Methodology with a multi-criteria approach for Orthopedics technological risk management in hospitals

Foundation: Orthopedics is one of the specialties with high risk of demands due to professional responsibility; this is, among other reasons, because traffic, industrial and domestic accidents have noticeably increased lately.Objective: to describe the application of a methodology with a multi-criteria approach to the management of technological risks in an orthopedic service.Methods: a descriptive study was realized at the Orthopedics service Vladimir Ilinch Lenin Hospital in Holguín during 2016. A methodology with a multi-criteria approach was applied which had four stages: risk setting, identification, evaluation and control. Some of the instruments used were Petri network, Software for the analysis of social network and the multi-criteria entropy method.Results: as high priority and more influential risks in the specialty of orthopedics there were identified the copy and paste of old information when writing new reports, deficiencies in internal communication means and loss of information by the high as well as the orthopedics area. With the implementation of the Plan for preventing risks it was possible to increase risk detection and there updating so as decreasing the relationship risk-evaluation.Conclusion: the methodology used allows solving deficiencies in risk management in hospitals since it allows a higher accuracy in each of the process stages and therefore a more effective control.</p

El chinchorro de gestión de riesgos como filosofía moderna de mejora en la dirección

 La evolución del mundo, de las organizaciones y el interés creciente por una administración e ciente y efectiva han cambiado el enfoque del control, aspecto que está estrechamente relacionado con la gestión de riesgos empre- sariales, y para la cual es objetivo de este artículo diseñar una metodología a partir de técnicas cuantitativas como apoyo a la toma de decisiones. Para esto se recurrió a un conjunto de técnicas basadas en redes (chinchorro de gestión), las mismas se integran en el cuerpo de la gestión de riesgos. Como resultado se obtiene un procedimiento de cinco fases, doce pasos y ocho tareas bajo las pautas de la gestión, además de su validación prospectiva, mediante las redes de Petri y el criterio de expertos, al fin de evitar errores antes de su aplicación

Alianzas estratégicas: análisis bibliométrico de la Strategic Management Journal publicada entre 1988-2009

El creciente interés científico en las alianzas estratégicas, responde a su importante rol en el entorno empresarial. La presente investigación realiza un análisis bibliométrico de las publicaciones escritas sobre la temática, en la revista Strategic Management Journal, entre 1988-2009. Se empleó como método para la investigación, un estudio bibliométrico, combinándose técnicas bibliométricas, con técnicas del análisis de redes sociales. El objetivo del trabajo es identificar patrones predominantes en las alianzas estratégicas, en la literatura más relevante a nivel mundial, como subcampo de investigación académica de la disciplina Dirección Estratégica. Los principales resultados obtenidos destacan: la existencia de comportamiento inestable en la producción de artículos sobre el tema en el período analizado, estos son realizados en su mayoría en universidades de prestigio, por autores del sexo masculino, se evidencia alto grado de cooperación de autores de esta temática, inexistencia de autores con productividad alta y predominio de autores con productividad baja. Palabras clave: turismo rural, turismo sostenible, indicadores de sostenibilidad, Manabí, desarrollo turístico. Abstrac The growing scientific interest in strategic alliances responds to its important role in the business environment. The present investigation carries out a bibliometric analysis of the written publications on the subject, in the Strategic Management Journal, between 1988-2009. A bibliometric study was used as a method for research, combining bibliometric techniques with social network analysis techniques. The objective of the work is to identify predominant patterns in strategic alliances, in the most relevant literature worldwide, as a subfield of academic research in the discipline Strategic Management. The main results obtained include: the existence of unstable behavior in the production of articles on the subject in the period analyzed, these are mostly made in prestigious universities, by male authors, there is evidence of high degree of cooperation of authors of this topic, inexistence of authors with high productivity and predominance of authors with low productivity. Keywords: strategic alliances, bibliometrics, scientometrics, citation analysis

Alianzas estratégicas: análisis bibliométrico de la Strategic Management Journal publicada entre 1988-2009

El creciente interés científico en las alianzas estratégicas, responde a su importante rol en el entorno empresarial. La presente investigación realiza un análisis bibliométrico de las publicaciones escritas sobre la temática, en la revista Strategic Management Journal, entre 1988-2009. Se empleó como método para la investigación, un estudio bibliométrico, combinándose técnicas bibliométricas, con técnicas del análisis de redes sociales. El objetivo del trabajo es identificar patrones predominantes en las alianzas estratégicas, en la literatura más relevante a nivel mundial, como subcampo de investigación académica de la disciplina Dirección Estratégica. Los principales resultados obtenidos destacan: la existencia de comportamiento inestable en la producción de artículos sobre el tema en el período analizado, estos son realizados en su mayoría en universidades de prestigio, por autores del sexo masculino, se evidencia alto grado de cooperación de autores de esta temática, inexistencia de autores con productividad alta y predominio de autores con productividad baja.The growing scientific interest in strategic alliances responds to its important role in the business environment. The present investigation carries out a bibliometric analysis of the written publications on the subject, in the Strategic Management Journal, between 1988-2009. A bibliometric study was used as a method for research, combining bibliometric techniques with social network analysis techniques. The objective of the work is to identify predominant patterns in strategic alliances, in the most relevant literature worldwide, as a subfield of academic research in the discipline Strategic Management. The main results obtained include: the existence of unstable behavior in the production of articles on the subject in the period analyzed, these are mostly made in prestigious universities, by male authors, there is evidence of high degree of cooperation of authors of this topic, inexistence of authors with high productivity and predominance of authors with low productivity

Methodology with a multi-criteria approach for Orthopedics technological risk management in hospitals

Foundation: Orthopedics is one of the specialties with high risk of demands due to professional responsibility; this is, among other reasons, because traffic, industrial and domestic accidents have noticeably increased lately.Objective: to describe the application of a methodology with a multi-criteria approach to the management of technological risks in an orthopedic service.Methods: a descriptive study was realized at the Orthopedics service Vladimir Ilinch Lenin Hospital in Holguín during 2016. A methodology with a multi-criteria approach was applied which had four stages: risk setting, identification, evaluation and control. Some of the instruments used were Petri network, Software for the analysis of social network and the multi-criteria entropy method.Results: as high priority and more influential risks in the specialty of orthopedics there were identified the copy and paste of old information when writing new reports, deficiencies in internal communication means and loss of information by the high as well as the orthopedics area. With the implementation of the Plan for preventing risks it was possible to increase risk detection and there updating so as decreasing the relationship risk-evaluation.Conclusion: the methodology used allows solving deficiencies in risk management in hospitals since it allows a higher accuracy in each of the process stages and therefore a more effective control.</p

International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module

We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care–associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line–associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U.S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN