CONSULTORIAS EMPRESARIALES Y NEGOCIOS INTERNACIONALES

The purpose of this document is to present the analysis of the negotiating profileof the employees of the sales area of a hardware store in the city of Valledupar inwhich 31 salespeople were surveyed according to the criteria of the profile of thenegotiator of the Marrero and Ortiz model. It was possible to identify through anexploratory and confirmatory factorial analysis that the orientation of the employeesof the company was directed to the collaboration and satisfaction of the collectiveneeds of the individuals involved, in the same way it was established that in theemployees of this union the Compliance with duty with responsibility and ethicsplays a very important role when it comes to establishing negotiations.El prop´osito del presente documento es el de exponer el an´alisis del perfil negociadorde los empleados del ´area de ventas de una ferreter´ıa en la ciudad de Valleduparen la que se encuestaron a 31 vendedores de acuerdo a los criterios del perfil delnegociador del modelo de Marrero y Ortiz (2016). Se logr´o identificar mediante unan´alisis factorial exploratorio y confirmatorio que la orientaci´on de los empleadosde la empresa estaba dirigida a la colaboraci´on y a la satisfacci´on de las necesidadescolectivas de los individuos involucrados, de la misma manera se estableci´o que enlos empleados de este gremio el cumplimiento del deber con responsabilidad y ´eticajuega un papel muy importante a la hora de establecer negociaciones

Colombian surgical outcomes study insights on perioperative mortality rate, a main indicator of the lancet commission on global surgery – a prospective cohort studyResearch in context

Summary: Background: Surgical care holds significant importance in healthcare, especially in low and middle-income countries, as at least 50% of the 4.2 million deaths within the initial 30 days following surgery take place in these countries. The Lancet Commission on Global Surgery proposed six indicators to enhance surgical care. In Colombia, studies have been made using secondary data. However, strategies to reduce perioperative mortality have not been implemented. This study aims to describe the fourth indicator, perioperative mortality rate (POMR), with primary data in Colombia. Methods: A multicentre prospective cohort study was conducted across 54 centres (hospitals) in Colombia. Each centre selected a 7-day recruitment period between 05/2022 and 01/2023. Inclusion criteria involved patients over 18 years of age undergoing surgical procedures in operating rooms. Data quality was ensured through a verification guideline and statistical analysis using mixed-effects multilevel modelling with a case mix analysis of mortality by procedure-related, patient-related, and hospital-related conditions. Findings: 3807 patients were included with a median age of 48 (IQR 32–64), 80.3% were classified as ASA I or II, and 27% of the procedures had a low-surgical complexity. Leading procedures were Orthopedics (19.2%) and Gynaecology/Obstetrics (17.7%). According to the Clavien–Dindo scale, postoperative complications were distributed in major complications (11.7%, 10.68–12.76) and any complication (31.6%, 30.09–33.07). POMR stood at 1.9% (1.48–2.37), with elective and emergency surgery mortalities at 0.7% (0.40–1.23) and 3% (2.3–3.89) respectively. Interpretation: The POMR was higher than the ratio reported in previous national studies, even when patients had a low–risk profile and low-complexity procedures. The present research represents significant public health progress with valuable insights for national decision-makers to improve the quality of surgical care. Funding: This work was supported by Universidad del Rosario and Fundación Cardioinfantil-Instituto de Cardiología grant number CTO-057-2021, project-ID IV-FGV017