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1 – 10 of over 13000Anjali Patwardhan, Kelly Kelleher, Dennis Cunningham, James Menke and Charles Spencer
Children with rheumatic disease, who are infected with influenza, have an increased rate of complications. These complications can be reduced by improving the flu vaccination…
Abstract
Purpose
Children with rheumatic disease, who are infected with influenza, have an increased rate of complications. These complications can be reduced by improving the flu vaccination rate. This paper's aim is to document the authors' purpose of increasing the influenza vaccination rate through information technology (IT) intervention in this high risk population of patients.
Design/methodology/approach
The authors retrospectively reviewed the electronic health records (EHR) of three yearly cohorts (2007, 2008, and 2009) of rheumatology clinic patients from a large pediatric hospital for evidence of influenza vaccination. They introduced an automatic best practice reminder intervention in patients' EHR from September 2009 to April 2010. Using Clarity Report Write for EPIC, each chart was examined for evidence of influenza vaccination to test for vaccination rate difference among the cohorts. The authors employed logistic regression equations to control for possible confounders using SAS 9.1.3.
Findings
There was a significant difference in the probability of being vaccinated before and after intervention (p value <0.0001).The vaccination rate increased from 5.9 percent in 2007, 7.8 percent in 2008 and to 25.5 percent in 2009. During all three years, individual attending's contribution and ethnicity of patients had significant effects on vaccination rate. Confounders such as age, sex, insurance status and distance travelled from clinic had no effect on the vaccination rate.
Originality/value
EHR‐embedded information in past studies has been only modestly effective in improving care for many chronic conditions. The automatic best practice reminder for flu‐vaccine appears to be effective for changing physician's behaviors and improving the vaccination rate in rheumatology clinics.
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Jim Champy and Joe Weger
Companies are once again launching large reengineering projects. Will they repeat the mistakes of the reengineering boom of the nineties? Two veterans offer guidance around the…
Abstract
Purpose
Companies are once again launching large reengineering projects. Will they repeat the mistakes of the reengineering boom of the nineties? Two veterans offer guidance around the pitfalls.
Design/methodology/approach
Many of today's major reengineering projects involve the implementation of an ERP – “enterprise resource planning” system that spans processes from finance and accounting to human resource management to supply chain optimization., based on readily available software packages that can run almost all of a company's standard processes. The authors explain how top management can better manage implementation of these systems.
Findings
At a company that recently implemented an enterprise resource planning (ERP) initiative that achieved it business goals the CEO advised: put the best people, internal and external, on the program full‐time; establish clear alignment and accountability for target actions and results, top to bottom in the organization; drive a bias for leveraging off‐the‐shelf solutions, not customized technology; and strike the right balance when defining goals and the cost versus benefit plan for the program.
Research limitations/implications
The authors are veterans of scores of mission‐critical enterprise and operations solution implementation projects.
Practical implications
Senior executives are privately crossing their fingers that this round of investment in reengineering will not result in an endless drain on corporate resources. Executives need this checklist for getting beyond IT train wrecks to achieve real business value.
Originality/value
Business process reengineering, which turned from fad to flop a few years ago, has rebounded, and is now utilized by some 61 percent of companies according to a recent survey. Senior executives need a strongly worded reminder not to make the same leadership mistakes that caused so many reengineering failures in the past.
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The purpose of this paper is to describe an online faculty development pilot course on how to engage students online. A framework was used, referred to as the Trifecta of Student…
Abstract
Purpose
The purpose of this paper is to describe an online faculty development pilot course on how to engage students online. A framework was used, referred to as the Trifecta of Student Engagement, for the design of the course. The Trifecta of Student Engagement proposes that students, in order to be fully engaged in a course, need to be engaged with their course content, with their peers and with their instructor. The course has three units of content that each correspond to the Trifecta of Student Engagement. This course has gone through one pilot with faculty and has impacted students and faculty positively.
Design/methodology/approach
An online faculty development course was piloted with eight faculty members across a range of disciplines who participated in the program. After taking the course, they had to apply the Trifecta of Student Engagement framework to a course they taught and share what they did via written report, webinar, or web presentation. This study summarized the faculty participants’ written reports and presentations as well as provided a qualitative evaluation on the impact this course had on students and faculty.
Findings
After faculty applied the Trifecta of Student Engagement framework to courses taught, faculty saw an improvement in student engagement, satisfaction, learning and achievement. Three faculty surveyed students to determine their engagement and satisfaction and found students to respond positively to the use of tools and activities for student-to-content engagement, student-to-student engagement and student-to-instructor engagement. Two faculty examined student grades to determine if there were changes in student outcomes. One professor saw average grades increase by 11 percent. Another professor saw grades improve by 8 percent. She also found that student assessment of learning increased by 0.57. Both faculty attributed the improvement to the effectiveness of the teaching strategies employed.
Research limitations/implications
This research is limited to the eight faculty who participated in the pilot. Some faculty used methods to attempt to measure the impacts of their teaching practices by surveying students and looking at student performance data. A second pilot is needed for additional faculty to take the course and apply the Trifecta of Engagement framework to generate more data for impact.
Practical implications
Institutions looking to create an online teaching professional development course for faculty can utilize the Trifecta of Student Engagement framework for their course design. Additionally, faculty can read about tools and strategies that they can immediately apply to create more student-to-content engagement, student-to-student engagement and student-to-instructor engagement.
Social implications
Faculty can be more intentional in how they engage students in their online course experience.
Originality/value
This paper adds to the literature on faculty development regarding student-centered teaching practices. Other institutions looking to create a faculty development course or program that utilizes a student-centered framework may find aspects of this paper useful for their own online teaching professional development initiatives.
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Sylvie Gravel, Daniel Côté, Stéphanie Gladu, France Labrèche, Sabrina Gravel, Bouchra Bakhiyi and Joseph Zayed
The electrical and electronic recycling industry is experiencing significant growth while paying no particular attention to the health and safety of recycling workers. Who are…
Abstract
Purpose
The electrical and electronic recycling industry is experiencing significant growth while paying no particular attention to the health and safety of recycling workers. Who are these recycling workers? How are they recruited and trained in OHS measures? This article will attempt to answer these questions.
Design/methodology/approach
As part of a toxicological study carried out on five companies, samples were taken from employees (n = 100) and their working environment. Among them, 26 workers and six managers also participated in interviews on the management of OHS preventive practices. This article presents analyses of the recruitment strategies for these workers and the management of preventive measures.
Findings
The main findings were that preventive practices vary according to the company's social mission and recruitment strategy. OHS preventive practices vary among the companies, even though the workers are similarly exposed to multiple contaminants. Precarious employment relationships put these workers in a vulnerable position.
Originality/value
Although recycling electrical and electronic equipment (e-recycling) has been an ecological and moral concern in Western societies for several decades, occupational health and safety (OHS) management in recycling plants has received little attention.
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This special “Anbar Abstracts” issue of Education + Training is split into five sections covering abstracts under the following headings: Education; Management development;…
Abstract
This special “Anbar Abstracts” issue of Education + Training is split into five sections covering abstracts under the following headings: Education; Management development; Training techniques; Skills training; General training.
Elizabeth M. Molyneux and Queen Dube
– The purpose of this paper is to provide an “inside” account of efforts to enhance the quality of care in a paediatric hospital department in Malawi.
Abstract
Purpose
The purpose of this paper is to provide an “inside” account of efforts to enhance the quality of care in a paediatric hospital department in Malawi.
Design/methodology/approach
The authors describe the problems they face as health workers in an overcrowded, under-resourced emergency departments in a low-income setting. Where it is helpful, the authors combine reports of their experience with reference to reports emanating from other African countries.
Findings
There is increased awareness of the need for a good health system to be able to provide quality care. The authors emphasise the importance of teamwork and the need for cross cutting activities that are not disease-centred or vertically driven. Task sharing and multi-tasking have helped fill the gaps left by inadequate staffing but specialists in emergency medicine are needed to advocate for the specialty and be role models in departments.
Practical implications
This paper is aimed at a broad audience of fellow clinicians, funders and policy makers, and those who have an interest in clinical governance in support of quality improvement in developing countries.
Originality/value
This is a firsthand account of efforts to enhance the quality of emergency care from a paediatric hospital department in Malawi.
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This special “Anbar Abstracts” issue of the Industrial and Commercial Training is split into six sections covering abstracts under the following…
Abstract
This special “Anbar Abstracts” issue of the Industrial and Commercial Training is split into six sections covering abstracts under the following headings:Education/Graduates/Students; Training/Learning Techniques; Skills Training; Management Development; Career/Human Resources Development; Training Technology.
This special “Anbar Abstracts” issue of the Journal of European Industrial Training is split into seven sections covering abstracts under the following headings: General Training…
Abstract
This special “Anbar Abstracts” issue of the Journal of European Industrial Training is split into seven sections covering abstracts under the following headings: General Training Issues; Education & Students; Training/Learning Techniques; Training Technology; Skills Training; Management Development; Career/HR Development.
Carolyn Gregoric and Annabelle Wilson
– The purpose of this paper is to explore an informal interdisciplinary peer-mentoring relationship between two early career researchers.
Abstract
Purpose
The purpose of this paper is to explore an informal interdisciplinary peer-mentoring relationship between two early career researchers.
Design/methodology/approach
A case study approach, using autoethnography, was employed to explore the relationship from a complex adaptive systems (CAS) perspective.
Findings
Informal peer-mentoring relationships may improve the work effectiveness and quality of the doctoral student and early career researcher experience. CAS can be an effective overarching theory for expanding understandings about mentoring.
Research limitations/implications
This case study is limited to two early career researchers.
Practical implications
Informal peer mentoring may help to overcome challenges encountered by doctoral students, early career researchers and university staff members. CAS accounts of mentoring have the potential to open new possibilities for future mentoring research.
Originality/value
This paper provides unique insights into the experiences of doctoral students postgraduation and a long-term informal peer-mentoring relationship. Explorations of mentoring relationships from a CAS perspective are innovative.
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