Understanding the challenges to the safe delivery of care in the Mexican healthcare system

Safety and quality challenges have been identified by national and global organizations highlighting the need for health sector improvements in Mexico. The current research investigates healthcare workers’ perspectives of factors affecting their job performance and wellbeing, ability to provide effective care and overall patient safety culture within a public hospital in Guadalajara. A total of 30 hospital staff took part in a card sorting task to elicit the perceived impact of eight pre-identified organizational factors. Results showed that healthcare workers identified the top contributory factors as ‘Finance/budget’ and ‘Resources’. ‘Staff numbers and competency’ was chosen for having more significant impact in delivering safe and effective healthcare, while ‘Communication’ was perceived to have more impact on the way their do their job. The findings from this study helped to identify areas for future applied research projects and provisional direction to the Hospital Quality Managers for targeted improvements projects

El consumo de alcohol en personal administrativo y de servicios de una universidad del Ecuador O consumo de álcool em pessoal administrativo e de serviço de uma universidade do Equador Alcohol consumption in administrative and service personnel in an Ecuadorian university

Se trata de un estudio descriptivo. El objetivo de la investigación fue describir el consumo de alcohol entre los trabajadores en el sector administrativo y de servicios en una universidad en Ecuador y determinar las diferencias en el consumo entre los dos grupos de trabajadores. Participaron 102 trabajadores respondiendo al Cuestionario de Identificación de los Trastornos debidos al Consumo de Alcohol (AUDIT). Los resultados mostraron que el personal de servicios consume más alcohol que el administrativo con un promedio de puntuación total de 7,26 frente a 1,84; presencia de consumo sensato 79,41%; consumo perjudicial 19,61%; y, dependencia plena 0,98%. En el nivel 1 de riesgo de consumo están 76,47%; en el nivel 2, 18,63%; en el nivel 3, 3,92%; y, en nivel 4, 0,98%. Se concluyó que frente a la identificación del riesgo de consumo encontrado, es necesaria la implantación de un programa de prevención de uso de drogas en la institución estudiada.<br>Trata-se de pesquisa descritiva. O objetivo da pesquisa foi descrever o consumo de álcool entre trabalhadores do setor administrativo e de serviços de uma universidade do Equador e verificar diferenças de consumo, entre os dois grupos de trabalhadores. Dos participantes, 102 responderam ao Questionário de Identificação de Transtornos devidos ao Consumo de Álcool (AUDIT). Os resultados mostraram que o pessoal de serviço consume mais álcool que o administrativo, com média de pontuação total de 7,26 e 1,84, respectivamente; presença de consumo sensato entre os funcionários foi de 79,41%, consumo prejudicial de 19,61% e dependência plena 0,98%. No nível 1 de risco de consumo estão 76,47% dos trabalhadores, no nível 2 estão cerca de 18,63%, no nível 3 cerca de 3,92% e no nível 4, 0,98% das pessoas. Conclui-se que, frente à identificação de riscos de consumo encontrados, é necessário a implantação de um programa de prevenção ao uso de drogas na instituição estudada.<br>The aim of this descriptive study was to characterize the consumption of alcohol among workers in the administrative and service sectors at an Ecuadorian university and to determine differences in consumption between the two groups of workers. The Alcohol Use Disorders Identification Test (AUDIT) was applied to 102 participants. The results showed that the service personnel consumed more alcohol than the administrative personnel with a mean total score of 7.26 against 1.84. The total prevalence of non-prejudicial consumption was 79.41%, prejudicial consumption 19.61% and dependency 0.98%. The total scores of 76.47% of the participants were within risk zone one; 18.63% risk zone two; 3.92% risk zone three; 0.98% risk zone four. In conclusion, due to the identification of hazardous consumption, it is necessary to implement a program of alcohol use prevention in the institution studied