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Introducción: la sociedad actual demanda de médicos cada vez más competentes y la Educación Médica Cubana deber dar respuesta a esta necesidad y las exigencias siempre crecientes de la población, preparando médico socialmente integral, que sea capaz de desenvolverse eficientemente y resolver los problemas de su profesión. Objetivo: analizar cómo la aplicación de la estadística constituye una necesidad social en el desempeño profesional del médico. Método: se realizó una revisión bibliográfica acerca de la aplicación de la estadística en la investigación en salud. Se aprecian dificultades en la aplicación de la estadística en las diferentes etapas de la investigación al no comprender su utilidad en la solución de los problemas de salud de la población. Se plantea la interrogante: ¿Por qué la aplicación de la estadística constituye una necesidad social en el desempeño profesional de médico? Resultados: la aplicación de la estadística a la investigación en salud es una necesidad social que requiere de la búsqueda de alternativa encaminada a mejorar su aplicación en la investigación, tanto en la atención primaria de salud como secundaria. La Universidad de Ciencias Médicas tiene el reto de entregar a la sociedad un profesional altamente competente capaz de indagar en la búsqueda de la solución a los problemas de salud que presenta la población guantanamera. Conclusiones: el conocimiento de la estadística permite interpretar correctamente y de una manera crítica los resultados obtenidos. Un buen trabajo de investigación en salud requiere del empleo adecuado de la estadística ligado a la metodología investigación(AU)

Introduction: today's society demands competent doctors and the Cuban Medical Education must respond to this need and the elevate demands of the population, preparing integrated doctors, able to function efficiently and resolve the problems of their profession. Objective: to analyze how the application of statistics is a social need in the doctor's professional performance. Method: a literature review was conducted on the implementation of statistical research in health. Difficulties were appreciated in the application of statistics in different stages of the investigation not understanding their usefulness in solving health problems. The question arises: Why is the application of statistics a social need in the medical professional performance? Results: The application of statistical research in health is a social need that requires finding alternative improving its application in research, both in primary and secondary health care. University of Medical Sciences has the challenge of delivering to society a highly competent professional able to inquire into the search for the solution to the health problems presented by the population. Conclusions: knowledge of statistics allows correctly and critically interpret the results. A good job of health research requires the proper use of statistics linked to research methodology(AU)

Introdução: sociedade de hojeexigem cada vez mais médicos competentes e o dever de Educação Médica Cuba é responder a esta necessidade e as crescentes demandas da população, preparando-se profissionais, capazes de funcionar eficientementee resolver os problemas da sua profissão. Objetivo: analisar como a aplicação de estatísticas é uma necessidade social no desempenho profissional do médico. Método: uma revisão da literatura foiconduzida sobre a implementação de pesquisas estatísticas na saúde. Apreciam-se dificuldades na aplicação das estatísticas nas diferentes etapas da investigação por não entender sua utilidade na resolução de problemas de saúde a população. Surge a pergunta: Porque é a aplicação de estatísticas é uma necesidades ocial no desempenho profissional médico? Resultados: a aplicação da investigação estatística em saúde é uma necessidade social que requer encontrar alternativas com vista a melhorar a su a aplicação em pesquisa, tanto na atenção primária e secundária de saúde. A Universidade de Ciências Médicas tem o desafio de entregar à sociedade um profissional altamente competente capaz de inquirir sobre a busca da solução para os problemas de saúde apresentados pela população Guantanamera. Conclusões: oconhecimento das estatísticas permite corretamente ecriticamente interpretar os resultados. Um bom trabalho de pesquisa em saúde requer o uso adequado de estatísticas ligadas à metodologiada pesquisa(AU)

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BACKGROUND: When respiratory therapists (RTs) seek respiratory care equipment, finding it quickly is desirable, both to expedite patient care and to avert RTs wasting time. To optimize RTs' ability to quickly locate ventilators, we developed and implemented a radio-frequency identification (RFID) tagging system called eTrak. METHODS: The Clinical Engineering and Information Technology groups at Cleveland Clinic collaboratively developed a Wi-Fi-based RFID program that used active RFID tags. Altogether, 218 ventilators, 82 noninvasive ventilators, and various non-respiratory equipment were tagged, beginning in March 2010. We calculated the difference in time required to locate equipment before versus after implementation. RESULTS: The eTrak system had a mean 145 log-ons per week over the first year of use, and was associated with a decreased time required for RTs to locate ventilators: median 18 min (range 1-45 min) versus 3 min (range 1-6 min) (P < .001). Surveys of RTs regarding whether equipment was hard to find before versus after implementing eTrak showed a non-significant trend toward improvement. CONCLUSIONS: An RFID tracking system for respiratory equipment shortened the time to locate ventilators and non-significantly improved RT satisfaction with finding equipment. RFID tagging of equipment warrants further investigation.

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BACKGROUND: Models of organizational change-readiness have been developed, but little attention has been given to features of change-avid health-care institutions, and, to our knowledge, no attention has been given to features of change-avid respiratory therapy (RT) departments. METHODS: We conducted an exploratory study to compare RT departments we deemed change-avid or non-change-avid, to identify differentiating characteristics. Our assessments regarding change-readiness and avidity were based on structured, in-person interviews of the technical directors and/or medical directors of 8 RT departments. Based on a priori criteria, 4 of the 8 RT departments were deemed change-avid, based on the presence of > or = 2 of the following 3 criteria: (1) uses a management information system, (2) uses a comprehensive RT protocol program, (3) uses noninvasive ventilation in > 20% of patients with exacerbation of chronic obstructive pulmonary disease. Our ratings of the departments were based on 2 scales: one from Integrated Organizational Development Inc, and the 8-stage change model of Kotter. RESULTS: The ratings of the 4 change-avid departments differed significantly from those of the 4 non-change-avid departments, on both the Integrated Organizational Development Inc scale and the Kotter scale. We identified 11 highly desired features of a change-avid RT department: a close working relationship between the medical director and the RT staff; a strong and supportive hospital "champion" for change; using data to define problems and measure the effectiveness of solutions; using redundant types of communication; recognizing resistance and minimizing obstacles to change; being willing to tackle tough issues; maintaining a culture of ongoing education; consistently rewarding change-avid behavior; fostering ownership for change and involving stakeholders; attending to RT leadership succession planning; and having and communicating a vision for the department. CONCLUSIONS: In this first exploratory study we found that change-avid RT departments can be differentiated from non-change-avid RT departments with available assessment tools. Highly desired features of a change-avid RT department were identified but require further study, as does the relationship between change-avidity and clinical outcomes.

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BACKGROUND: In order to fulfill the mission of providing superb respiratory care, managing respiratory care services requires communication and collaboration. To enhance communication and collaboration in our Section of Respiratory Therapy at the Cleveland Clinic Foundation, and to generate ideas for improvement, since 1996 we have conducted annual retreats for the Section, during which important challenges and opportunities are discussed in a large-group forum. The current report describes the retreat process and outcomes, namely the ideas generated during these retreats and the frequency with which ideas were implemented successfully. METHODS: The annual retreat brings together all clinical specialists, supervisors, and managers in the Section of Respiratory Therapy, along with the medical director of Respiratory Therapy and representatives of the staff from each shift. In advance of the annual half-day retreat, supervisors and clinical specialists are asked to write a brief description of things that need improvement and actionable proposed solutions to these challenges. These documents are reviewed by the supervisors, managers, education coordinator, and medical director, and a list of discussion topics for the retreat is formulated. The retreat day begins with a brief introduction and summary of the year's activities and then encourages open-ended discussions regarding the various topics, with the explicit, repeated goal of generating solutions. Minutes are kept to identify specific action items, a list of which is visited repeatedly throughout the year, to assess progress toward successful completion of each action item. In the current analysis, the primary outcome measures are the number of ideas generated as action items during the retreats and the frequency with which these ideas have been implemented. RESULTS: Over the 8 years of annual retreats, 103 action items have been generated, of which 84% (n = 87) have been successfully implemented or completed. As evidence of the importance of this group-based activity, we cite several examples of suggestions and action items that were felt to uniquely represent group process and wisdom and which were not proposed beforehand by individuals. CONCLUSIONS: On the basis of this experience, we recommend conducting annual respiratory therapy department retreats. We believe the benefits include collective problem-solving in a public forum to identify solutions not advanced by individuals. Also, we believe that the direct communication in such retreats contributes to enhanced morale, further evidence of which is the very low turnover rate among our respiratory therapists during the 8 years in which we have conducted annual retreats.

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