annual report 20 11

01. The Hospital of the Autonomous Community

GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

01 .1 INTRODUCTION

n June 23, 1993, the majority of the Basque Parliament Osupported the Osasuna Zainduz Strategic Plan. The plan included a deep reflection about contemporary healthcare policy models and firmly concluded that it was necessary to change the existing management models. The Basque public healthcare system was in a situation of growing costs due to, in the opinion of the public administrations, the ageing population, the incorporation of new, highly sophisticated technologies, and the population´s cultural change regarding the perception of healthcare benefits and required quality standards they had a right to, led to the unavoidable demand increase.

As a result of the debate surrounding healthcare policy, the Basque Government´s Healthcare Department presented the Healthcare Standards Law to the A basic element in reaching the the Contract Programme that Autonomous Parliament on June 26, objectives is that of providing communicates directly between 1997. In the list of motives it is healthcare services to citizens. The these and the Healthcare defined as an essential tool for Healthcare Standards Law ensures Department, and in which addresses establishing the commitment of that the healthcare services provided activity objectives and financing with public powers with the population is the instrumental activity that offers public budget credits. Because of its regarding the development and people an organized and nature, Cruces Hospital is a application of the right for the homologated resource in order to healthcare services organisation that protection and care of health. provide healthcare benefits aimed at is equipped to provide highly promoting, preserving and re- specialised healthcare activities. The Healthcare Standards Law establishing their health. pursues a model that is able to fulfil The centre´s functional and the healthcare needs under the This task is assigned to the hierarchical structure is defined by premises of universality, equality and service organisations within the Healthcare Standards Law and quality, joined by their essential /Basque Health Service , the Decree 194/1996 of July 23 efficacy and efficiency, as well as the which include Cruces Hospital. The regarding the Organisational rationing of the benefits for the new functional and management Structure of the resources within the available resources handled by the model developed is established with Osakidetza/Basque Health Service for administration. Based on the unified the creation of the Social Statues of Specialised Care. The centre is led by organisation of all the public Osakidetza/Basque Health Service the Managing Director, who relies on healthcare resources in the through the Decree 255/1997 on an Executive Team for support. In Autonomous Community, it November 11, which transform the order to carry out the proposed establishes the Basque Healthcare previous autonomous organisation functions and consulting, as well as System as the development into a Public Entity with Private the participation, there is a framework within the National Rights, effective as of January 1, Management Committee, made up of Healthcare System, and it is 1998. In summary, the change offers the Managing Director, Executive equipped with the Basque Health healthcare service organisations the Team, Unit Chiefs to be determined, Plan in order to establish basic ability to act under the principle of and representatives from the health objectives to be pursued by economic-financial and Technical Council, a participative and all the Basque public management independence, consultancy body for the professionals institutions. establishing a legal instrument via who manage the Hospital.

GURUTZETAKO UNIBERTSITATE OSPITALEA 9 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

01 .2 ORGANIGRAMME

GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES

Management team Cruces University Hospital

Gregorio Achútegui Managing Director

Ildefonso Martínez Scientific Director

Mª Dolores Boyano Scientific Assist. Director

Alberto Olaizola Valentín Terés José Luis González Maite Barrena Fco. Javier Susana Cejudo Medical Director General Services O & S Assist. Nursing González Personnel Assist. Director Director Director Management Director Director

(Ms. Esther Elvira Andrés until sept. 2011 )

Javier Pilar Edurne Isabel Ferreiro Felisa Fernández Elena Bravo Luis Villoldo Medical Services Omaetxebarria Surgical Services Nursing Assist. Management Personnel Assist. Director General Clinical Assist. Director Director Assist. Director Assist. Director Serv. Assist. Dir.

10 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

Management Department

Management Department

Library Medical Teaching Communication

Medical Department

Medical Department

Transplant Coordination Unit

Medical Surgical General Clinical Sub Office Sub Office Services Sub Office

– Allergology – Anaesthesia Resuscitation – Pathological Anatomy – Cardiology • Pain Unit • Cytology • Haemodynamics – General Surgery – Clinical Analysis • Coronary Unit – Cardiovascular Surgery • Biochemistry – Dermatology – Vascular Surgery • Cytogenetics • Molecular Genetics – Endocrinology – Maxillofacial Surgery • Hormones – Gastroenterology – Neurosurgery • Immunology – Clinical Haematology – Plastic Surgery – Pharmacy – Outpatient Hospital • Major Burns Unit – Clinical Genetics – Home Hospitalisation – Thoracic Surgery – Haematology – Infectious Diseases – Intensive Medicine • Laboratory – Internal Medicine – Ophthalmology • Blood Bank – Transfusion – Paediatric Medicine – Otolaryngology • Cytology • Allergology • Paediatric ORL – Nuclear Medicine • Cardiology – Traumatology – Microbiology-Parasitology • Intensive Care • Paediatric Orthopaedics – Clinical Neurophysiology • Dysmorphology – Urology – Radiotherapeutic Oncology • Endicronology • Gastroenterology – Paediatric Surgery – Radiology • Infectious Diseases • General Surgery • Interventionist Radiology • Paediatric Medicine • Urology – Rehabilitation • Metabolism – Tocogynaecology • Spinal Cord Unit • Nephrology • Gynaecology • Neonatology • Gynae-Oncology • Neurology • Obstetrics • Oncology • Human Reproduction Unit • Psychology • Foetal Therapy Unit • Psychiatry – Medical-Surgical Emergencies – Preventive Medicine – Nephrology – Pulmonology – Neurology – Nutrition and Dietetics – Medical Oncology – Psychiatry – Rheumatology – Palliative Care Unit – Paediatric Emergencies

GURUTZETAKO UNIBERTSITATE OSPITALEA 11 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

Nursing Department

Nursing Department

Nursing Sub Office

Medical- Mother- Surgical Block General Clinical Emergency Critical Area Surgical Child and Material Orderly Unit Services – Room Hospitalisation Hospitalisation Resources External C.

Finance Department

Finance Department

Finance Sub Office

Budget Accounting External Administrative Procurement Registry Management Cleaning Billing Contracts and Storage and Treasury Control

Personnel Department

Personnel Department

Personnel Sub Office

Hiring, Safety and Mobility and Legal Basque Union Admin. and Training Recognition Occupational Promotion Support Service Representation Remuneration Health Mgmtl., Personnel Integration

12 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

General Services Sub Office

General Services Sub Office

Kitchen and Engineering and Radiology Electronic Linens Maintenance Supplies Security Protection and Engineering Radiophysics

Organisation and Systems Sub Office

Organisation and Systems Sub Office

Clinical Administrative UGS / SAPU / Information Information Quality Documentation, Support Unit Admissions Technology Unit Archive and Management Control

13 01. The Hospital of the Autonomous Community

01 .3 COMMISSIONS

EXECUTIVE COMMISSION

President Managing Director Dr. Gregorio ACHÚTEGUI BASAGOITI Secretary Personnel Assistant Director Mr. Luis VILLOLDO ORTEGA Members Medical Director Dr. Alberto OLAIZOLA MENDIBIL Nursing Director Ms. Maite BARRENA SARACHAGA Personnel Director Ms. Susana CEJUDO FERNANDEZ Economic Management Director Mr. Francisco Javier GONZALEZ GOMEZ BioCruces Scientific Director Dr. Ildefonso MARTINEZ DE LA FUENTE MARTINEZ General Clinical Services Assistant Director Dr. Ms. Edurne OMAETXEBARRIA LEGARRA Surgical Services Assistant Director Dr. Isabel FERREIRO GONZALEZ Medical Services Assistant Director Dr. Francisco Javier PILAR ORIVE Economic-Financial Assistant Director Ms. Elena BRAVO SUAREZ General Services Assistant Director Mr. Valentín TERÉS TERÉS Scientific Assistant Director Ms. Mª Dolores BOYANO LOPEZ Organisation and Systems Assistant Director Mr. José Luis GONZALEZ IGLESIAS (Ms. Esther ELVIRA ANDRES until September 2011)

No. MEETINGS: 8

TECHNICAL COUNCIL

President Medical Director Dr. Alberto OLAIZOLA MENDIBIL Secretary Healthcare Management Unit Chief Dr. José A. ZUMALAKARREGI VILLASOL Members Nursing Director Ms. Maite BARRENA SARACHAGA Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA Vascular and Angiology Surgery Service Chief Dr. Juan Luis FONSECA LEGRAND Obstetrics - Gynaecology Service Chief Dr. Txanton MARTINEZ ASTORQUIZA ORTIZ DE ZARATE Pulmonology Service Specialist Doctor Dr. Felix BARANDA BARCIA Interventionist Radiology Specialist Doctor Dr. Alexander AGUINAGA ALESANCO Research Unit Nurse Ms. Amaia MARTINEZ GALARZA Resuscitation Service Nurse Ms. Mª Paz de ISCAR FERNANDEZ Paediatric Emergency Room Service Nurse Ms. Begoña MATUTE AZPITARTE Infectious Diseases Unit Nurse Mr. Gorka IRAZU GARAY

No. MEETINGS: 3

ANIMAL WEEL-BEING ETHICS COMMITTEE

President Research Unit Section Chief Dr. José I. PIJOAN ZUBIZARRETA Secretary Research Unit Medical Technician / Doctor Dr. Francisco J. ALVAREZ DIAZ Members Neonatal Unit Specialist Doctor Dr. Jon LOPEZ DE HEREDIA Y GOYA Pulmonology Specialist Doctor Dr. Juan B. GALDIZ ITURRI Medical Teaching Unit Chief Dr. Jesús M. MORAN BARRIOS General Surgery Specialist Doctor Dr. Javier GONZALEZ URIARTE QUALITY UNIT Section Chief Dr. Mikel LATORRE GUISASOLA Animal Unit Director, Faculty of Medicine U.P.V./E.H.U. Dr. Gloria LETE VERGARA

No. MEETINGS: 3

14 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

HEALTHCARE ETHICS COMMITTEE

President Ethics Professor Universidad de (University of Deusto) Prof. Xabier MAULEON Secretary Neonatal ICU Specialist Doctor Dr. Jon LOPEZ DE HEREDIA GOYA Members Oncology Radiotherapy Specialist Doctor Dr. Ms. Begoña USATEGUI ECHEVARRIA Obstetrics Service Specialist Doctor Dr. Carmen OSUNA SIERRA Reproduction Unit Biologist Dr. Mª Rosario MENDOZA HOURTOAUT Heart Surgery Service Specialist Doctor Dr. Roberto VOCES SANCHEZ I.C.U. Specialist Doctor Dr. Mónica DOMEZAIN DEL CAMPO Palliative Care Service Specialist Doctor Dr. José Mª SALAN PUEBLA General Surgery Service Specialist Doctor Dr. Paula RUBIO CERDEIRO Cruces Hospital Chaplain Mr. Juan Ignacio VARA Social Worker Ms. Nieves GONZALEZ FERNANDEZ Registered Nurse Outpatient Children´s Hospital Ms. Carmen CASTILLO MARTINEZ Nephrology Registered Nurse Ms. Ada DE LA FUENTE IBAÑEZ I.C.U. Nursing Assistant Ms. Mercedes BLASCO NOVALES

No. MEETINGS: 11

CLINICAL RESEARCH ETHICS COMMITTEE

President Rheumatology Service Chief Dr. Alberto ALONSO RUIZ Vice President Research Unit Section Chief Dr. José I. PIJOAN ZUBIZARRETA Secretary Registered Nurse for Epidemiology Clinic and Research Unit Ms. Amaia MARTINEZ GALARZA Members Pharmacy Service Specialist Chemist Dr. Fco. Javier GONZALEZ MIELGO Endocrinology Service Specialist Doctor Dr. Francisco J. SANTAMARIA SANDI Gastroenterology Service Section Chief Dr. Manuel ZABALLA IÑIGUEZ HR Assistant Director Mr. Luis VILLOLDO ORTEGA Clinical Pharmacologist (Healthcare Dept.) Dr. Ms. Iciar ALFONSO FARNOS Management Technician. Economic Management Director Mr. Adolfo GONZALEZ CALLES Quality Unit Specialist Doctor Dr. Mikel LATORRE GUISASOLA Pharmacy Service Specialist Chemist. Region Ms. Susana FERNANDEZ GALLASTEGUI Research Unit Biologist Mr. José Ramón CATALA Preventive Medicine Service Resident Physician Ms. Paola Andrea PATIÑO VEGA Research Unit Specialist Biologist Mr. Francisco José ALVAREZ DIEZ

No. MEETINGS: 14

GURUTZETAKO UNIBERTSITATE OSPITALEA 15 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

OCCUPATIONAL SAFETY AND HEALTH COMMITTEE

President Personnel Director Ms. Susana CEJUDO FERNANDEZ Vice President Prevention Representative Ms. Carmen VIDE CELEIRO Secretary Personnel G.A. Service Chief Ms. Pilar BONACHIA CABALLERO Members Economic-Financial Assistant Director Ms. Elena BRAVO SUAREZ Nursing Director Ms. Maite BARRENA SARACHAGA General Services Assistant Director Mr. Valentín TERÉS TERÉS Engineering and Security Service Chief Mr. Alejandro URIEN FERRERO Preventive Medicine Nurse Supervisor Ms. M. Isabel UCELAY LOPEZ Prevention Representative Mr. José I. MARTINEZ ORTEGA Prevention Representative Ms. Dorinda ALVAREZ GONZALEZ Prevention Representative Mr. César CALVO GARCÍA Prevention Representative Ms. Ana LOPEZ CIRIANO Prevention Representative Mr. Pedro ASPIZUA MONTAVEZ

No. MEETINGS: 10

RESIDENT MEDICAL INTERN TEACHING COMMISSION

President Medical Teaching Unit Section Chief Dr. Jesús MORAN BARRIOS Vice President Paediatrics Department Specialist Doctor Dr. Itxaso RICA ETXEBARRIA Secretary Pulmonology Service Specialist Doctor Dr. Fernando URESNADI ROMERO Members Biochemistry Service Specialist Doctor Dr. Miguel RUEDA GUTIERREZ Rheumatology Service Specialist Doctor Dr. Marcelo CALABOZO RALUY Plastic Surgery Service Specialist Doctor Dr. Juan B. AYESTARAN SOTO Anaesthesia Service Specialist Doctor Dr. Rosario RUIZ GARCIA Thoracic Surgery Service Specialist Doctor Dr. Juan C. RUMBERO SANCHEZ Internal Medicine Service Resident Medical Intern Dr. Javier NIETO ARANA General and Digestive Surgery Resident Medical Intern Ms. Patricia SENDINO CAÑIZARES Obstetrics and Gynaecology Service Resident Medical Intern Ms. Marta PASTOR EXTREMIANA Paediatrics Service Resident Medical Intern Ms. Mireya URRUTIA ADAN Anaesthesia-Resuscitation Service Resident Medical Intern Ms. Tatiana ARRILLAGA TRUEBA Neurology Service Resident Medical Intern Mr. Ivan CABALLERO ROMERO Radiodiagnosis Service Resident Medical Intern Ms. Nerea HORMAZA AGUIRRE Autonomous Community Representative Ms. Mª José BOMBIN LOPEZ Research Commission Representative Dr. José I. PIJOAN ZUBIZARRETA Family and Community Medicine Unit Coordinator Dr. Ana I.GORROÑOGOITIA ITURBE Emergency Room Service Representative Dr. Ignacio LOPEZ LUPERENA Nurse Training Representative Mr. F. Javier ARRIBAS HERNANDEZ Nurse Training Representative Ms. Ayala LOPEZ DE ABERASTURI IBAÑEZ DE GARAYO Administrative Secretary Ms. Mª Jesús GONZALEZ GARCIA Medical Teaching Unit Technician Ms. Susana GONZALEZ LARRAGAN

No. MEETINGS: 7

16 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

LIBRARY COMMISSION

President Administrative Library Service Chief Ms. Asunción GARCIA MARTIN Secretary Documentation Librarian Ms. Susana GONZALEZ LARRAGAN Members Medical Director Dr. Alberto OLAIZOLA MEMDIBIL Research Unit Specialist Doctor Dr. Luis A. CASTAÑO GONZALEZ Child Surgery Service Chief Dr. Gonzalo GONZALEZ LANDA Registered Nurse Nurse Training Mr. F. Javier ARRIBAS HERNANDEZ Registered Nurse Angio-Radiology Ms. Felicidad ESTEBAN MATA Internal Medicine Section Chief Dr. Mª Victoria EGURBIDE ARBERAS Research Unit Section Chief Dr. José I. PIJOAN ZUBIZARRETA Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA Pharmacy Specialist Doctor Dr. Ms. Beatriz SORDO AISA Orthopaedic Surgery and Traumatology Medical Resident Intern Dr. Javier GONZALEZ IGLESIAS

No. MEETINGS: 2

ORGAN AND TISSUE TRANSPLANT COMMISSION

President Medical Director Dr. Alberto OLAIZOLA MENDIBIL Secretary Transplant Coordinator Dr. Kepa ESNAOLA GANGOITI Members Nephrology Service Chief Dr. Ildefonso LAMPREABE GAZTELU Urology Service Chief Dr. Carlos PERTUSA PEÑA Surgery Section Chief Dr. Jorge ORTIZ DE URBINA LOPEZ Anaesthesia Service Chief Dr. Alberto MARTINEZ RUIZ Immunology Section Chief Dr. Aránzazu GUTIERREZ Haematology Section Chief Dr. F. Ignacio ZUAZUA VERDE Neurosurgery Specialist Doctor Dr. Luis M. CANALES LLANTADA Gastroenterology Service Chief Dr. Manuel MORETO CANELA Nursing Director Ms. Maite BARRENA SARACHAGA

No. MEETINGS: 1

PHARMACY COMMISSION

President Pharmacy Service Chief Dr. Ms. Puy FIGUERO ECHEVARRIA Secretary Chemist Dr. Ms. Mª Angeles GIL LEMUS Members Paediatric Service Chief Dr. Itziar ASTIGARRAGA AGUIRRE Microbiology Service Chief Dr. Jorge BARRON FERNANDEZ Nurse Administration Specialist Ms. Milagros COLINA TUEROS Medical Oncology Service Chief Dr. Guillermo LOPEZ VIVANCO General Clinical Services Assistant Director Dr. Edurne OMAECHEVARRIA LEGARRA Surgery Service Specialist Doctor Dr. Antonio REBOLLO GARCIA Outpatient Hospital Supervisor Ms. Pilar SANZ OSES Anaesthesia-Resuscitation Service Chief Dr. Alberto MARTINEZ RUIZ Internal Medicine Specialist Doctor Dr. Gabriel INCLAN IRIBAR Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA

No. MEETINGS: 3

GURUTZETAKO UNIBERTSITATE OSPITALEA 17 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

INFECTIONS COMMISSION

President Medical Service Assistant Director Dr. Javier PILAR ORIVE Secretary Infectious Unit Specialist Doctor Dr. Koldo AGUIRREBENGOA IBARGUEN Members General Surgery Specialist Doctor Dr. Ms. Gloria MARTINEZ FERNANDEZ Traumatology Section Chief Dr. Luis AREIZAGA HERNANDEZ Pulmonology Specialist Doctor Dr. Rafael ZALACAIN JORGE Preventive Medicine Section Chief Dr. Begoña CARRANDI CAMIÑA Preventive Medicine Registered Nurse Ms. Mª. Isabel UCELAY LOPEZ Infectious Paediatrics Specialist Doctor Dr. Itziar POCHEVILLE GURUCETA Microbiology Specialist Doctor Dr. José L. HERNANDEZ ALAMARAZ Haematology Specialist Doctor Dr. Iñigo OLAZABAL EIZAGUIRRE Intensive Medicine Specialist Doctor Dr. Patxi LAYUNO LAUCIRICA Preventive Medicine Service Chief Dr. José I. VILLATE NAVARRO Pharmacy Specialist Doctor Dr. Monike DE MIGUEL GASCON Anaesthesia-Resuscitation Specialist Doctor Dr. M. Begoña SECADA SANTANDER

No. MEETINGS: 2

VIRTUAL AND EXPERIMENTAL SURGERY TRAINING COMMISSION

President Surgical Services Assistant Medical Director Dra. Isabel FERREIRO GONZALEZ UPV/EHU Teaching Coordinator Neurosurgery Service Chief Dr. Iñigo C. POMPOSO GASTELU Members Medical Teaching Unit Section Chief Dr. Jesús MORAN BARRIOS Gynaecology and Obstetrics Section Chief Dr. Iñaki BROUARD URKIAGA Urology Specialist Doctor Dr. David LECUMBERRI CASTAÑOS General Surgery Service Specialist Doctor Dr. Francisco LOR BALLABRIGA Animal Unit and Experimental Surgery Manager Dr. Francisco José ALVAREZ DÍAZ

No. MEETINGS: 3

COLORECTAL CANCER SUB-COMMITTEE

President General Surgery Clinical Management Unit Chief Dr. Alberto COLINA ALONSO Secretary General Surgery Rectal Infla. Unit Supervisor Dr. Alberto LAMIQUIZ VALLEJO Members Gastroenterology Service Specialist Doctor Dr. Angel BARTUREN BARROSO General Surgery Colon Unit I. Specialist Doctor Dr. Juan RAMOS PRADA Pathological Anatomy Service Specialist Doctor Dr. Jaime GONZALEZ DE TANAGO ARALUCE Radiodiagnosis Service Specialist Doctor Dr. Begoña CANTELI PADILLA Radiodiagnosis Service Specialist Doctor Dr. Aranzazu URRESOLA OLABARRIETA General Surgery Colon Unit II. Specialist Doctor Dr. Mª Nagore ARANA DE LA TORRE General Surgery Liver Surgery Unit Section Chief Dr. Andres VALDIVIESO LOPEZ Radiotherapeutic Oncology Specialist Doctor Dr. Begoña USATEGUI ETXEBARRIA Radiotherapeutic Oncology Specialist Doctor Dr. Auroa LASSO VARELA General Surgery Rectal Unit I. Specialist Doctor Dr. José Mª GARCIA GONZALEZ Medical Oncology Section Chief Dr. Alberto MUÑOZ LLARENA Medical Oncology Specialist Doctor Dr. Itziar RUBIO ECHEVARRIA General Surgery General Unit Specialist Doctor Dr. IBONE PALOMARES

No. MEETINGS: 17

18 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

CENTRAL NERVOUS SYSTEM TUMOUR SUB-COMMITTEE

President General Clinical Services Assistant Director Dra. Edurne OMAETXEBARRIA LEGARRA Secretary Neurosurgery Service Specialist Doctor Dr. Gaizka BILBAO BARANDICA Members Paediatric Oncology Section Chief Dr. Aurora NAVAJAS GUTIERREZ Radiodiagnosis Specialist Doctor Dr. Beatriz MATEOS GOÑI Radiotherapeutic Oncology Specialist Doctor Dr. Elsira BOVEDA CARRO Neurosurgery Service Specialist Doctor Dr. Roberto CIORDIA DOMINGUEZ Medical Oncology Service Chief Dr. Guillermo LOPEZ VIVANCO

No. MEETINGS: 40

ONCOLOGICAL OTOLARYNGOLOGY SUB-COMMITTEE

President Otolaryngology Service Chief Dr. José Antonio MUNICIO MARTIN Secretary Medical Oncology Specialist Doctor Dr. Gonzalo LOPEZ DE ARGUMEDO ESNARRIZAGA Members Otolaryngology Service Specialist Doctor Dr. Santiago BAÑUELOS SAINZ Otolaryngology Service Specialist Doctor Dr. Juan José NOVO RUIZ Otolaryngology Service Specialist Doctor Dr. Javier GOMEZ SUAREZ Otolaryngology Service Specialist Doctor Dr. Francisco VALCARCEL MARTIN Otolaryngology Service Specialist Doctor Dr. Eduardo A. PETREÑAS TAMAYO Radiotherapy Service Specialist Doctor Dr. Jon CACICEDO FERNANDEZ DE BOBADILLA Pathological Anatomy Specialist Doctor Dr. Ayman GAAFAR Radiodiagnosis Specialist Doctor Dr. Olivia RODRIGUEZ SAN VICENTE Radiodiagnosis Specialist Doctor Dr. Ainhoa GANDIAGA MANDIOLA

No. MEETINGS: 48

BREAST TUMOUR DIAGNOSIS SUB-COMMITTEE

President Radiodiagnosis Service Specialist Doctor Dr. Pilar UTRILLA MAIZ Secretary Obstetrics-Gynaecology Section Chief Dr. Salvador LUJAN ALCALDE Members Pathological Anatomy Specialist Doctor Dr. Juan J. BURGOS BRETONES Radiodiagnosis Specialist Doctor Dr. Gemma TABERNERO JUBINO Radiodiagnosis Specialist Doctor Dr. Jorge CEÑA SANTORCUATO Gynaecology Service Specialist Doctor Dr. Borja OTERO GARCIA RAMOS Gynaecology Service Specialist Doctor Dr. Patricia COBOS BAENA Gynaecology Service Specialist Doctor Dr. Gaizka MALLABIABARRENA ORMAECHEA

No. MEETINGS: 51

GURUTZETAKO UNIBERTSITATE OSPITALEA 19 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

BREAST TUMOUR TREATMENT SUB-COMMITTEE

President Medical Oncology Specialist Doctor Dr. Abigail RUIZ DE LOBERA Secretary Gynaecological Oncology Specialist Doctor Dr. Gaizka MALLABIABARRENA ORMAECHEA Members Pathological Anatomy Specialist Doctor Dr. Maite ANDRES ALVAREZ Radiotherapy Specialist Doctor Dr. Blanca RUIZ SAINZ Gynaecology Specialist Doctor Dr. Borja OTERO GARCIA RAMOS Gynaecology Specialist Doctor Dr. Patricia COBOS BAENA Medical Oncology Specialist Doctor Dr. Aintzane SANCHO GUTIERREZ

No. MEETINGS: 50

GYNAECOLOGICAL TUMOUR SUB-COMMITTEE

President Gynaecological Oncology Specialist Doctor Dr. Eduardo IBAÑEZ FEIJOO Secretary Medical Oncology Specialist Doctor Dr. Juan Manuel MAÑE MARTINEZ Members Obstetrics and Gynaecology Service Specialist Doctor Dr. Javier DIEZ GARCIA Radiodiagnosis Specialist Doctor Dr. Begoña CANTELI PADILLA Radiodiagnosis Specialist Doctor Dr. Aránzazu URRESOLA OLABARRIETA Radiotherapy Specialist Doctor Dr. Francisco CASQUERO OCIO Pathological Anatomy Specialist Doctor Dr. Leyre ANDRES ALVAREZ

No. MEETINGS: 34

LUNG CANCER SUB-COMMITTEE

President Pulmonology Section Chief Dr. José L. LLORENTE FERNANDEZ Secretary Pulmonology Specialist Doctor Dr. Pedro ANSOLA ZUBIAURRE Members Radiodiagnosis Specialist Doctor Dr. José Mª. PEÑA SARNAGO Pathological Anatomy Section Chief Dr. José J. VILANOVA RODRIGUEZ Thoracic Surgery Service Chief Dr. Joaquin PAC FERRER Medical Oncology Specialist Doctor Dr. Ricardo FERNANDEZ RODRIGUEZ Pulmonology Specialist Doctor Dr. Ernesto CENTENO ECHEVARRIETA Pulmonology Specialist Doctor Dr. Julio PEREZ IZQUIERDO Radiotherapy-Oncology Specialist Doctor Dr. Armando LOEIZA VILLARROEL Thoracic Surgery Service Chief Dr. Juan CASANOVA VIUDEZ Nuclear Medicine Specialist Doctor Dr. Ms. Iratxe FERNANDEZ TERCERO Medical Oncology Specialist Doctor Dr. Sergio CARRERA REVILLA Pulmonology Specialist Doctor Dr. Larraitz GARCIA ECHEVARRIA Thoracic Surgery Specialist Doctor Dr. Mónica LORENZO MARTIN Thoracic Surgery Specialist Doctor Dr. Unai JIMENEZ MAESTRE

No. MEETINGS: 51

20 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

PAEDIATRIC BRAIN TUMOUR SUB-COMMITTEE

Coordinator Paediatric Oncology Section Chief Dr. Aurora NAVAJAS GUTIERREZ Members Paediatric Service Chief Dr. Itziar ASTIGARRAGA AGUIRRE Paediatric Oncology Specialist Doctor Dr. Aizpea ECHEBARRIA VARONA Paediatric Oncology Specialist Doctor Dr. Alejandro URBERUAGA PASCUAL Paediatric Oncology Specialist Doctor Dr. Rosa MADAN PEDROS Neuro-Radiology Section Specialist Doctor Dr. Beatriz MATEOS GOÑI Neuro-Radiology Section Specialist Doctor Dr. Iñaki ESCUDERO MARTINEZ Paediatric Radiology Section Chief Dr. Fermín SAEZ GARMENDIA Pathological Anatomy Service Chief Dr. Iñaki LOPEZ FERNANDEZ DE VILLAVERDE Nuclear Medicine Service Specialist Doctor Dr. Emilia RODEÑO ORTIZ DE ZARATE Radiotherapy Service Specialist Doctor Dr. Francisco CASQUERO OCIO Radiotherapeutic Oncology Specialist Doctor Dr. Elsira Boveda Carro Neuropaediatrics Specialist Doctor Dr. Mª Jesús MARTINEZ GONZALEZ Neuropaediatrics Specialist Doctor Dr. Ainoa GARCIA RIBES Neurosurgery Specialist Doctor Dr. Juan José AURRECOECHEA OBIETA

No. MEETINGS: 12

PAEDIATRIC TUMOUR SUB-COMMITTEE

Coordinator Paediatric Oncology Section Chief Dr. Aurora NAVAJAS GUTIERREZ Members Paediatric Service Chief Dr. Itziar ASTIGARRAGA AGUIRRE Paediatric Oncology Specialist Doctor Dr. Aizpea ECHEBARRIA VARONA Paediatric Oncology Specialist Doctor Dr. Alejandro URBERUAGA PASCUAL Paediatric Oncology Specialist Doctor Dr. Rosa MADAN PEDROS Neuro-Radiology Section Specialist Doctor Dr. Beatriz MATEOS GOÑI Neuro-Radiology Section Specialist Doctor Dr. Iñaki ESCUDERO MARTINEZ Paediatric Radiology Section Chief Dr. Fermín SAEZ GARMENDIA Pathological Anatomy Service Chief Dr. Iñaki LOPEZ FERNANDEZ DE VILLAVERDE Nuclear Medicine Service Specialist Doctor Dr. Emilia RODEÑO ORTIZ DE ZARATE Radiotherapy Service Specialist Doctor Dr. Francisco CASQUERO OCIO Radiotherapeutic Oncology Specialist Doctor Dr. Elsira BOVEDA CARRO Children´s Surgery Service Chief Dr. Gonzalo GONZALEZ LANDA Children´s Surgery Service Clinical Chief Dr. Plácido LOPEZ ALVAREZ-BUHILLA Children´s Surgery Service Clinical Chief Dr. Carmen TORRES PIEDRA Traumatology Service Section Chief Dr. Luis AREIZAGA HERNANDEZ

No. MEETINGS: 11

GURUTZETAKO UNIBERTSITATE OSPITALEA 21 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

RADIODIAGNOSTICS QUALITY GUARANTEE COMMISSION

President Assistant Director. General Services Mr. Valentin TERÉS TERÉS Secretary Electronic Engineering Section Chief Mr. Juan Karlos MARTIN ALCALDE Members General Clinical Service Assistant Director Dr. Ms. Edurne OMAETXEBARRIA LEGARRA Traumatology Service Chief Dr. Jose I. VICINAY OLABARRIA Vascular Surgery Service Chief Dr. Juan Luis FONSECA LEGRAND Haemodynamics Specialist Doctor Dr. Juan ALCIBAR VILLA Child Surgery Service Chief Dr. Gonzalo GONZALEZ LANDA Gastroenterology Service Chief Dr. Manuel MORETO CANELA Neurosurgery Service Chief Dr. Iñigo Cristóbal POMPOSO GASTELU Radiodiagnosis Service Chief Dr. Luis LARREA BILBAO Radiology Specialist Doctor Dr. Alexandre AGUINAGA TUEROS Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA Anaesthesia-Resuscitation Service Chief Dr. Alberto MARTINEZ RUIZ Protección Radiológica Médica, S. L. Mr. Oscar GRACIA Radiology Service Supervisor Dr. Alfredo BAZTAN ALONSO Emergency Room Operating Theatre Supervisor Ms. Maite SANTA CRUZ CENITAGOYA Cardiac Electrophysiology Doctor Dr. Andrés BODEGAS CAÑAS

No. MEETINGS: 1

RADIOTHERAPEUTIC QUALITY GUARANTEE COMMISSION

President General Services Assistant Director Mr. Valentin TERÉS TERÉS Secretary Engineering and Security Service Chief Mr. Alejandro URIEN FERRERO Members General Services Assistant Director Records Dr. Edurne OMAETXEBARRIA LEGARRA Onco-Radiotherapy Service Chief Dr. Pedro BILBAO ZULAICA Nurse Administration Specialist Ms. Milagros COLINA TUEROS Radiology Protection and Radiophysics Unit Mr. José CELEIRO GONZALEZ Radiotherapy Service Supervisor Ms. Maite JAUREGUI JUARRERO

No. MEETINGS: 0

CLINICAL RECORDS COMMISSION

President Clinical Documentation and Archive Service Dr. Santiago RODRIGUEZ TEJEDOR Secretary Medical Documentation Service Specialist Doctor Dr. Idoia ANSO BORDA Members Traumatology Service Section Chief Dr. Luis Mª AREIZAGA HERNANDEZ Medical Emergencies Service Specialist Doctor Dr. José Ramón BENITO CALAVIA General Clinical Service Assistant Director Dr. Edurne OMAETXEBARRIA LEGARRA General Surgery Specialist Doctor Dr. Iratxe RODEÑO ESTEBAN Registered Nurse Clinical Documentation Mr. Emilio GRANADERO PIRIS Children´s Allergies Specialist Doctor Dr. Juan M GARCIA MARTINEZ Medical Emergencies Specialist Doctor Dr. Ignacio LOPEZ LUPERENA Traumatology Service Resident Medical Intern Dr. Josu MERINO PEREZ Anaesthesia Resuscitation Service Resident Medical Intern Dr. Daniel ZARRANZ SAROBE

No. MEETINGS: 2

22 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

BARIATRIC SURGERY COMMISSION

President Surgical Service Assistant Medical Director Dr. Isabel FERREIRO GONZALEZ Secretary Nutrition and Dietetics U. and Endocrinology Service Specialist Dr. Dr. Teresa RUIZ DE AZUA ARTECHE Members Endocrinology Service Chief Dr. Sonia GAZTAMBIDE SAENZ Nutrition and Dietetics Unit Section Chief Dr. Lucía LABORDA GONZALEZ General Surgery Specialist Doctor Dr. Gaizka ERRASTI OLARTEKOETXEA Plastic and Repair Surgery Specialist Doctor Dr. Juan AYESTARAN SOTO Psychiatry Service Specialist Doctor Dr. Julen FERNANDEZ BILBAO

No. MEETINGS: 3

MORBI-MORTALITY CARDIAC SURGERY COMMISSION

President Surgical Service Assistant Medical Director Dr. Isabel FERREIRO GONZALEZ Secretary Heart Surgery Specialist Doctor Dr. Roberto VOCES SANCHEZ Members Anaesthesia-Resuscitation Specialist Doctor Dr. Javier ALONSO CONDE Cardiology Section Chief Dr. Pedro Mª PEREZ GARCIA Intensive Medicine Specialist Doctor Dr. Mª Victoria BOADO VARELA

No. MEETINGS: 3

DIABETIC FOOT COMMISSION

President Surgical Services Assistant Director Dr. Isabel FERREIRO GONZALEZ Secretary Vascular Surgery Service Specialist Doctor Dr. Mª Pilar VELA ORUS Members Endocrinology Service Specialist Doctor Dr. Alicia CORTAZAR GALARZA Rehabilitation Service Section Chief Dr. Concepción MUGICA SAMPEIRO Infectious Diseases Service Specialist Doctor Dr. Elena BERECIARTUA BASTERRICA Microbiology Service Specialist Doctor Dr. Mª Begoña VILAR ACHABAL Home Hospitalisation Section Chief Dr. Andima BASTERRETXEA OZAMIZ Home Hospitalisation Service Specialist Doctor Dr. Ainara LARRAZABAL ARBAIZA Research Unit Specialist Doctor Dr. Eunate ARANA ARRI Emergency Service Specialist Doctor Dr. Leire CORTON CORRAL

No. MEETINGS: 24

GURUTZETAKO UNIBERTSITATE OSPITALEA 23 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

CARDIOPULMONARY RESUSCITATION COMMISSION

President Medical Services Assistant Director Dr. Javier PILAR ORIVE Secretary Emergency Room Specialist Doctor Dr. Fernando CORRAL CARAMES Members Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA Registered Nurse Coronary Unit Mr. Luis Mª SANDONIS RUIZ Neonatal Unit Specialist Doctor Dr. Mª Cruz LOPEZ HERRERA Coronary Unit Specialist Doctor Dr. Mª Victoria BOADO VARELA Nurse Training Specialist Ms. Rosa Mª BLANCO ZAPATA Paediatric ICU Specialist Doctor Dr. Julio LOPEZ BAYON Anaesthesia-Resuscitation Specialist Doctor Dr. Gontzal TAMAYO MEDEL Medical Teaching Unit Section Chief Dr. Jesús MORAN BARRIOS

No. MEETINGS: 2

CYTOSTATIC AND OTHER RISK MEDICATIONS COMMISSION

Coordinator U.B. Coordinator S.L.I. Prevention Dr. Ignacio GALINDEZ ALBERDI Secretary Chemist Dr. Mª Angeles GIL LEMUS Members S-L.I. B. Prevention Unit Specialist Doctor Dr. Esperanza ALVAREZ MAEZTU Pharmacy Service Supervisor Ms. Pilar ARCE NOVELLA U.K. Outpatient Supervisor Ms. Paz EGUIA LOMBERA Outpatient Hospital Registered Nurse Ms. Clementina ESCALANTE ZAMORANO Children´s Oncology and Outpatient Hospital Supervisor Ms. Mª José LÓPEZ DE LA SERNA Onco-Haematology Supervisor Ms. Teresa OLIVERA PATIÑO Outpatient Hospital Supervisor Ms. Pilar SANZ OSES Prevention Representative Ms. Carmen VIDE CELEIRO

No. MEETINGS: 3

NOSOCOMIAL INFECTION PLANNING AND TRACKING COMMISSION

President Managing Director Dr. Gregorio ACHÚTEGUI BASAGOITI Secretary Preventive Medicine Section Chief Dr. Mª Begoña CARRANDI CAMIÑA Members General Services Assistant Director Mr. Valentín TERÉS TERÉS Medical Director Dr. Alberto OLAIZOLA MENDIBIL Nursing Director Ms. Maite BARRENA SARACHAGA Nursing Department Assistant Director Ms. Esther CUESTA DE LA CAL Medical Services Assistant Director Dr. Javier PILAR ORIVE Preventive Medicine Specialist Doctor Dr. José Mª HERNANDEZ HERNANDEZ Nursing Department Assistant Director Ms. Pilar SANCHEZ RUBIO Infectious Diseases Unit Section Chief Dr. Miguel MONTEJO BARANDA Engineering and Security Service Chief Mr. Alejandro URIEN FERRERO Preventive Medicine Service Chief Dr. José I. VILLATE NAVARRO

No. MEETINGS: 5

24 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

MORTALITY COMMISSION

President General Clinical Service Assistant Director Doctor Dr. Edurne OMAECHEVARRIA LEGARRA Secretary Medical Documentation and Archives Service Chief Dr. Santiago RODRIGUEZ TEJEDOR Members Intensive Medicine Service Chief Dr. Fermín LABAYEN BERAZA Anaesthesia and Resuscitation Service Specialist Doctor Dr. Iñaki SAINZ MANDIOLA General Surgery Service Specialist Doctor Dr. Aitor DE LA QUINTANA Internal Medicine Specialist Doctor Dr. Agustín MARTINEZ BERRIOCHOA General Emergencies Specialist Doctor Dr. Ignacio LOPEZ LUPERENA General Service Unit Chief Dr. José ZUMALAKARREGI VILLASOL Pathological Anatomy Service Chief Dr. José I. LOPEZ FERNANDEZ DE VILLAVERDE Chilbirth Unit Supervisor Ms. Ayala LOPEZ DE ABERASTURI IBAÑEZ DE GARAYO

No. MEETINGS: 7

DATA PROTECTION SECURITY COMMISSION

President Managing Director Dr. Gregorio ACHÚTEGUI BASAGOITI Secretary Osakidetza Legal Services Attorney Ms. Maite SOPE ANDRES ALVAREZ Members Medical Director Dr. Alberto OLAIZOLA MENDIBIL Personnel Director Ms. Susana CEJUDO FERNANDEZ Nursing Director Ms. Maite BARRENA SARACHAGA Finance Director Mr. Francisco Javier GONZALEZ GOMEZ BioCruces Scientific Director Dr. Ildefonso A. MARTINEZ DE LA FUENTE MARTINEZ Organisation and Systems Assistant Director Mr. José Luis GONZALEZ IGLESIAS (Ms. Esther ELVIRA ANDRES until september 2011) Medical Documentation and Archives Service Chief Dr. Santiago RODRIGUEZ TEJEDOR Health Care Management Unit Service Chief Dr. José A. ZUMALAKARREGUI VILLASOL IT Service Chief Ms. Begoña CARRANZA ARANA

No. MEETINGS: 2

HEALTH-RELATED TRANSFERS COMMISSION

President Personnel Director Ms. Susana CEJUDO FERNANDEZ Secretary Personnel Assistant Director Mr. Luis VILLOLDO ORTEGA Members B. Occupational Safety and Prevention Unit Coordinator Dr. Ignacio GALINDEZ ALBERDI (2 nd half-year) B. Occupational Safety and Prevention Unit Specialist Doctor Dr. Isabel ROYO MARTINEZ (1 st half-year) B. Occupational Safety and Prevention Unit Specialist Doctor Dr. Esperanza ALVAREZ MAEZTU B. Occupational Safety and Prevention Unit Specialist Doctor Dr. Francisco de Borja GONZALEZ ROBREDO Prevention Representative Designated Union Signer Prevention Representative Designated Union Signer Director of the Department the worker belongs to

No. MEETINGS: 4

GURUTZETAKO UNIBERTSITATE OSPITALEA 25 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

DEFINITIVE HORIZONTAL MOBILITY COMMISSION

Secretary Human Resources Section Chief Mr. Eloy DE LA FUENTE DE LA FUENTE Members Personnel Director Ms. Susana CEJUDO FERNANDEZ Nursing Assistant Director Ms. Felisa FERNANDEZ GUTIERREZ ESK Prevention Representative Mr. José I. MARTINEZ ORTEGA SATSE Prevention Representative Ms. Ana LOPEZ CIRIANO SATSE Prevention Representative Ms. Lourdes IDIGORAS LOPEZ DE LUZURIAGA ELA Prevention Representative Ms. Dorinda ALVAREZ GONZALEZ ELA Prevention Representative Ms. Marisa VECI ROCILLO LAB Prevention Representative Mr. Manuel POSADAS FERNANDEZ UGT Prevention Representative Ms. Ana PEREZ SAN JOSE UGT Prevention Representative Ms. Ana VAZQUEZ VAZQUEZ CCOO Prevention Representative Ms. Mª Jesús RUIZ AZCUNAGA CCOO Prevention Representative Ms. Mar CEREZO CASTILLO All Management members

No. MEETINGS: 14

CONTINUED EDUCATION COMMISSION

President Personnel Director Ms. Susana CEJUDO FERNANDEZ Secretary Organisation Technician Ms. Raquel BENITO RUIZ DE LA PEÑA Members Medical Director Dr. Alberto OLAIZOLA MENDIBIL Economic Management Director Mr. Javier GONZALEZ GOMEZ Medical Teaching Unit Section Chief Dr. Jesús MORAN BARRIOS Paediatrics Department Specialist Doctor Dr. Itxaso RICA ETXEBARRIA Nursing Assistant Director Ms. Felisa FERNANDEZ GUTIERREZ Registered Nurse Nurse Training Mr. Javier ARRIBAS HERNANDEZ General Services Assistant Director Mr. Valentín TERÉS TERÉS Organisation and Systems Assistant Director Mr. José Luis GONZALES IGLESIAS (Ms. Esther ELVIRA ANDRES until September 2011) Quality Unit Manager Dr. Mikel LATORRE GUISASOLA Infectious Diseases Unit Registered Nurse Mr. Gorka IRAZU GARAI Two representative members of the Biscay Specialised Care Personnel Commission

No. MEETINGS: 2

CALENDAR/BILLBOARD COMMISSION

President Personnel Assistant Director Mr. Luis VILLOLDO ORTEGA Secretary Personnel Department Legal Technician Ms. Mª Pilar BONACHIA CABALLERO Members Nursing Assistant Director Ms. Mª Felisa FERNANDEZ GUTIERREZ Maintenance Technical Engineer Mr. Jon BERASATEGUI ORDEÑANA Administrative Personnel Supervisor Mr. Miguel A. GARCIA CASTRO Union Sections Union Representatives

No. MEETINGS: 3

26 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

MANAGEMENT / UNION COMMISSION

President Managing Director Mr. Gregorio ACHUTEGUI BASAGOITI Secretary Personnel Department Legal Technician Ms. Mª Pilar BONACHIA CABALLERO Members Medical Director Mr. Alberto OLAIZOLA MENDIBIL Finance Director Mr. Francisco Javier GONZALEZ GOMEZ Nursing Director Ms. Maite BARRENA SARACHAGA Personnel Director Ms. Susana CEJUDO FERNANDEZ Organisation and Systems Assistant Director Mr. José Luis GONZALEZ IGLESIAS (Ms. Esther ELVIRA ANDRES until September 2011) General Services Assistant Director Mr. Valentin TERES TERES Personnel Assistant Director Mr. Luis VILLOLDO ORTEGA Finance Assistance Director Ms. Elena BRAVO SUARES Union Sections Union Representatives

No. MEETINGS: 4

BIOCRUCES RESEARCH PROMOTION COMMISSION

President Neonatology Clinical Chief Dr. Adolf VALLS-I SOLER Members Research Unit Specialist Doctor Dr. Francisco José ALVAREZ DIAZ Nephrology Service Clinical Chief Dr. Francisco Javier GAINZA DE LOS RIOS Autoimmune Diseases Internal Medicine Service Clinical Chief Dr. Guillermo RUIZ IRASTORZA

No. MEETINGS: 5

BIOCRUCES COMMISSION ADVISORY COUNCIL

Members UPV/EHU Neurology Professor. C.U.H. Neurology Service Chief Dr. Juan José ZARRANZ IMIRIZALDU UPV/EHU Paediatrics Professor. C.U.H. Neonatology Section Chief Dr. Adolf VALLS-I SOLER UPV/EHU Pharmacology Professor Dr. Javier MEANA MARTINEZ Pharmacology Research Area Coordinator UPV/EHU Associate Professor Dr. José M. MONTEJO BARANDA Infectious Diseases Unit Section Chief UPV/EHU Chemistry Physics Professor Dr. Juan VEGUILLAS LOSADA UPV/EHU Chemistry Physics Professor Dr. Issa KATIME AMASHTA UPV/EHU Mathematics Professor Dr. Luis VEGA GONZALEZ UPV/EHU Paediatrics Professor C.U.H. Dr. Pablo SANJURJO CRESPO Metabolism Section Chief Paediatrics Professor. C.U.H. Paediatrics Digestive Section Chief Dr. Juan Carlos VITORIA CORMENZANA Medical Oncology Service Chief Dr. Guillermo LOPEZ VIVANCO Paediatric Oncology Section Chief Dr. Aurora NAVAJAS GUTIERREZ

No. MEETINGS: 1

GURUTZETAKO UNIBERTSITATE OSPITALEA 27 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

BIOCRUCES RESEARCH COMMISSION

Members BioCruces Scientific Director Dr. Ildefonso MARTINEZ DE LA FUENTE MARTINEZ BioCruces Research Assistant Director Ms. Mª Dolores BOYANO LOPEZ Clinical Epidemiology Unit and Dr. José Ignacio PIJOAN ZUBIZARRETA Methodological Support Section Chief UPV/EHU Paediatrics Professor. C.U.H. Dr. Adolf VALLS-I SOLER Neonatology Section Chief UPV/EHU Associate Professor / C.U.H. Dr. Iñigo C. POMPOSO CASTELU Neurosurgery Service Chief Teaching Supervisor Haematology Service Chief. C.U.H. Dr. Juan Carlos GARCIA RUIZ Advanced Therapy Area Coordinator Biscay P.C. Research Unit Supervisor Dr. Gontzal GRANDEZ ODRIOZALA Primary Care Area Coordinator Neurology Service Specialist Doctor, Dr. Manuel FERNANDEZ MARTINEZ Neuroscience Area Coordinator Medical Oncology Service Section Chief. Cancer Area Coordinator Dr. Alberto MUÑOZ LLARENA C.U.H. Paediatrics Service Chief Dr. Itziar ASTIGARRAGA AGUIRRE Mother-Infant Area Coordinator. Assisted Reproduction UPV/EHU Associate Professor. Endocrinology, Metabolism, Dr. Luis CASTAÑO GONZALEZ Nutrition and Renal Diseases Area Research Coordinator Specialist Doctor UPV/EHU Associate Professor. Internal Medicine Dr. Guillermo RUIZ IRASTORZA Autoimmune Diseases Section Chief. Chronic Inflamatory and Infectious Diseases Area Coordinator UPV/EHU Associate Professor. Pathological Anatomy Dr. Iñaki LOPEZ FERNANDEZ DE VILLAVERDE Service Chief. Research Area Coordinator Clinical Analysis Specialist Doctor Dr. Isabel TEJADA MINGUEZ Genomic-Genetic Unit Supervisor Paediatrics Specialist Doctor Dr. Koldo ALDAMIZ-ECHEVARRIA AZUARA Metabolonic-Proteomic Unit Supervisor UPV/EHU Associate Professor Dr. José M. MONTEJO BARANDA Infectious Diseases Unit Section Chief UPV/EHU Obstetrics and Gynaecology Professor Dr. Roberto MATORRAS WEINING Obstetrics-Gynaecology and Oncology Section Chief UPV/EHU Supply Teacher. Nephrology Service Section Chief Dr. Francisco Javier GAINZA DE LOS RIOS UPV/EHU Associate Professor. General Surgery and Dr. Joaquin LOSADA RODRIGUEZ Digestive System Section Chief Surgery and Biotechnology Area Coordinator Specialist Doctor. Laboratory Coordinator Dr. Mª Angeles JIMENO Strategic Management Supervisor UPV/EHU Pharmacology Professor Dr. Javier MEANA MARTINEZ UPV/EHU Physiology Professor Dr. Jon IRAZUSTA ASTIAZARAN UPV/EHU Systems Biomedicine Coordinator Dr. Ramón BILBAO CATALA

No. MEETINGS: 1

28 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

BIOCRUCES INFRASTRUCTURES COMMISSION

Members UPV/EHU Systems Biomedicine Coordinator Dr. Ramón BILBAO CATALA Senior Administration Technician Ms. Begoña CALVO MARTINEZ

No. MEETINGS: 2

BIOCRUCES ACCREDITATION COMMISSION. BIOCRUCES INSTITUTE

Members BioCruces Research Assistant Director Ms. Mª Dolores BOYANO LOPEZ Specialist Doctor. Laboratory Coordinator Dr. Mª Angeles BUSTURIA JIMENO Strategic Management Supervisor Senior BioEff Administration Technician Ms. Rocio BENITEZ RUIZ BioEff Administrator Ms. Mª Josefa NIETO FERRERAS Senior BioCruces Technician Ms. Mª Mercedes COBEAGA ZURINAGA Cruces U.H. Librarian Ms. Mª Asunción GARCIA MARTIN Senior BioEff Technician Mr. Galder GUTIERREZ ZIARDEGUI

No. MEETINGS: 32

BIOCRUCES COMMUNICATION AND DISCLOSURE COMMISSION

Members Cruces U.H. Librarian Ms. Mª Asunción GARCIA MARTIN Paediatric Oncology Section Chief Dr. Aurora NAVAJAS GUTIERREZ Paediatrics Specialist Doctor Dr. Koldo ALDAMIZ-ECHEVARRIA AZUARA Administrative Management Technician Mr. David GARCIA FERNANDEZ-CUESTA

No. MEETINGS: 1

GURUTZETAKO UNIBERTSITATE OSPITALEA 29 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

01 .4 HISTORY

Since its inauguration on July During the healthcare centre´s 20, 1955, and up until now, the life, it has not ceased to contribute Hospital has experienced the added value to public healthcare. In evolution of the Spanish public 1979, Cruces Hospital performed healthcare system and it has the first kidney transplant in Biscay, witnessed different ways of an offering that would expand by understanding a hospital performing cornea transplants and organisation. It was initially named the centre´s first liver transplant in the "Enrique Sotomayor" Healthcare 1996. Aside from this, on 09 July Residence as a modern expression 1985 the Hospital made headlines far from the negative Hospital throughout the country thanks to the concept tied to an image of first "in vitro" baby that was born in charitable healthcare. Between the the State´s public healthcare system. end of 1971 and the beginning of While it addresses in a satisfactory 1972, with the inauguration of the manner all of the population´s health Maternity Clinic, the Children´s needs for users, a number of events Hospital and the Traumatology and make the centre a highly specialised Rehabilitation Centre, the entity and vanguard in numerous That same year was also a healthcare centre joined the new specialities. success for the hospital, which was healthcare policy of building what once again a reference and a was referred to as Healthcare Cities. In 2006, the project that would pioneer in various areas. On the one In 1985, an INSALUD decree, later become one of the most important hand, since early 2009, it has been assumed by Osakidetza (Basque works in recent years was presented- the centre of reference in treating Healthcare System), defined all -the construction of a building complex eye diseases. Additionally, healthcare centres where adjacent to the A wing that would the first specific unit for diabetic feet hospitalisations took place with the make it possible to increase the in was created in order to save generic name of Hospital. The new number of beds, the complete 70% of the lower limbs that had concept was accompanied by renovation of the General Emergency been mutilated up to that time, and changes in the healthcare centre´s Room, and the construction of a the Colorectal and Paediatric executive and management model. service building that would unify the Ostomates Centre, the first in the hospital´s laboratories. On another nation and which was created with The healthcare centre initially hand, earning the Silver Q for the idea of treating the colorectal opened its doors with 625 beds, Management Quality in 2008 pathology in children in a reaching 1,500 beds at the recognised the effort that Cruces multidisciplinary and comprehensive Healthcare City´s peak. Today, this Hospital makes towards improving manner. Additionally, the new number has been reduced to below its management and reaching a level Gender Identity Disorder Unit 1,000. In 1992, Osakidetza started of excellence in service quality. performed the Basque public the Hospitalisation Alternatives healthcare system´s first gender programme. The new philosophy 2009 marked the beginning of a reassignment procedure, and the contributed the idea of avoiding new era in the Hospital´s new Ictus Unit was inaugurated, hospital stays for patients that could management, reflected by the offering a service that was especially receive outpatient care. Along with changes made to the executive designed and equipped towards this programme, the Outpatient team. These include the new improving treatment of the acute Hospital, the Outpatient Surgery Managing Director, Dr. Gregorio phase of strokes. Unit, and the Short Stay Unit Achútegui, along with the Medical appeared. Cruces Hospital became Director, Dr. Alberto Olaizola, 2009 was also a year marked by a pioneer in this healthcare Francisco Javier González as the performing interventions and philosophy with the launch of the Financial Management Director, and procedures that were less invasive Home Hospitalisation Service in the new Human Resources Director, and that would improve the quality of 1983. The implementation of Susana Cejudo. Additionally, the healthcare, such as gall bladder Hospitalisation Alternatives has Assistant Director positions for removal via the navel using contributed towards increasing the Surgical Services and Medical laparoscopy, the percutaneous Hospital´s activity while making it Services were filled by Dr. Isabel implant of the aortic valve, or the possible to substitute the number of Ferreiro and Dr. Javier Pilar, Basque public healthcare system´s beds to a more suitable level in respectively. Luis Villoldo also first intracranial radiosurgery order to offer a hospital service of became the new Human Resources procedure, which is a technique that better quality. Assistant Director. makes it possible to administer very

30 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011 high doses of radiation in a very localised area of an intracranial lesion in a non-invasive manner.

Also worth mentioning is the implementation of new programmes such as respiratory rehabilitation, an initiative that allows patients to maintain improvements after a hospital intervention; the multidisciplinary induced hypothermia after cardiac arrest procedure, or the pulmonary resuscitation plan that aims to equip the hospital with a simple response system that is based on basic life support and early defibrillation, and the implementation of new processes such as the digitalisation of all x-ray scans, making the images and reports available to clinicians through the Global Clinic PCH and then through Global Net.

Research continues holding a relevant position during 2009. Cruces Hospital and Proteomika, a biotechnology company, developed a new technique for diagnosing endometriosis, the leading cause of infertility in women. In addition, the description of a new paediatric syndrome by Blanca Gener, a clinical geneticist in the Paediatric Service, and Mª Jesús Martínez, a neuro-paediatrician, that was published in The American Journal of Medical Genetics received the award for the Best Healthcare Award of the Year from Diario Médico in the Lastly, the hospital´s activity has Room Admissions area or the Research and Pharmacology been recognised in the form of acquisition of the Basque Public section. Dr. Isabel Tejada also awards, one of the most important Healthcare´s first PET), as well as on participated in a study published in being the TOP 20 that acknowledges a structural and organisational level the Nature Genetics magazine that on a national level the Hospital´s (with research activities). The aim of identifies three new genes linked to healthcare quality and good operation this new organisation is to transform the X-chromosome that produce in the area of women, which the hospital into a Healthcare hereditary mental retardation. On evaluates all the hospitalisations Research Institute, the Biocruces another hand, the research group related to pregnancies and deliveries Institute, in order to firmly establish led by Dr. Sonia Gaztambide (among and breast surgery. Additional items the hospital´s research activities and others) was responsible for to highlight are the award granted by to promote the R&D&i model in the coordinating in the northern region the Sociedad Española de Fertilidad hospital, academic and business the first Study on the Prevalence of (Spanish Fertility Society) in assisted setting. Diabetes. One must not forget the reproduction, or the 2009 Fundación Ministry of Science and Innovation´s Lilly-UCM Medical Educational Chair However, this year has also been approval for the installation of a award for the best work in Post- an example of improved healthcare White Room in order to equip the Graduate Teaching and/or Specialist quality thanks to the launch of new Hospital with the necessary Education. treatments that are less invasive, conditions for performing clinical such as Endoscopic Transanal cellular research and advanced 2010 has been a year in which Surgery for treating colon cancer, or therapy research, as well as the hospital has taken shape both in with the multidisciplinary focus for establishing the Animal Well-Being terms of infrastructures (with the the surgical treatment of patients Ethics Committee. inauguration of the new Emergency with obstructive sleep apnoea (OSA).

GURUTZETAKO UNIBERTSITATE OSPITALEA 31 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

year, with a daily average of 575 emergencies, of which 80% are outpatient.

The heliport's inauguration marked another important moment in the hospital's transformation. The heliport addresses patient transfer needs in those cases with acute health condition losses, while improving the service quality provided by the healthcare centre. The heliport is directly connected to the Intensive Care Unit, Major Burns, the Heart Unit, Anaesthesia and Resuscitation and the Emergency Room through a ramp and a lift, facilitating and speeding up patient arrivals in these critical facilities that are prepared to provide urgent services and top quality care.

Research activities continue to play a major role in the hospital. This year, a Molecular Genetics research project led by Dr. Isabel Tejada has described for the first time ever that the duplication of the RPS6KA3 gene produces a mild intellectual disability with asymptomatic carrier mothers. This gene is located in the X chromosome, for which the Biscay hospital's genetics laboratory has Patient safety continues being as a resource to be developed for been an international reference for one of our top healthcare objectives, identifying and preventing medical years. The complete research project and the launch of the assisted errors. was published in the prestigious electronic prescription programme is scientific journal Pediatrics. specifically focused on preventing 2011 has been the year marking medication errors in the prescription, the inauguration of the Hospital's The Biocruces Institute also transcription, dispensation and major expansion projects. First, the began to take shape this year. First administration of medications, inauguration of the new A-wing through funding from the Instituto de increasing the quality of the building, the hospital's first major Salud Carlos III to build its future healthcare received. building expansion in the last 30 building. Specifically, the centre, years, consists of six floors that have which forms part of the Ministry of This year, the Hospital and the equipped the hospital with 70 new Science and Innovation, will finance EHU inaugurated during the "José beds and have involved the the new Cruces research centre with María Rivers" Virtual Hospital a renovation of 30 additional beds. a 10.5 million soft loan. And € device that makes it possible for second through the appointment of resident medical interns to learn On the other hand, the completion Dr. Ildefonso Martínez de la Fuente skills outside of situations that pose a of the Emergency Room expansion Martínez as Scientific Director. risk for patients as well as work reinforces the development of professionals. The Virtual Hospital technologies that facilitate and This year the Hospital completed makes it possible to add hours of improve clinical practices, one of the the roll-out of the global electronic experience to conceptual training, priority intervention areas for the history. The implementation of this improving patient safety by preparing Department of Healthcare and management system (known as a clinical professional that is much Consumption, and also improves the EOsabide or Osabide Global) in more experienced. Along these lines, healthcare infrastructure that serves patient care provides professionals in the creation of the Virtual and the population. This expansion has all healthcare levels with access to Experimental Surgery Training provided an addition 1,300 m2 and 100% of a patient's clinical Commission assumes surgical involved the renovation of 1,550 m2. information, 24 hours a day, from training using modern equipment The new area provides services to anywhere within the Osakidetza and considers the experimental area more than 212,000 patients each system.

32 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

01 .5 CENTRE OF REFERENCE

Gorliz Maruri GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES Sopelana Meñaka Arrieta Abanto Gamiz-Fika Trucios Trapagaran

Artzentales Centre of reference in the Güeñes Basque Autonomous Community

Gordexola • Liver and Kidney Transplant • Major Burns • Human Reproduction • Children´s Heart Surgery • Histocompatibility Studies • Parkinson´s Surgery • Occuloplasty • Epilepsy • Spinal Cord Unit

Admissions: 51.633 Deliveries: 6.621

Cruces U. Hospital 21% Cruces U. Hospital Rest of 36% Rest of Osakidetza Osakidetza 64% 79%

Total Consultations: 862.802 Surgical Interventions: 39.495

Cruces U. Cruces U. Hospital Hospital 23% 19%

Rest of Rest of Osakidetza Osakidetza 77% 81%

GURUTZETAKO UNIBERTSITATE OSPITALEA 33 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

Hospital map

34 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

General Reference Area

DEPARTAMENT OF HEALTH

Biscay Area Regional Department

Basque Health Care System

Contract- Programme Cruces U. Hospital

Ezkerraldea Area Uribe Area

Health Care Area Health Care Area

Güeñes Las Arenas

Balmaseda Romo

Algorta Zalla Fadura - Sta. Ana Ortuella Sopelana Trapagaran Mungia Abanto - Zierbena Txoriherri Portugalete - Repelega Astrabudua Santurtzi Centro Leioa - Lamiako

Kabiezes Leioa Centro

Mamariga - San Juan - Plentzia

GURUTZETAKO UNIBERTSITATE OSPITALEA 35 HOSPITAL UNIVERSITARIO CRUCES 01. The Hospital of the Autonomous Community

General Reference Area

REGION POPULATION

Abanto y Ciérvana-Abanto Zierbana 9.713 742 Artziniega 1.843 Balmaseda 7.583 Galdames 849 1.756 Güeñes 6.400 Karrantza Harana / Valle de Carranza 2.794 Lanestosa 265 Ezkerraldea-Enkarterri Muskiz 7.408 Ortuella 8.412 Portugalete 47.742 Santurtzi 47.076 Sopuerta 2.588 Trucios-Turtzioz 537 Valle de Trápaga-Trapagaran 12.224 Zalla 8.258 Zierbena 1.440

Total Ezkerraldea-Enkarterri 167.630

Arrieta 542 Bakio 2.542 Barrika 1.516 Berango 6.812 Derio 5.458 Erandio 24.262 Fruiz 469 Gamiz-Fika 1.331 Gatika 1.584 Getxo 80.089 Gorliz 5.515 Laukiz 1.138 Uribe Leioa 30.454 Lemoiz 1.042 Lezama 2.517 Loiu 2.491 Maruri-Jatabe 916 Meñaka 726 Mungia 16.737 Plentzia 4.311 Sondika 4.533 Sopelana 12.693 Urduliz 3.571 Zamudio 3.248

Total Uribe 214.497

Total Reference Area 382.127

Population data: INE (2011)

36 GURUTZETAKO UNIBERTSITATE OSPITALEA HOSPITAL UNIVERSITARIO CRUCES annual report 2011

Geographic origin of patients

Reference population (figures in thousands)

Ezkerraldea-Enkarterri Uribe

>= 85 >= 85

80 - 84 80 - 84

75 - 79 75 - 79

70 - 74 70 - 74

65 - 69 65 - 69

60 - 64 60 - 64

55 - 59 55 - 59

50 - 54 50 - 54

45 - 49 45 - 49

40 - 44 40 - 44

35 - 39 35 - 39

30 - 34 30 - 34

25 - 29 25 - 29

20 - 24 20 - 24

15 - 19 15 - 19

10 - 14 10 - 14

05 - 09 05 - 09

00 - 04 00 - 04

8 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 8 10 9 8 7 6 5 4 3 2 1 0 1 2 3 4 5 6 7 8910

Male Female

Hospitalisation Emergency Room

Rest of population 5% Rest of population 3%

Rest of Rest of Biscay Biscay 21% 24%

Cruces U. Hospital Cruces U. Hospital Health Care Area Health Care Area 74% 73%

Intrahospital Consultations Extrahospital Consultations

Rest of population 4% Rest of population 0,4% Rest of Biscay 1,7%

Rest of Biscay 23%

Cruces U. Hospital Cruces U. Hospital Health Care Area Health Care Area 73% 97,9%

GURUTZETAKO UNIBERTSITATE OSPITALEA 37 HOSPITAL UNIVERSITARIO CRUCES