Diseño de la gestión de talento humano como estrategia productiva para la empresa bicicletería Ciclogame en el año 2022

La bicicletería Ciclogame es una empresa que se dedica a la comercialización de bicicletas, repuestos y mantenimientos, cuenta con ocho empleados en la parte operativa y administrativa. sin embargo, este proceso ha sido un poco lento y simplificado por lo cual se relaciona con la productividad de la empresa desde el punto de vista administrativo, requiriendo cambios importantes en los procesos actuales que permitan mejorar la satisfacción del personal lo que se verá reflejado en corto y mediano plazo logrando los objetivos del trabajador y la empresa. De acuerdo a lo anterior, el objetivo del presente trabajo tiene como finalidad diseñar la gestión del talento humano para la empresa bicicletería Ciclogame con enfoque estratégico para una mayor productividad.es necesario partir del cuestionamiento ¿Cómo la falta de gestión del talento humano afecta la productividad de la empresa bicicletería Ciclogame y entrevista directa con el personal administrativo de la misma a partir de esto, se utiliza un método de investigación correlacional donde al aplicar una encuesta de 15 preguntas a los trabajadores de las diferentes áreas, se puede evidenciar que los empleados tienen claridad en el propósito de su contratación, aunque algunos tengan un contrato informal, también se evidencia las falencias en cuanto a los procesos administrativos del área de talento humano, lo anterior muestra que la empresa aunque tiene bases para su funcionamiento debe fortalecer la gestión del talento humano. Por lo tanto, se requiere que el personal esté motivado y capacitado constantemente para que reconozcan su capacidad e impacto dentro de las funciones que desarrollan, en la bicicletería Ciclogame la rotación de personal en el área de mantenimiento y ventas es frecuente lo que implica que la estructura de la organización esté constantemente incompleta provocando sobrecarga de trabajo y demora en los procesos.The Ciclogame bicycle store is a company dedicated to the commercialization of bicycles, spare parts and maintenance, it has eight employees in the operational and administrative part. However, this process has been a bit slow and simplified, which is why it is related to the productivity of the company from an administrative point of view, requiring important changes in the current processes that allow improving staff satisfaction, which will be reflected in a short time. and medium term achieving the objectives of the worker and the company. According to the above, the objective of this work is to design the management of human talent for the Ciclogame bicycle shop with a strategic approach for greater productivity. It is necessary to start from the questioning: How does the lack of human talent management affect productivity? of the company Ciclogame bicycle and direct interview with the administrative staff of the same, from this, a correlational research method is used where by applying a survey of 15 questions to the workers of the different areas, it can be evidenced that the employees have clarity in the purpose of their hiring, although some have an informal contract, the shortcomings in terms of the administrative processes of the human talent area are also evident, the above shows that the company, although it has bases for its operation, must strengthen talent management human. Therefore, it is required that the staff is constantly motivated and trained so that they recognize their capacity and impact within the functions they develop, in the Ciclogame bicycle shop the rotation of personnel in the maintenance and sales area is frequent, which implies that the organization structure is constantly incomplete, causing work overload and delays in processes

Post-anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study

Background Results from retrospective studies suggest that use of neuromuscular blocking agents during general anaesthesia might be linked to postoperative pulmonary complications. We therefore aimed to assess whether the use of neuromuscular blocking agents is associated with postoperative pulmonary complications. Methods We did a multicentre, prospective observational cohort study. Patients were recruited from 211 hospitals in 28 European countries. We included patients (aged ≥18 years) who received general anaesthesia for any in-hospital procedure except cardiac surgery. Patient characteristics, surgical and anaesthetic details, and chart review at discharge were prospectively collected over 2 weeks. Additionally, each patient underwent postoperative physical examination within 3 days of surgery to check for adverse pulmonary events. The study outcome was the incidence of postoperative pulmonary complications from the end of surgery up to postoperative day 28. Logistic regression analyses were adjusted for surgical factors and patients’ preoperative physical status, providing adjusted odds ratios (ORadj) and adjusted absolute risk reduction (ARRadj). This study is registered with ClinicalTrials.gov, number NCT01865513. Findings Between June 16, 2014, and April 29, 2015, data from 22803 patients were collected. The use of neuromuscular blocking agents was associated with an increased incidence of postoperative pulmonary complications in patients who had undergone general anaesthesia (1658 [7·6%] of 21694); ORadj 1·86, 95% CI 1·53–2·26; ARRadj –4·4%, 95% CI –5·5 to –3·2). Only 2·3% of high-risk surgical patients and those with adverse respiratory profiles were anaesthetised without neuromuscular blocking agents. The use of neuromuscular monitoring (ORadj 1·31, 95% CI 1·15–1·49; ARRadj –2·6%, 95% CI –3·9 to –1·4) and the administration of reversal agents (1·23, 1·07–1·41; –1·9%, –3·2 to –0·7) were not associated with a decreased risk of postoperative pulmonary complications. Neither the choice of sugammadex instead of neostigmine for reversal (ORadj 1·03, 95% CI 0·85–1·25; ARRadj –0·3%, 95% CI –2·4 to 1·5) nor extubation at a train-of-four ratio of 0·9 or more (1·03, 0·82–1·31; –0·4%, –3·5 to 2·2) was associated with better pulmonary outcomes. Interpretation We showed that the use of neuromuscular blocking drugs in general anaesthesia is associated with an increased risk of postoperative pulmonary complications. Anaesthetists must balance the potential benefits of neuromuscular blockade against the increased risk of postoperative pulmonary complications