IMPLEMENTATION AND FURTHER DEVELOPNIENTOF QUALITY MANAGEMENT SYSTEMACCORDING TO ISO 9001:2000STANDARD AT THE DEPARTMENTOF CARDIAC SURGERY.DUBRAVA UNIVERSITY HOSPITAL Barii, Dt., Brkii, Kr., Sutlid,Zt., Nikid, N{., Grubisii, NIs'& Deviid-}eras,A6. U D K / U D C :6 1 6 I. 2 - 8 9 : 0 0 6 . 3ts0( 0 ) I S O I E L :I " znanstvenirad paper/Izr,'orni Orginalscienti{rc Primljeno:.[anuar Receivedi ,v20,2007I 20.sijectrja2007. za trsak:Nlarch19,2007I 19.ozuika2007. Acceptedfor publishing/Prihvaieno Summary Theneedforquality tnonagementsystem(()MS) nt t:ardiacsurgerydepnrtrnerthas pi'clcr/r of all processts beenrecognized for sonrctime. QNISshouldhelpin rnonugement ()Lttcorne analysis.Cornprehensive organizationalmistakesand provide a tool for unbiased process analysisof surgicaltreatmentof cardiacpatient httsbeencarriedout. Recluirements of the ISO 9001:2000standard:quality managementslsteil, manogementresponsibility, product realization,measurenlentonalysisond improventertt,t'ere resourcemanagement, customizedto specifcsof cardiacltatient trealment. All docuntentationn'ds n,ritten in plttin languageto seryeas practicemctnual.QfutSernphosisis routine investigationo.fall adyerseeventsand stotisticalanalysisof trendsin treiltnrclil.After 22 months,QIIS has beencerliJiedaccordingto 1SO 9001:2000standord.ior scopeof cardiacsurger)',curdiLtc intensiyecoreand perfusion.The implementcrl Q-rl{Shos ensuredcortsistency ttrraesthesia, antl improvementof workingpractice,which in turn provided bettercontrolover achievetl nrcdicslresultsand higherpnLiettsatisfnction. ISO 9001:2000'scope' Key words: cluality managementsystem,cardiac sLffger)t, trnprovement.
L Davortsarii,dr. med.,generalsurgen'specialist,surgeon,Dcpartrnentoi(-ar.liacSurgerr',Dubrava Unirersitv Hospital. I N{r. sc. Kristipa Brkii, medical biocheniist,junior researche'r, lJcPrrtrtlent of Cardiac Surgerr',f)ubriu'u Universitl'Hospitarl. Prof. Ph.D.,Zeljko Sutlii, cardiacsurgeon,Departmentof CardiacSurgerv.DubravaUniversitv Hospital. ' NaclaNikit, dr. med. alesthesiologrst, Clinic of Anesthesiologl.ReaninratoloqvirtrdIntensiveCarc, L)ubrlva Universitl'Hospita[. , N,iilkaGrubiSii,head ntirse,l)epartn]entof cardiac Surgerl"Dubrara Unilersitv Hospital. ' r\na Devtit leras,chemicalengineer,consultant,l)ubrava Uuilersitr Hospitirl. '
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