7 research outputs found

    Influencia de la estandarización de procesos operativos en la satisfacción del cliente de una empresa del sector joyería

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    La presente investigación tuvo como objetivo general determinar la influencia de la estandarización de procesos operativos en la satisfacción del cliente de la empresa de joyería de la ciudad de Trujillo. En primera instancia se realizó un diagnóstico de la situación actual de los procesos operativos de la empresa, obteniendo como resultado los problemas que se presentan en cada proceso. Según la información recabada se pudo elaborar un mapa de procesos para tener una visión detallada de la empresa. A continuación, con los problemas identificados se diseñó el modelo de estandarización de procesos operativos, que permitió elevar el nivel de satisfacción de los clientes con respecto al servicio, producto, tiempo de entrega, atención de los colaboradores, precio y atención de reclamos. Ante los resultados pre y post test se aplicó la prueba de normalidad de Kolmogorov y la prueba T, obteniendo un valor de significancia de 0.000 que es menor a 0.05, afirmando la hipótesis planteada y demostrando que la estandarización de procesos operativos influye positivamente en la satisfacción del cliente. Por último, se realizó la evaluación financiera obteniendo un VAN de S/.20.592,11 un TIR equivalente a 73,57%, un B/C igual a 1,52 y un PRI de 1,27

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

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    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)

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    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
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