1
tesis de grado
Publicado 2020
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La investigación titulado “La Cultura Organizacional y la Satisfacción del Cliente en el Hotel Cabaña Quinta, 2018”, siendo el objetivo determinar cómo influye la cultura organizacional en la satisfacción del cliente en el Hotel Cabaña Quinta, en el 2018; se aplicaron dos instrumentos a 19 trabajadores del Hotel Cabaña Quinta y a 44 clientes actuales, el tipo y diseño fue descriptiva correlacional de corte transversal. El instrumento de la Cultura Organizacional tuvo 27 interrogantes y el de Satisfacción del Cliente tenía 10 interrogantes, ambas con escala de Likert (Nunca, Algunas Veces, Casi Siempre y Siempre), siendo un total de 37 interrogantes. Se realizó la validez y la confiabilidad mediante el coeficiente de Alfa de Cronbach, obteniéndose 0.717 del instrumento de Cultura Organizacional y de 0.812 del instrumento de Satisfacción del Cliente, ambos de “Buena Conf...
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3
artículo
Publicado 2024
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Background: Catheter-Associated Urinary Tract Infections (CAUTIs) frequently occur in the intensive care unit (ICU) and are correlated with a significant burden. Methods: We implemented a strategy involving a 9-element bundle, education, surveillance of CAUTI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CAUTI rates and performance feedback. This was executed in 299 ICUs across 32 low- and middle-income countries. The dependent variable was CAUTI per 1,000 UC days, assessed at baseline and throughout the intervention, in the second month, third month, 4 to 15 months, 16 to 27 months, and 28 to 39 months. Comparisons were made using a 2-sample t test, and the exposure-outcome relationship was explored using a generalized linear mixed model with a Poisson distribution. Results: Over the course of 978,364 patient days, 150,258 patients utilized 652,0...
4
artículo
Publicado 2024
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Background: Central line (CL)-associated bloodstream infections (CLABSIs) occurring in the intensive care unit (ICU) are common and associated with a high burden. Methods: We implemented a multidimensional approach, incorporating an 11-element bundle, education, surveillance of CLABSI rates and clinical outcomes, monitoring compliance with bundle components, feedback of CLABSI rates and clinical outcomes, and performance feedback in 316 ICUs across 30 low- and middle-income countries. Our dependent variables were CLABSI per 1,000-CL-days and in-ICU all-cause mortality rates. These variables were measured at baseline and during the intervention, specifically during the second month, third month, 4 to 16 months, and 17 to 29 months. Comparisons were conducted using a two-sample t test. To explore the exposure-outcome relationship, we used a generalized linear mixed model with a Poisson dis...
5
artículo
Publicado 2024
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Background: Ventilator associated pneumonia (VAP) occurring in the intensive care unit (ICU) are common, costly, and potentially lethal. Methods: We implemented a multidimensional approach and an 8-component bundle in 374 ICUs across 35 low and middle-income countries (LMICs) from Latin-America, Asia, Eastern-Europe, and the Middle-East, to reduce VAP rates in ICUs. The VAP rate per 1000 mechanical ventilator (MV)-days was measured at baseline and during intervention at the 2nd month, 3rd month, 4–15 month, 16–27 month, and 28–39 month periods. Results: 174,987 patients, during 1,201,592 patient-days, used 463,592 MV-days. VAP per 1000 MV-days rates decreased from 28.46 at baseline to 17.58 at the 2nd month (RR = 0.61; 95% CI = 0.58–0.65; P < 0.001); 13.97 at the 3rd month (RR = 0.49; 95% CI = 0.46–0.52; P < 0.001); 14.44 at the 4–15 month (RR = 0.51; 95% CI = 0.48–0.53; P ...
