Estabilización y mejoras del servicio para un proyecto de implementación de HelpDesk y Soporte

As part of education and career focus was instructed our knowledge of information technology, administrative management to carry out and implement and achieve the objectives, scope, and ensure the best service to our working place. Then the report describes the experience of the work performed for 11 months in the implementation and stabilization of the draft HelpDesk - UPC, as part of the team and supervisor assigned to this project by the company CosapiData. The project had 2 phases, the implementation of HelpDesk in the respective headquarters and the stabilization of the service, as part of the role of supervisor was always in contact with the client (UPC) and the management of outsourcing to service improvements. The purpose of the document is presented based on work experience, the development employee in stabilizing the HelpDesk service in the UPC, using knowledge and best practices learned in the university experience, previous work experience and ongoing support of the team my collection by getting a better service to end users HelpDesk UPC. HelpDesk service at the Peruvian University of Applied Sciences (UPC), UPC customer did not provide an optimal care, resulting in dissatisfaction and a perception of poor service, a result which did not provide methodologies for best practices as the previous supplier HelpDesk .Como parte de la enseñanza y enfoque de nuestra carrera profesional se instruyó el conocimiento de Tecnologías de Información, gestión administrativa para desempeñar y poner en práctica, así cumplir los objetivos, alcance y asegurar la optimización del servicio en nuestro puesto laboral. A continuación en el informe, se describe la experiencia laboral del trabajo desempeñado por 11 meses en la implementación y estabilización del proyecto de HelpDesk – UPC, como parte del equipo y supervisor asignado a este proyecto por la empresa CosapiData. El proyecto tuvo 2 fases, la implementación de HelpDesk en las respectivas sedes y la estabilización del servicio; como parte de la función del supervisor estuve siempre en contacto con el cliente (UPC) y la gerencia del Outsourcing para mejoras del servicio. La finalidad del documento es presentar en base a la experiencia laboral, el desarrollo empleado en la estabilización del servicio de HelpDesk en la UPC, aplicando los conocimientos y mejoras prácticas de lo aprendido en la trayectoria Universitaria, anteriores experiencias laborales y apoyo constante del equipo humano a mi cargo logrando una mejor percepción del servicio de HelpDesk a los usuarios finales de UPC. El servicio de HelpDesk en la Universidad Peruana de Ciencias Aplicadas (UPC), no brindaba al cliente UPC, una atención optima, originando insatisfacción y una percepción de un mal servicio, a consecuencia que no contemplaban mejores prácticas según metodologías de HelpDesk por el anterior proveedor.Trabajo de suficiencia profesiona

Plan de transformación digital en el canal de distribución de una empresa de productos veterinarios del sector pecuario

El sector pecuario opera de manera tradicional, donde los grandes productores son atendidos directamente por los laboratorios nacionales, mientras que los de mediana y pequeña producción adquieren sus productos a través de almacenes o tiendas veterinarias ubicadas en diferentes partes del país. En ambos sectores, tanto productivo como comercial, hay grandes oportunidades y desafíos para generar una transformación digital. Por el lado productivo, los productores están aumentando su población animal, y por el lado comercial, están apareciendo nuevas tiendas veterinarias para la atención al público ganadero entre pequeñas y medianas empresas. Sin embargo, estos sectores enfrentan desafíos como la ubicación, lo cual repercute en la eficiencia de atención y el nivel de digitalización, como los principales

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research