EFQMORGANISATIONAL DEVELOPMENT AT GC EUROPEWe are delighted to invite you to join, on September 1. Leuven, a Good Practice Visit on Organisational Development hosted by GC Europe. During this event, you will discover how GC Europe's unique culture helped them to achieve excellent results and become a reference in the health care sector. Indicadores de calidad y eficiencia de los servicios hospitalarios. Una mirada actual. Hospital Clinicoquir. Desde el punto de vista de los gestores. La evaluaci. El presente trabajo comienza por una visi. Profundiza entonces en los indicadores. Incluye las formas en que tales indicadores se clasifican y las. Durante el curso se desarrollará la temática de Aseguramiento de la Calidad del Software (SQA Software Quality Assurance) con el objetivo de incorporar los. Sistemas Abiertos. Evolución. Conceptos y Características de Sistemas Abiertos. Unix como sistema abierto. Tendencias futuras. Opinión de los expertos. Programa de alquiler de coches. Software para rent a car y alquiler de flotas. Programa para empresas de rent a car. Funcionamiento en Red global. De. CS: CALIDAD DE LA ATENCION DE SALUD; INDICADORES DE CALIDAD DE LA. ATENCION DE SALUD; SERVICIOS DE SALUD. Introducci. La dificultad estriba principalmente. Desde el punto de vista del paciente, es conocido por ejemplo, que para algunos. The EFQM News Wall - July 2017. TH E AGILITY PULSE Take part in the Agility Pulse to uncover how and to what degree your organisation adopts and instills management. Se acepta, por. lo menos, que . Sin embargo, muchos. En los sistemas de salud no p. Las ganancias de tales compa. Esta madeja de intereses obviamente no siempre resulta. En los sistemas p. La falta de control y evaluaci. Como bien lo define Silva, de manera muy general, un indicador es “una. Tal es el caso de. La caracter. La tasa de mortalidad infantil no. Es decir que, por caminos te. La necesidad de medirlos es obvia aunque es siempre un desaf. No. se trata de un problema de esos indicadores en particular sino una caracter. Un ejemplo cl. Si se quieren tomar. Diferencias. entre las tasas de mortalidad bruta de dos pa. Por un lado los hospitales albergan a las personas con los problemas. PaperStream Capture es un software de escaneado con una interfaz intuitiva que ayuda a reducir el tiempo en las tareas de digitalización. El software facilita y. El presente trabajo tiene por objeto brindar una visi. Considera que una sola definici. Murray y Frenk en el documento titulado “Un marco de la. OMS para la evaluaci. La eficacia. en la esfera de la Salud P. Debido a que las relaciones causa- efecto que. La eficacia de un procedimiento o tratamiento en relaci. La efectividad es de mayor. Es un atributo que s. En la eficiencia se consideran los gastos y costos relacionados. Se trata adem. Un ejemplo concreto, que ilustra de manera sencilla la interrelaci. Cierto programa de intervenci. Para conocer si esta intervenci. La eficiencia de la intervenci. Lograr. eficiencia en salud, significa tambi. De modo que, cuando se persiguen determinados. Si bien en el . Por lo tanto, la b. Justeza del acceso. Entrega efectiva de atenci. Experiencia de pacientes y cuidadores. Resultados de salud del sistema. Se. En el glosario de t. Provee tambi. Variable susceptible de medici. Los indicadores son a veces estandarizados. Variable que contribuye a medir los cambios en una situaci. Con este enfoque, puede decirse que los indicadores. Por tal motivo, am. Pero, el desarrollo de buenos indicadores no es una tarea f. Sencillez: debe ser sencillo de administrar, de aplicar y de explicar. El desarrollo y utilizaci. Es decir que habr. Por fortuna, el desarrollo de indicadores de calidad de la atenci. Ya en 1. 95. 2, se public. El autor se. No obstante, la estructura m. Incluye. tambi. De hecho el proceso de la atenci. Se trata de un proceso complejo. Por otro lado, es en el proceso donde puede ganarse o perderse. Como ejemplo espec. Dada la gran cantidad de elementos que suele tener la historia cl. Se trata de otorgar puntos a todos los elementos de la historia de. El sistema puede organizarse sobre. La calidad de otros documentos que reflejan el proceso de atenci. La confecci. De manera amplia, Donabedian define como resultados m. Dependen de la interacci. Reflejan la contribuci. Son mejor comprendidos por los pacientes y el p. Dentro de los indicadores de resultados se pueden identificar dos grandes grupos. Indicadores Centinela” y los “Indicadores basados. Indicadores centinela. Son aquellos que representan un suceso lo bastante grave e indeseable del resultado. Identifican la aparici. Son importantes para garantizar. Los sucesos centinela se caracterizan por una baja probabilidad de ocurrencia. Un evento centinela es el suceso propiamente dicho y el indicador. Ejemplos de sucesos considerados centinela. Gangrena gaseosa. Absceso del SNC. Da. Los programas de garant. Ejemplos de Indicadores de datos agregados. Tasa de mortalidad hospitalaria (general o por servicios). Tasa de reingreso por la misma enfermedad. Tasa de infecciones intrahospitalarias. Tasa de complicaciones relacionadas a la hospitalizaci. Puede ser una. enfermedad de diagn. Por ejemplo: un paciente hospitalizado por hipertensi. Relacionado con este concepto, en 1. Para. la atenci. La evaluaci. Alta prevalencia. Cambiar sustancialmente con la atenci. Tener criterios de manejo ampliamente aceptados. Ser comprendida en el contexto epidemiol. Responder a las expectativas no m. Para cada pregunta el paciente deber. El tercero (SF- 3. Tanto el BSI como el SF- 3. Programas e instrumentos que tienen como objetivo evaluar el desempe. Salomon y otros describen la construcci. Sin embargo Waxman. Indicador negativo: Aquel que se basa en un suceso considerado no deseable. Las tasas de mortalidad. Como ya se esboz. Palmer explica en detalle las falacias a que puede dar lugar el uso. Se necesita conocer por qu. Se necesitan respuestas a corto plazo. Los procesos de inter. Es de inter. Faltan herramientas para ajustar por caracter. Los proveedores se comparan en una situaci. Se trata de procesos espec. Se tiene inter. Son posibles evaluaciones a largo plazo. Se tiene inter. Se trata de la evaluaci. Se tiene una situaci. El diccionario de la Real Academia Espa. En salud la eficiencia se refiere a la producci. Se plantea adem. En primer lugar porque la decisi. Y en segundo lugar porque la salud es un concepto con implicaciones. Algo similar ocurre cuando se calculan otras. No se expresa, por lo regular, el n. O sea, muertes por ingresos. Relacionar el concepto del resultado (la muerte, por. Por tanto. para medir la eficiencia de un sistema o subsistema de salud cualquiera habr. Muchas de las medidas globales de la eficiencia. Indicadores que miden el aprovechamiento del recurso cama En la atenci. Particularmente los que se utilizan para evaluar la eficiencia. Se encuentran aqu. Thomas y otros realizaron un estudio en 1. La necesidad de. emplear como patrones de comparaci. El ajuste de los indicadores. Recientemente se ha desarrollado y comercializado en los Estados Unidos el. Como este dato es imposible de saber con exactitud, se utilizan. Se supone que para cierta regi. Lo. que implica que: Toda persona que necesite una hospitalizaci. Cada paciente hospitalizado debe permanecer en el hospital el tiempo m. El hospital no debe tener nunca camas vac. Es decir si en 3. El concepto es necesario si se tiene en cuenta que no todas. Puede haber camas en reparaci. Si un paciente est. Responde a la pregunta: de todo el tiempo disponible en cierto per? Por ejemplo. si del 2. Pero si en ese per. Expresa el n. Se calcula. Su interpretaci. Si se cumple. Sin embargo un . Se calcula entonces as. Es decir, que. las variaciones que se observan en los valores de estos indicadores no dependen. Este control de variables que permita comparaciones en espacio. En el libro editado por Iezonni. Sin embargo, en este mare magnum de pacientes, los indicadores. La contradicci. Se formaron entonces 4. GDR (conformados por un panel de expertos). El cuadro 3 muestra la composici. Estos GDR sirvieron de base al sistema de “pago prospectivo”, seg. De esta manera la introducci. Por tanto, casi desde. GDR fueron criticados por no contemplar una serie de variables. Ejemplos de GDRGRD Descripci. El sistema de clasificaci. Tanto en los GDR como en el sistema de Gonella. En ambos casos se necesitaron paneles de. Por tal motivo, ambos sistemas se han convertido en tecnolog. El significado intuitivo. Se basan en datos de respuesta dicot. Estas tasas podr. Entonces para obtener la tasa estandarizada. Lo que debe. tenerse es una “poblaci. Estas. tasas se aplicar. La suma de esas defunciones. La tasa. de mortalidad de la poblaci. Este factor de estandarizaci. Por ejemplo, Desharnais y otros. De forma resumida, estos autores refieren. Utilizan. dos m. Estos modelos son. Se supone que la funci. Esto permite alcanzar lo que precisamente. Las Xi representan las variables. De esta manera. se est. Por ejemplo, si tenemos una funci. Si la tasa observada es mucho mayor que la esperada. Con las variables explicativas adecuadas (edad, gravedad, diagn. Las diferencias. con la estad. Del mismo modo es posible estimar el promedio ajustado. Las dificultades principales para la aplicaci. La interpretaci. Actualmente. Entre todos los indicadores mencionados hay cuatro que, por su importancia. Los tres primeros se utilizan b. En particular la tasa de. Los enfermos acuden a los hospitales con la finalidad. Sin embargo, por diversas razones no todas las muertes hospitalarias. El problema entonces consiste en deslindar si una muerte, que se produce en. En cierto sentido, el an. Los enfoques m. Utilizan los hospitales como. Estos autores no eval. Para los grupos de GDR con tasas de mortalidad iguales o mayores de 5 %. Regresi. La tabla de contingencia. X2) se construye con la edad (en 3 grupos: 0- 6. El. modelo de Regresi. Como variables independientes. Sin embargo, no siempre las tasas de mortalidad ajustadas han dado el resultado. En este caso la mortalidad esperada se calcula. Regresi. Las tasas de mortalidad son habitualmente peque. La mala calidad en la atenci. Los pacientes con mayor probabilidad de. Lied y otros. 69 evaluaron recientemente. La tasa de reingreso. El reingreso se ha definido de diferentes formas en la literatura pero en general. Su objetivo era arribar a conclusiones. Consideraron. que para determinar la validez del reingreso como indicador de calidad eran. Establecer modelos espec. Identificar aquellos pacientes cuyo riesgo de reingreso fuese bajo y a. Utilizar criterios de expertos para establecer si el egreso prematuro se. En 1. 99. 3 Ludke y otros eval. Reagrupan los casos en. GDR y construyen tablas de contingencia de 2 entradas (2 X 3) con. Luego calculan. la probabilidad de reingreso para cada celda de la tabla en cada grupo de GDR. Las complicaciones. Si el paciente entra al hospital con y por la presencia de cierta. Entre las complicaciones m. Lista de complicaciones . Otra reacci. Shock anest. Complicaciones quir. Measuring. outcomes of hospital care using multiple risk- adjusted indexes. Health Services. Research 1. Consideraciones finales. Los indicadores brindan de forma r. Es claro sin embargo, que para la obtenci. Es necesario adem. Los indicadores por dem.
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Specto Genesis Fork Addon Kodi - Our Take. We take a look at Specto Genesis Fork Addon Kodi – and this is Our Take on it. This will help you understand why the negativity on the scene and if you decide to install it, How you can do this? Good Afternoon Guys. Hope you are all well, I have been in a moral dilemma since a zip arrived in my inbox 5 days ago of a new addon called Specto. This is a regular thing so why am i making such a big deal at the start of this blog? If it was from a trusted Repo or Dev I would normally just blog it. On installing the zip this was no ordinary addon. This was for an addon that had the name Specto but had everything else of Genesis. The look, the artwork everything. I could tell this was going to be Big but on same hand knew it was going to cause issues in the community and divide us again. Hello, what is your operating system? The reason I ask is because this files are different for operating system. If you are using windows 7, you can use the vista.The Kodi community is buzzing at the this news i have hundreds of tweets and emails on it and i have purposely left blogging about this until today. I don’t want the Hits and the clicks for this unlike like some other sites or You. Tubers that have sold themselves out on this one. This is not Genesis back as some of them have stated. Some are even saying its just moved repos. Genesis is one of the biggest and well Known add- ons in Kodi its a real powerhouse of an add- on and written by one of the nicest and most talented devs in the Kodi Community Lambda. I have up most respect for Lambda and his team and all at Tvaddons.
Fix Kodi Add-ons error of Playback Failed or Failed with Error Code for your Computer PC and Android Smartphone asking for check the log for information. Genesis seems to of been around forever and i for one, like most, are gutted to see the demise of this once Flagship addon but i also respect the decision of Lambda. I know the decision by him to longer update and support it would not have been taken lightly. As i stated in a previous blog I know how much work has gone into this addon over the years. I know the decision would not have been taken lightly. It has been a huge part of Lambda’s life for so long he must be devastated. On the other hand maybe the weight off his shoulders will enable him to move on. We have already heard that a new addon is under development from him this can only cause him to be side tracked to answer questions on this subject. So What is it then? So What do we mean by Fork? A Fork is taking an addon and using it as a base, then creating a separate addon from it by adding/fixing and improving it. The new team should actually do something though and just not change the addon id and name and a few graphics. The icon above should say Specto, not Genesis. One thing that did please me about Specto is the fact that it did not hide anything. It told us what it was from the offset unlike these clones that are floating around that take other peoples work and claim it as their own. I am pleased to see that most of the other respected blogging sites look as if they had taken a similar stance to me, which is great but after speaking to a few other devs and from reading the forums and talking to other respected people in the Kodi scene, felt it was necessary to have a say on the matter. I have read on Tv. Addons forums that Lambda himself has no problems with the release of this Fork addon but would like them to change a few things which some have been done already like author. This is good as why should Lambda’s name still be on it? As this will only cause him to asked questions about it when its no longer his responsibility. He also wants the Genesis name removed from it so i guess this will come shortly. He also wants the new team to take full responsibility and give the superb support he and his team did with Genesis. So what do we know about this new Dev? So who is Mr. Know ? I have now idea this is a new name to me. I would however like to speak with Him, Her or Them as i have quite a few unanswered questions. Sorry I dont have the answer to this as yet. So if you choose to install it, it would be at your own risk. Lambda spent a lot of time maintaining Genesis. What makes you think that you can do what Lambda couldn’t? What are your future plans for Specto? What made you take on this massive Challenge in the first place? Is this just a publicity stunt? Are you planning on leaving credits in the code as they were in Genesis? So whats it all about? You will all of course know your way around Genesis. Specto is the same. Yes they have done a great job of adding new sources and fixing the broken sources and it works like a dream so i must commend them on that. It looks as though it may have the new RD Api as my searches are pulling up more links which is also great. I have taken some screenshots below to show difference to compare the two together. The Revenant. Grease Live. Like i said before you can install at your own risk this is how to install on your device below. Open Kodi. Select SYSTEM Then File Manager. Select Add Source. Select None. Type the following http: //filmkodi. Done. Highlight the box underneath Name source anything you want for your reference. Select OKGo back to your Home Screen. Once you have this source installed on your device just follow below: -Select SYSTEMSelect Add- Ons. Select Install from Zip File. Select the source you named. Select Repository. Wait for Add- on enabled notification (This will install the repo)Then go to Select System. Select Addons. Select Get Addons/Install from Repository Select Mr. Know Repo. Select Video addons. Click on Specto. Wait for addon enabled Notication. My closing thoughts. Genesis is Genesis and mine still works great with RD. Specto is just a Fork of Genesis. Its has not taken over as Genesis still exists. What will happen in the future? IF YOU HAVE QUESTIONS OR ISSUES DO NOT CONTACT LAMBDA OR TVADDONS ALL SUPPORT SHOULD BE DIRECTED TO FILMKODI. COM. But one point i would like to put across now. I would like to just take this opportunity and i am sure all of you will to in Thanking Lambda. Also all the guys that help him behind the scenes. Thanks for bringing us such a superb addon as Genesis in the first place. It will always have a place in my heart as being the best ever addon to grace Kodi. But thanks again Lambda you Sir are a Kodi Legend. If you have enjoyed reading this blog Why not bookmark our site. Why not give us a follow on twitterand check in for our regular blogs and install guides. Until next time Peace Sparky. We are not connected to or in any other way affiliated with Kodi, Team Kodi, or the XBMC Foundation. Furthermore, any third party software, third party addons, or products in our articles will receive no support in official Kodi channels. We as a website do not host, run or control any addons. We do not provide links for any streamed content. Any addons you choose to add are at your own discretion. We provide information on the addons that is freely available on the internet and from the addon developers themselves. We offer no support for any of the addons as they do not belong to us. We are not responsible for any content you choose to have on your device. 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