The Ophthalmological Hospital Dr. Pedro Lagleyze located in Juan B. Justo 4151, is now a center of teaching, referential pillar Hospital and clinical research. However, the Auditor General of the City of Buenos Aires (AGCBA, for its acronym in Spanish) found, among other things, that "the operating rooms are non-standard" for different electrical and edilicias failures.

Cataract is the leading cause of bilateral blindness and represents 50% of total cases. While this condition is not preventable it is reversible with surgery. It is estimated that the country should have 3000 surgeries per million inhabitants, but the data shows that only around 2000 take place.

The Hospital Lagleyze "is the center that performs more operations to combat this disease with the use of eye lenses, supplies provided by the National Program for Eye Health and Prevention of Blindness."

However, the operating rooms of this health center "are non-standard." For one thing, electrical installations have serious deficiencies, in fact, "they do not meet the level of security required by the regulations of the Argentine Electrotechnical Association.”

On the other hand, "there is no separation between sectors for receiving cleaned materials and the delivery of the dirty.” Neither "is there a transfer area stretchers or a wardrobe that is connected to the operating room."

The programming of the surgery is also a problem in obtaining the necessary inputs for it. According to the AGCBA, "if a patient, for example, has no health care and has difficulty acquiring these materials, they go to the Department of Social Services." However, "there is no forced or formal referral to the agency."

Ministry of Health

The report, which assesses the year 2011 and which was approved in late 2013, revealed that "the management of the hospital asked the Ministry of Health of Buenos Aires execution of some works that at the end of the audit work had delays."

Among them are the heating and hot water, electrical safety in operating theaters and areas of necessary adjustments in those areas, protection of the railing of the first floor and the electrical panel.

The work of the AGCBA demonstrates "the need for a roadmap" to Lagleyze to "respond to the works requested repeatedly by the school management and which are vital for its proper functioning."

Waste Pathogens

Throughout the hospital, "there is not a single gathering place for the pathogenic or hazardous liquid waste", despite Law 154 Article 23 so provides. Nor is there information on "the amount of waste generated by type or destruction certificates corresponding to the fluids in 2010 and 2011."

The City Watchdog monitoring these observations "exposed weaknesses in meeting the standards." The report also notes that "the generation of medical waste presents hazards and potential hazards of improper handling which can have serious consequences for the health of the hospital community and the population at large."

Human Resources

The staff is often a sore point in the reports of hospitals and this is no exception. The audit team noted that "vacant by voluntary departures and the inability to cover the free charges promptly creates great difficulties in the development of the administrative tasks of the hospital." Added to this is that most of the employees “do not perceive its real function corresponding to remuneration.”

The welfare functions, according to AGCBA, “are disadvantaged by the absence of administrative staff” and that nurses are those who supplement the shortfall.

Goods

The City Audit noted that "there are no reliable records to determine the quantity, quality, location and identification of all personal property." In fact, "the inventory sheets of each service do not match the actual objects that are in them." For example, in the cornea section, "42.8% of the goods contained in the return were not in the industry." In the Retina Service that percentage rose to 69.8.

The audit team sought where these missing items were and found that some were in tank Heritage Department pending the floor, others were in repair and there was a third group that had been stolen.

In the pharmacy there is no "records to carry out checks on opposition", ie to help verify the information that gives the area involved. Added to this is that annotations "are scattered not allowing cross them together."

During field work, the auditors noted that "on the shelfs there are no shelf tags" tool "facilitate stock control and improve the quality of internal control in this sector.