Reseña de Gregorio Vidal, Arturo Guillén y José Deniz (coords.), Desarrollo y transformación: Opciones para América Latina

Reseña del lbro, Desarrollo y transformación: Opciones para América Latina, Gregorio Vidal, Arturo Guillén y José Deniz (coords.), Fondo de Cultura Económica de España, Madrid, 2010, 492 pp., ISBN 978-84-375-0633-3

Calidad de vida laboral y trabajo digno o decente: nuevos paradigmas en las organizaciones

Este libro está enmarcado en el proyecto de investigación "Determinación de las implicaciones de la subcontratación o tercerización en el trabajo digno o decente", una investigación interinstitucional desarrollada entre la Universidad Cooperativa de Colombia Seccional Medellín, la Fundación Universitaria CEIPA, la Facultad de Contaduría y Administración de la Universidad Nacional Autónoma de México y la Universidad Vasco de Quiroga de México. Esta publicación es producto de un trabajo colectivo entre varios investigadores nacionales e internacionales, cuyo interés ha estado fundamentado en presentar diversas reflexiones en el marco de la calidad de vida laboral y el trabajo digno o decente, entendidos como nuevos paradigmas en las organizaciones. Con ello se busca reflexionar sobre el valor que representa este tema en la cotidianidad y en el desarrollo de una sociedad inclusiva y fundamentada en el valor de las personas como elemento primordial para el desarrollo organizacional.This book is the result of a part of the project "Determination of the implications of subcontracting or outsourcing in decent or decent work", an interinstitutional investigation developed between the Cooperative University of Colombia, Medellín sectional, the CEIPA University Foundation, the Faculty of Accounting and Administration of the National Autonomous University of Mexico and the Basque University of Quiroga of Mexico. This publication is the product of the collective work between several national and international researchers interested in presenting different reflections on the quality of work-life and decent work, understood as new paradigms in organizations. With this, we seek to reflect on the value that this topic represents in everyday life and for the development of an inclusive society based on the value of people as a fundamental element for organizational development.1. Introducción. -- 2. Panorama del trabajo infantil. -- 3. El derecho de los niños a la educación. -- 4. El derecho a la educación para los niños trabajadores en México. -- 5. Conclusiones.https://orcid.org/0000-0002-2354-734

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)