Innovación y Liderazgo en la Gestión del Cambio Organizacional: Sistema Hospitalario de Amecameca, Edo. de Mex.

This article examines the relationship between innovation, leadership and change management in the Amecameca Hospital System, State of Mexico. The main objective is to analyze how leadership influences the promotion of innovation and the effective management of change in a hospital environment. A mixed methodology is used that combines employee surveys and interviews with hospital leaders and managers, as well as an analysis of internal documents. The results reveal that a committed and innovation-oriented leadership is a key driver to facilitate the successful adoption of organizational changes in the hospital system. It is highlighted that leaders who foster a culture of openness to new ideas and provide adequate resources directly influence the willingness of staff to embrace transformations. In addition, it was found that empathetic and communicative leaders help reduce resistance to change and maintain a collaborative work environment. These findings underline the importance of effective leadership in promoting innovation and managing change in health care settings, with implications for improving the quality of care and adapting to the challenges of the sector.Este artículo examina la relación entre innovación, liderazgo y la gestión del cambio en el Sistema Hospitalario de Amecameca, Estado de México. El objetivo principal es analizar cómo el liderazgo influye en la promoción de la innovación y en la gestión efectiva del cambio en un entorno hospitalario. Se emplea una metodología mixta que combina encuestas a empleados y entrevistas con líderes y directivos del hospital, además de un análisis de documentos internos. Los resultados revelan que un liderazgo comprometido y orientado hacia la innovación es un impulsor clave para facilitar la adopción exitosa de cambios organizacionales en el sistema hospitalario. Se destaca que los líderes que fomentan una cultura de apertura a nuevas ideas y proporcionan recursos adecuados influyen directamente en la disposición del personal para abrazar transformaciones. Además, se encontró que los líderes empáticos y comunicativos contribuyen a reducir la resistencia al cambio y a mantener un ambiente de trabajo colaborativo. Estos hallazgos subrayan la importancia de una dirección efectiva en la promoción de la innovación y en la gestión del cambio en entornos de atención médica, con implicaciones para la mejora de la calidad asistencial y la adaptación a los desafíos del sector

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