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Article
Publication date: 8 July 2019

Reducing interruptions during medication preparation and administration: An improvement project

Alberto Mortaro, Diana Pascu, Serena Pancheri, Mariangela Mazzi, Stefano Tardivo, Claudio Bellamoli, Federica Ferrarese, Albino Poli, Gabriele Romano and Francesca Moretti

According to literature, interruptions during drug administration lead to a significant proportion of medication errors. Evidence on the effectiveness of interventions to…

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Abstract

Purpose

According to literature, interruptions during drug administration lead to a significant proportion of medication errors. Evidence on the effectiveness of interventions to reduce interruption is still limited. The purpose of this paper is to explore main reasons for interruptions during drug administration rounds in a geriatric ward of an Italian secondary hospital and test the effectiveness of a combined intervention.

Design/methodology/approach

This is a pre and post-intervention observational study based on direct observation. All nurse staff (24) participated to the study that lead to observe a total of 44 drug dispensing rounds with 945 drugs administered to 491 patients in T0 and 994 drugs to 506 patients in T1.

Findings

A significant reduction of raw number of interruptions (mean per round from 17.31 in T0 to 9.09 in T1, p<0.01), interruptions/patient rate (from 0.78 in T0 to 0.40 in T1, p<0.01) and interruptions/drugs rate (from 0.44 in T0 to 0.22 in T1, p<0.01) were observed. Needs for further improvements were elicited (e.g. a greater involvement of support staff).

Practical implications

Nurse staff should be adequately trained on the risks related to interruptions during drug administration since routine activity is at high risk of distractions due to its repetitive and skill-based nature.

Originality/value

A strong involvement of both MB and leadership, together with the frontline staff, helped to raise staff motivation and guide a bottom-up approach, able to identify tailored interventions and serve concurrently as training instrument tool.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/IJHCQA-12-2017-0238
ISSN: 0952-6862

Keywords

  • Patient safety
  • Drug errors
  • Risk management
  • Continuous quality improvement
  • Nursing outcomes

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Article
Publication date: 8 August 2016

Clinical Assessment of Risk Management: an INtegrated Approach (CARMINA)

Pierfrancesco Tricarico, Stefano Tardivo, Giovanni Sotgiu, Francesca Moretti, Piera Poletti, Alberto Fiore, Massimo Monturano, Ida Mura, Gaetano Privitera and Silvio Brusaferro

The European Union recommendations for patient safety calls for shared clinical risk management (CRM) safety standards able to guide organizations in CRM implementation…

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Abstract

Purpose

The European Union recommendations for patient safety calls for shared clinical risk management (CRM) safety standards able to guide organizations in CRM implementation. The purpose of this paper is to develop a self-evaluation tool to measure healthcare organization performance on CRM and guide improvements over time.

Design/methodology/approach

A multi-step approach was implemented including: a systematic literature review; consensus meetings with an expert panel from eight Italian leader organizations to get to an agreement on the first version; field testing to test instrument feasibility and flexibility; Delphi strategy with a second expert panel for content validation and balanced scoring system development.

Findings

The self-assessment tool – Clinical Assessment of Risk Management: an INtegrated Approach includes seven areas (governance, communication, knowledge and skills, safe environment, care processes, adverse event management, learning from experience) and 52 standards. Each standard is evaluated according to four performance levels: minimum; monitoring; outcomes; and improvement actions, which resulted in a feasible, flexible and valid instrument to be used throughout different organizations.

Practical implications

This tool allows practitioners to assess their CRM activities compared to minimum levels, monitor performance, benchmarking with other institutions and spreading results to different stakeholders.

Originality/value

The multi-step approach allowed us to identify core minimum CRM levels in a field where no consensus has been reached. Most standards may be easily adopted in other countries.

Details

International Journal of Health Care Quality Assurance, vol. 29 no. 7
Type: Research Article
DOI: https://doi.org/10.1108/IJHCQA-11-2015-0140
ISSN: 0952-6862

Keywords

  • Benchmarking
  • Clinical governance
  • Patient safety
  • Risk management
  • Self-assessment
  • Clinical risk management

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Book part
Publication date: 14 February 2008

A walk with two women: Gender, vision and belonging in Milan, Italy

Cristina Moretti

Maria Anacleta described her life in Milan as follows (Maria Anacleta dictated the text in English, and the words in italics refer to Italian terms she used):I am a…

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Abstract

Maria Anacleta described her life in Milan as follows (Maria Anacleta dictated the text in English, and the words in italics refer to Italian terms she used):I am a Filipina, I am [Maria Anacleta]. I came to Italy (…) with two of my friends. (…) I saw Rome, France, the Eiffel tower. My brother met me in Rome. Then I visited my Mom. My Mom was here in Milano [Milan], I saw her, I have been in the house with my mother and brother for seven months.When I found a job, I worked in _ [a city a few hours south of Milan]. My employer in _ died, but my soggiorno [work and resident permit] was ready. I met many Filipino people here and when I have no job, I work as a parrucchiere [hairdresser]: I cut their hair, and manicure them, to earn money.Now, after 3–4 years, I am very lonely, I remember my family, I want to return, but I have to wait for the renewal of my soggiorno. I cannot go home without my soggiorno because without it I cannot come back anymore.(…)When I was in the Philippines, cutting hair was really my job. That was what I did. And I made my children study. (…) One of them is a nurse, one studied in the hotel business, and one is in computer. (…) My husband worked in Saudi Arabia for 5 years. I am in the Philippines, I am in my shop, I am cutting hair, together with my children. They are still very young. He worked in an oil factory in maintenance, as a power plant operator. When he finished, he came to the Philippine and I told him “ok, you are finished working, so I will be the one to work, I will be the one to go abroad because I haven’t been.”

Details

Gender in an Urban World
Type: Book
DOI: https://doi.org/10.1016/S1047-0042(07)00003-7
ISBN: 978-0-7623-1477-5

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Article
Publication date: 1 December 2001

Trends and issues of Italian cinema: a mini‐history and bibliography

Martha Zarate

Looks at the first 100 years of Italian cinema examining its role in Italy’s recent history. Provides a bibliography of major film directors, Italian cinema sources…

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Abstract

Looks at the first 100 years of Italian cinema examining its role in Italy’s recent history. Provides a bibliography of major film directors, Italian cinema sources, reference works, histories, themes, theory and criticism and articles in journals.

Details

Collection Building, vol. 20 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/01604950110408245
ISSN: 0160-4953

Keywords

  • Bibliographies
  • Cinema
  • Collection management

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Article
Publication date: 1 October 2005

Corrosion protection and mechanical performance of SiO2 films deposited via PECVD on OT59 brass

Giuseppe Moretti, Francesca Guidi, Roberto Canton, Marino Battagliarin and Gilberto Rossetto

To evaluate the corrosion performance and nano‐mechanical behaviour of a brass substrate covered by different thick SiO2 layers deposited by means of plasma enhanced…

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Abstract

Purpose

To evaluate the corrosion performance and nano‐mechanical behaviour of a brass substrate covered by different thick SiO2 layers deposited by means of plasma enhanced chemical vapour deposition (PECVD) technique.

Design/methodology/approach

The comparison between laboratory and “industrial” objects revealed a very good corrosion behaviour and good mechanical performance of both of them: in particular it was possible to modulate the surface treatment to solve various problems from the industrial point of view.

Findings

It was possible to reduce the Cu migration into the SiO2 coating during the PECVD deposition at a negligible level and to control it by the deposition; further, the nano‐indentation tests revealed the great utility of the coating annealing in obtaining a significant improvement of the mechanical properties of the coated objects.

Research limitations/implications

Even if some industrial problems were solved (minimization of the presence of the coating defects and transparency of the coatings), some on the layer hardness (anti‐wear behaviour of the industrial objects) has to be better investigated and possibly solved.

Practical implications

The work reports a deposition process that is carried out industrially over a two year period.

Originality/value

This research reports a PECVD process realized on industrial objects: the originality is in the reached corrosion and mechanical performances that made it possible to realize a satisfactory industrial deposition.

Details

Anti-Corrosion Methods and Materials, vol. 52 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/00035590510615758
ISSN: 0003-5599

Keywords

  • Corrosion protection
  • Brass
  • Films (states of matter)
  • Substrates

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Book part
Publication date: 16 October 2018

Introduction

Antonio Francesco Maturo and Veronica Moretti

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Details

Digital Health and the Gamification of Life: How Apps Can Promote a Positive Medicalization
Type: Book
DOI: https://doi.org/10.1108/978-1-78754-365-220181002
ISBN: 978-1-78754-366-9

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Article
Publication date: 2 September 2019

A sensory perspective in the Italian beer market

Valentina Cillo, Laura Gavinelli, Francesca Ceruti, Mirko Perano and Ludovico Solima

From literature, an uncovered issue around the customer-based brand equity (CBBE) is detected: the influence of sensorial preferences on the relationship between social…

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Abstract

Purpose

From literature, an uncovered issue around the customer-based brand equity (CBBE) is detected: the influence of sensorial preferences on the relationship between social media communication and CBBE. The purpose of this paper is to investigate the effects produced by social media brand communication – both firm-created content (FCC) and user-generated content (UGC) – on CBBE, according to the sensorial preferences in the beer industry.

Design/methodology/approach

A literature review has been used to develop a research model and hypotheses. The research is based on online survey carried out on a sample of 183 valid questionnaires of Italian active fans and followers in the beer industry. A multi-group analysis applied to structural equation modeling is used.

Findings

The sensory dimension prevails limiting the operating range of brand awareness that does not strongly affect CBBE. In brand equity development’ process, non-sensorial users do not consider sensorial preferences. The brand equity can become stronger by stimulating the reaction of customers through firms’ communication by using social media platforms. Therefore, the quality of peer interactions in the social media communication has a positive impact on brand loyalty. When firms use social media communication to increase overall brand equity, they have to foster and monitor FCC and UGC responses that affect different CBBE components.

Originality/value

The paper provides empirical evidence about the relationship between social media communication and CBBE, according to the importance given to sensorial preferences by beer lovers. This can be considered as the first study on this specific topic focused on the CBBE issue.

Details

British Food Journal, vol. 121 no. 9
Type: Research Article
DOI: https://doi.org/10.1108/BFJ-12-2018-0818
ISSN: 0007-070X

Keywords

  • Brand equity
  • Consumer behaviour
  • Structural equation model
  • Beer
  • Sensorial preferences
  • Social media communication

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Book part
Publication date: 26 November 2020

Prelims

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Details

Health and Illness in the Neoliberal Era in Europe
Type: Book
DOI: https://doi.org/10.1108/978-1-83909-119-320201012
ISBN: 978-1-83909-119-3

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Book part
Publication date: 14 September 2020

Can the New Hospitality Model of Albergo Diffuso Solve the Overtourism Issue? The Case of Tuscany

Cinzia Vallone, Alessandro Capocchi, Paola Orlandini and Andrea Amaduzzi

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Details

The Overtourism Debate
Type: Book
DOI: https://doi.org/10.1108/978-1-83867-487-820201018
ISBN: 978-1-83867-487-8

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Article
Publication date: 19 December 2019

Managing technological innovation in the sports industry: a challenge for retail management

Demetris Vrontis, Milena Viassone, Francesca Serravalle and Michael Christofi

The purpose of this paper is twofold: first, to investigate the effects of the digitalization process on the demand and supply side in the sports world through the advent…

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Abstract

Purpose

The purpose of this paper is twofold: first, to investigate the effects of the digitalization process on the demand and supply side in the sports world through the advent of mobile apps and online services, such as YouTube, which provide free (or almost) real fitness courses; and second, to investigate how technological innovation is managed in the sports sector.

Design/methodology/approach

Drawing on a survey research approach, this study collected 150 questionnaires from consumers in the North of Italy.

Findings

Based on a descriptive analysis of the data, the findings show that the digital channel becomes significant at an exponential rate and takes on a leading role in today’s era, especially among young people. However, the results also show that the traditional channel of use of the sports service (gyms/fitness centers) is privileged by consumers under the age of 35, even though there is a weak penetration of innovative tools offered by the innovation technology (mobile app and video tutorials on social networks such as YouTube) in the sports sector.

Practical implications

The study provides an exhaustive overview of academic literature on technology and innovation management, and provides the contact point between the physical and digital world in the sports sector, and adds a significant scholarly and practical value in the exercise at home perspective of consumers. This research also contributes to the discussion on the competitiveness between the two channels (physical and digital one) in the sports sector, thus giving rise to further research concerning the offer of the type of sports service.

Originality/value

This study is among the few that connect the technological advancements and management within the sports industry and provides the ground and theoretical basis for the scholar community to further build on.

Details

Competitiveness Review: An International Business Journal , vol. 30 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/CR-11-2019-0127
ISSN: 1059-5422

Keywords

  • Social media
  • Mobile technology
  • New technologies
  • Sport
  • Young people
  • Technology management
  • Technology life cycle

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