Direccionamiento estratégico desde la gestión del talento humano para la empresa CediMed

La presente monografía tuvo como propósito resaltar la importancia tener un modelo de Direccionamiento Estratégico desde la Gestión del Talento Humano como factor clave de éxito de las organizaciones, catalogando a la persona como un instrumento que posee habilidades y características que le dan vida, movimiento y acción a toda organización; factor que se logra mediante el fortalecimiento y desarrollo de las competencias requeridas para el logro de los objetivos establecidos en sus planes estratégicos y de desarrollo, tanto a corto como a mediano y largo plazo. Para esto se identificaron 25 herramientas que complementan el enfoque como factor decisivo en el proceso innovador que garantiza la supervivencia y prosperidad de las Organizaciones. Adicionalmente se realizaron y analizaron 15 encuestas de empresas exitosas, cuyo objetivo era demostrar una vez más que éste modelo de Direccionamiento Estratégico facilitaría a la organización el desglose de competencias, el fortalecimiento de las mismas y por ende el incremento de la productividad empresarial.The following Monograph had as a main purpose to highlight the importance of having a Strategic Addressing from Human Talent Managing as a main factor for Organizations to succeed, thinking about people as an instrument who have abilities and features and those abilities give the organizations movement, action and life. That factor is acquired by strengthening and developing the right capacities to obtain the established targets mentioned on its strategic and development plans, caring them also as short, medium and long term. To do that, 25 toolkits were identified which complete the approach as a decisive factor in the innovating process which guarantees the surviving and prosperity of every Organization. Addition to these factors, 15 surveys of successful factories were analyzed, having as main goal to demonstrate that this model of Strategic Addressing will make easy to the organizations extract the exact abilities, strengthening them and in this way raise organization’s productivity up

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Sistema de Gestión de Salud para el Distrito (SGS-D) FaseII :

IP 1130-14-12803v.1. Arquitecturas del sistema integral de referencia y contrarreferenciapara el distrito capital -- v.2. Modo de operacion presente-procesos y manuales ESE y CRU:anexos: manualgeneral de ESE's-sistema integral de referencia y contrarreferencia-manual de procedimientos actividades electivas y urgentes ; sistema integral de referencia y contrarreferencia manual de procedimientos-centroregulador de urgencias CRU-actividades electivas y urgentes -- v.3. Modo de operacion futuro-procesosyprocedimientos del sistema integral de referencia y contrarreferencia SIRC DC (modelo basado en conectividad) --v.4. Manual de referencia del sistema integral de referencia y contrarreferencia (SIRC): anexos : descripcion de los modulos de aplicacion ; diagramas de casos de uso ; modelo estatico de la aplicacion;diagramasde actividades ; diagramas de secuencia ; arquitectura de datos -- v.5. Manual de usuario aplicacion SIRC -- v.6. Diagnostico de procesos y procedimientos SIRC en la Subred sur -- v.7. Diagnostico de procesos y procedimientos SIRC en la Subred centro oriente : anexos : seguimiento de herramientas y formatosSIRC;seguimiento de pacientes ; toma de tiempos ; sistemas de informacion -- v.8. Diagnostico de procesos yprocedimientos SIRC en la Subred norte : anexos : instructivo formato seguimiento : herramientas, formatos SIRCyelaboracion de informe por PA y ESE ; instructivo formato de seguimiento de pacientes ; instructivodediligenciamiento : formato de toma de tiempos para el SIRC ; instructivo de diligenciamiento formato : sistemas de informacion -- v.9. Diagnostico de procesos y procedimientos SIRC en la Subred sur occidente: anexos : instructivo formato seguimiento : herramientas, formatos SIRC y elaboracion de informe por PA yESE ; instructivo formato de seguimiento de pacientes ; instructivo de diligenciamiento : formato de tomadetiempos para el SIRC ; instructivo de diligen informacion

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)

The original version of this article unfortunately contained a mistake. The members of the ESICM Trials Group Collaborators were not shown in the article but only in the ESM. The full list of collaborators is shown below. The original article has been corrected