performed by
professional) administrative the nursing staff in
 Increase in the culture process in the charge of said
of demand in society headquarters. department as well
today.  Implementation of the as establish effective
 High absenteeism rate. new Nursing sheet lines of
and training of clinical communication with
 practice guidelines. nursing
headquarters to
 Minimize the unify criteria
demands established
by users with the
continuous training of
nursing staff,
especially new
entrants, in the face
of advances in
knowledge and new
medical technologies.
OPPORTUNITIES FO DO
 Measurement instruments  Carry out surveys to  Create evaluation
for evaluation of job evaluate job instruments for job
performance, user performance and performance for
satisfaction and detection of detect training needs. supervisors, service
training needs.  Create a culture of heads and
 Program: National Crusade leadership in operatives for
for Continuous supervisors and continuous
Improvement. service managers. improvement.
 Strengthening and growth of  Improve
teamwork. communication
 Learn new technologies. channels to
 Opportunity to participate in strengthen the work
new projects. team.
 Institutional support.  Create procedure
manuals and
propose them as
improvement
projects.
 UCI SWOT ANALYSIS
ANAL
YSIS
STRENGTHS (F)
1. There are intensive care
specialist nursing staff on all
shifts.
2. There is sufficient nursing staff
to operate the service.
3. There are high-tech electro-
medical devices.
4. There is a sufficient number of
beds to care for all patients who
meet the admission criteria.
5. The process actions are well
identified, therefore, it is not
difficult to document them.
6. The main causes of Morbidity
and Mortality are identified.
7. There are rooms for isolated
people.
8. The service has a nurse with
the code of floor manager who
carries out these functions.
INTERNAL
WEAKNESSES (D)
1. The evening shift does not have
specialist intensive care personnel.
2. Lack of furniture and equipment to
provide specialized care.
3. Procedure manuals require the
integration of another procedure.
4. There is no protocolization of
procedures.
5. There is no in-service training
program.
6. There is no schedule for review
and replacement of furniture and
equipment by the maintenance and
biomedical area.
7. There is no preventive
maintenance program for electro-
medical devices.
8. Sink in poor condition.
9. Lack of control in the use of the
area's own uniform.
10. Poor structural conditions.
11. The Analysis, Measurement and
Improvement Processes are not
organized as Processes and
therefore
12. both are not documented.
13. There are continuous outbreaks of
infection with acinetobacter
baumannii.
14. Patients do not move frequently.
15. Lack of training for nursing staff in
procedures and handling of electro-
medical devices
16. Lack of space, material and
medicine necessary to provide
quality care.
17. Little incentive for clinical research.
18. Scarcity of resources.
19. There is no definition of age range

AN
ALYSIS
OPPORTUNITIES (O)
1. Desire for training on the part of
nursing staff.
2. With all its limitations and
weaknesses, it meets the
objectives of ensuring health care
for people with limited resources
and the general public.
3. Positive attitudes and behaviors of
the nursing professional towards
family members, so that they allow
the emergence of a warm attitude,
respect, understanding and
empathy.
4. It is considered an excellent clinical
field for nursing students.
5. Being a general therapy, there is a
wide range of conditions, so a wide
field of knowledge and clinical
cases are acquired for research.
A
NALYSIS
STRENGTHS (F)
1.- Sufficient personnel to provide
customer service according to indicators.
2.- Trained professional staff
3.- Experience in human resource
management.
4.- Nursing interns at TM
5.- There is a statistical service for
managing External Consultation
for patient care, with pediatric and
adult patients being hospitalized.
20. The workload is not balanced in all
shifts, with the morning shift having
the greatest amount of work.
EXTERNAL
THREATS (A)
1. Inadequate interpersonal
relationships between nursing staff
when forming work groups.
2. Dispersion in the provision of
nursing care due to not having
procedural protocols.
3. Decrease in the Hospital budget,
inadequate to needs.
4. The lack of resources translates
into a decrease in quality of care.
5. Poor quality care due to limited
furniture and equipment in poor
condition.
6. Increase in morbidity and mortality
due to acinetobacter baumannii.
7. Lack of improvement as there is no
analysis and evaluation of the
processes.
8. Increased morbidity due to
pressure ulcers.
INTERNAL
WEAKNESSES (D)
1.- Under-utilized human resources
2.- Poor quality of care in some processes
3.- Little interest in internal user training
4.- Lack of managers with leadership to
delegate functions
5.- Ineffective upward and downward
communication.
 information.
6.-Medical care of different specialties.
7.- Adequate formal infrastructure and
adequate areas for care
8.- It has adequate technology for a
second level of care.
6.- Lack of adherence to the entry time by
the nursing staff
8.- Unscheduled absenteeism increases
the workload

AN
ALYSIS EXTERNAL
OPPORTUNITIES (O) THREATS (A)

1.- Good location and access to the
hospital. 2.- High demand for
medical care services.
3.- Provides care at a low cost.
4.- Serves open population.
5.- Schedule committed supervision that
adheres to the supervision card.
1.- High competition in health care
2.-User complaints about the query waiting
time.
3.- Paternalistic union influence
4.-Little time availability for patient care.
5.-Resistance to changing the way of
working by nursing and medical staff.
6.-Insufficient budget for the material
resource.

Precisely, to manage we have to consider that the money that is contributed and used in a
company is known as capital, and that it is a scarce resource.

For this reason, we must allocate our resources to achieve the greatest profitability, developing

research related to the medical care process provided by the Hospital, which serves to improve

patient care.

A hospital with a culture of quality, that offers patient safety, and has an appropriate work
environment that makes it easier for its staff to work in an organized manner to support its
patients in an agile, efficient and effective way, demonstrated in the performance indicators.

The concept of capital reasoning, which refers to the fact that the company's resources must be
used rationally, that is, seeking to maximize profits and minimize risk, to find the best available
options.
It is for this reason that the offer of the portfolio of services in a few words is the profitability of
the hospital to provide any of them.

This fund is part of the Social Health Protection System and seeks to provide highly specialized
medical services to the beneficiaries of Seguro Popular, who suffer from high-cost diseases (by
virtue of their degree of complexity or specialty and the level or frequency with which occur),
which can put your life and family assets at risk, through the management of health services and
the financing of care through the National Commission for Social Protection in Health.

The Protection Fund against Catastrophic Expenses provides monetary resources, through a trust,
to accredited service providers with signed agreements of the 32 federal entities, for the care of
66 diseases.