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Book part
Publication date: 6 July 2011

Patrick Albert Palmieri, Lori T. Peterson and Luciano Bedoya Corazzo

The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and…

Abstract

The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost-effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational–technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern.

Recognizing the technology–organizational misalignments that result from HIT adoption is important for leaders seeking to eliminate sources of system instability. The Health Information Technology Iatrogenesis Model (HITIM) provides leaders with a conceptual framework from which to consider HIT as an instrument for organizational development. Complexity and Diffusion of Innovation theories support the framework that suggests each HIT adoption functions as a technological change agent. As such, leaders need to provide operational oversight to managers undertaking system change via HIT implementation. Traditional risk management tools, such as Failure Mode Effect Analysis and Root Cause Analysis, provide proactive pre- and post-implementation appraisals to verify system stability and to enhance system reliability. Reconsidering the use of these tools within the context of a new framework offers leaders guidance when adopting HIT to achieve performance improvement and better outcomes.

Book part
Publication date: 26 August 2010

Patrick A. Palmieri, Lori T. Peterson, Bryan J. Pesta, Michel A. Flit and David M. Saettone

Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures to align delivery system…

Abstract

Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established through modification in employee safety perspective and work behavior, human resource (HR) professionals need to contribute to this developing organizational domain. The IOM indicates individual employee behaviors cumulatively provide the primary antecedent for organizational safety and quality outcomes. Yet, many safety culture scholars indicate the concept is neither theoretically defined nor consistently applied and researched as the terms safety culture, safety climate, and safety attitude are interchangeably used to represent the same concept. As such, this paper examines the intersection of organizational culture and healthcare safety by analyzing the theoretical underpinnings of safety culture, exploring the constructs for measurement, and assessing the current state of safety culture research. Safety culture draws from the theoretical perspectives of sociology (represented by normal accident theory), organizational psychology (represented by high reliability theory), and human factors (represented by the aviation framework). By understanding not only the origins but also the empirical safety culture research and the associated intervention initiatives, healthcare professionals can design appropriate HR strategies to address the system characteristics that adversely affect patient outcomes. Increased emphasis on human resource management research is particularly important to the development of safety cultures. This paper contributes to the existing healthcare literature by providing the first comprehensive critical analysis of the theory, research, and practice that comprise contemporary safety culture science.

Details

Strategic Human Resource Management in Health Care
Type: Book
ISBN: 978-1-84950-948-0

Article
Publication date: 10 February 2022

Jaydeep Pinakin Dave, Ali Muhammed Moula Ali and Sri Charan Bindu Bavisetty

The purpose of this study was to provide contemporary scientific knowledge on the functionality of edible lipids, sources, health benefits, and a special emphasis on…

Abstract

Purpose

The purpose of this study was to provide contemporary scientific knowledge on the functionality of edible lipids, sources, health benefits, and a special emphasis on different encapsulation strategies to enhance their dietary application and boost the market value.

Design/methodology/approach

Novel technologies overcoming these issues are in great demand. Given that, several novel encapsulation techniques have been established aiming at most of the aspects of functional lipids. In addition, these techniques have been designed to enhance the storage stability and controlled release of lipids in food systems.

Findings

Plant and marine oils are one of the richest sources of functional lipids but are attached with limitations. Currently, alternative sources, such as different types of algae and microorganisms are gaining attention in terms of sustainable production systems. Advances in various encapsulation techniques have helped to overcome the dispersibility and stability problems of lipids encapsulation. Refinement in physicochemical interaction, colloidal dispersion and core-shell modules between wall and core matrix protect dietary lipids during processing have been implemented. Liposomes, micro/nanoemulsions and micro/nanocapsules are found most suitable for food application by improving the fatty acid profile, stability and sensorial properties.

Originality/value

Functional lipids offer numerous health benefits (i.e., simple health-promoting properties to complex disease preventive and curative effects). However, these functional lipids are associated with several disadvantages, such as region-specific availability, vulnerability to oxidation depending on the level of unsaturation, degradation/hydrolysis on processing, low bioavailability, confined storage stability, and others.

Details

Nutrition & Food Science , vol. 52 no. 7
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 21 April 2022

Maria Bonaventura Forleo, Luca Romagnoli and Nadia Palmieri

The study aims to provide important insights into environmental attributes that are relevant to consumer's choices in purchasing canned tuna fish, and how much these…

Abstract

Purpose

The study aims to provide important insights into environmental attributes that are relevant to consumer's choices in purchasing canned tuna fish, and how much these attributes and socio-demographic individual characteristics relate to the frequency of consumption.

Design/methodology/approach

An online survey of 251 Italians was carried out. Socio-demographic variables and environmental attributes of the product that consumers pay attention to were considered in a two-step analysis: a cluster analysis used to create a segmentation of people's profiles that are further characterised; a binary logistic regression to assess the significance of attributes in relation to the frequency of canned tuna consumption.

Findings

Among attributes that respondents pay attention to when purchasing canned tuna, the country of origin is the aspect most considered, while other characteristics with a higher content of environmental sustainability received minimal attention. Three clusters emerged: the smallest one, insensitive to sustainability issues; an intermediate group which is mindful of sustainability attributes; and the biggest cluster which is “sustainability inconsistent.” Moreover, respondents who reported concerns about the environmental impacts of tuna production are less likely to consume the product than other consumers; attention paid to the method of farming, the presence of children and a young age show willingness to consume tuna.

Originality/value

This study contributes to the literature on canned tuna consumption by focusing on the attention that consumers pay to environmental product attributes in their purchasing choices. The relevance of this topic might be envisaged in relation to several environmental issues associated with tuna production and consumption, and to the economics and strategies of the tuna industry, being canned tuna among the most internationally traded seafood products.

Details

British Food Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0007-070X

Keywords

Book part
Publication date: 25 July 2008

Patrick A. Palmieri, Patricia R. DeLucia, Lori T. Peterson, Tammy E. Ott and Alexia Green

Recent reports by the Institute of Medicine (IOM) signal a substantial yet unrealized deficit in patient safety innovation and improvement. With the aim of reducing this…

Abstract

Recent reports by the Institute of Medicine (IOM) signal a substantial yet unrealized deficit in patient safety innovation and improvement. With the aim of reducing this dilemma, we provide an introductory account of clinical error resulting from poorly designed systems by reviewing the relevant health care, management, psychology, and organizational accident sciences literature. First, we discuss the concept of health care error and describe two approaches to analyze error proliferation and causation. Next, by applying transdisciplinary evidence and knowledge to health care, we detail the attributes fundamental to constructing safer health care systems as embedded components within the complex adaptive environment. Then, the Health Care Error Proliferation Model explains the sequence of events typically leading to adverse outcomes, emphasizing the role that organizational and external cultures contribute to error identification, prevention, mitigation, and defense construction. Subsequently, we discuss the critical contribution health care leaders can make to address error as they strive to position their institution as a high reliability organization (HRO). Finally, we conclude that the future of patient safety depends on health care leaders adopting a system philosophy of error management, investigation, mitigation, and prevention. This change is accomplished when leaders apply the basic organizational accident and health care safety principles within their respective organizations.

Details

Patient Safety and Health Care Management
Type: Book
ISBN: 978-1-84663-955-5

Article
Publication date: 26 June 2019

Igor S. Nadezhdin, Aleksey G. Goryunov, Yuri G. Svinolupov and Olga J. Zadorozhnaya

The purpose of this paper is to develop a digital hydrostatic pressure sensor with the required metrological and operational characteristics. The developed sensor is…

Abstract

Purpose

The purpose of this paper is to develop a digital hydrostatic pressure sensor with the required metrological and operational characteristics. The developed sensor is designed to control hydrostatic pressure in wells during various geophysical works and studies.

Design/methodology/approach

To obtain the required metrological and operational characteristics of the sensor, a method was developed and applied to reduce the measurement error based on the calibration algorithm and the sensor model.

Findings

By using the developed calibration algorithm and the mathematical model of the sensor, it was possible to compensate for the measurement errors of the hydrostatic pressure sensor.

Originality/value

In the course of this research, tests of the developed sensor were carried and the maximum/minimum of measurement result errors was determined.

Details

Sensor Review, vol. 39 no. 5
Type: Research Article
ISSN: 0260-2288

Keywords

Article
Publication date: 1 February 1992

L. Palmieri

A contact featured flexible circuit connector was designed to meet the high speed signal performance needs of the VAX 9000 Multi Chip Unit. With contact densities of 200…

Abstract

A contact featured flexible circuit connector was designed to meet the high speed signal performance needs of the VAX 9000 Multi Chip Unit. With contact densities of 200 I/O over approximately 2 square inches, this connector has the highest contact density of any high performance signal connector in any DEC system. This paper discusses the use of a specially designed tester to characterise and measure connector performance against its design goals.

Details

Circuit World, vol. 18 no. 3
Type: Research Article
ISSN: 0305-6120

Article
Publication date: 28 February 2020

Kok Wei Poh, Cheng Huong Ngan, Ji Yin Wong, Tiang Koi Ng and Nadiah Mohd Noor

There was limited study available on successful intervention for central-line-associated bloodstream infection (CLABSI) done at nonintensive care unit (ICU) and…

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Abstract

Purpose

There was limited study available on successful intervention for central-line-associated bloodstream infection (CLABSI) done at nonintensive care unit (ICU) and resources-limited setting. The objective of this study was to design, implement and evaluate a strategy to reduce CLABSI rate in non-ICU settings at general medical wards of Hospital Tuanku Ja'afar Seremban.

Design/methodology/approach

Preinterventional study was conducted in one-month period of January 2019, followed by intervention period from February to March 2019. Postintervention study was conducted from April to July 2019. The CLABSI rates were compared between pre and postintervention periods. A multifaceted intervention bundle was implemented, which comprised (1) educational program for healthcare workers, (2) weekly audit and feedback and (3) implementation of central line bundle of care.

Findings

There was a significant overall reduction of CLABSI rate between preintervention and postintervention period [incidence rate ratio (IRR) of 0.06 (95 percent CI, 0.01–0.33; P = 0.001)].

Practical implications

CLABSI rates were reduced by a multifaceted intervention bundle, even in non-ICU and resource-limited setting. This includes a preinterventional study to identify the risk factors followed by a local adaption of the recommended care bundles. This study recommends resources-limited hospitals to design a strategy that is suitable for their own local setting to reduce CLABSI.

Originality/value

This study demonstrated the feasibility of a multifaceted intervention bundle that was locally adapted with an evidence-based approach to reduce CLABSI rate in non-ICU and resource-limited setting.

Details

International Journal of Health Care Quality Assurance, vol. 33 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Book part
Publication date: 4 October 2012

M. Travis Maynard, David Marshall and Matthew D. Dean

Purpose – In an attempt to enhance patient safety, health care facilities are increasingly turning to crew resource management (CRM) and other teamwork training…

Abstract

Purpose – In an attempt to enhance patient safety, health care facilities are increasingly turning to crew resource management (CRM) and other teamwork training interventions. However, there is still quite a bit about such training interventions that remain unclear. Accordingly, our primary intent herein is to provide some clarity by providing a review of the literature, in hopes of highlighting the current state of the literature as well as identifying the areas that should be addressed by researchers in this field going forward.

Design/methodology/approach – We searched various electronic databases and utilized numerous relevant search terms to maximize the likelihood of identifying all empirical research related to the use of CRM training within health care. Additionally, we conducted a manual search of the most relevant journals and also conducted a legacy search to identify even more articles. Furthermore, given that as a research team we have experience with CRM initiatives, we also integrate the lessons learned through this experience.

Findings – Based on our review of the literature, CRM and teamwork training programs generally appear beneficial to individual employees, the groups and teams within such settings, and overall health care organizations.

Originality/value – In addition to reviewing the literature that addressed CRM and teamwork training, we also highlight some of the more critical aspects of CRM training programs in order for such initiatives to be as successful as possible. Additionally, we detail various factors that appear essential to sustaining any benefits of CRM over the long haul.

Details

Annual Review of Health Care Management: Strategy and Policy Perspectives on Reforming Health Systems
Type: Book
ISBN: 978-1-78190-191-5

Keywords

Article
Publication date: 1 April 1997

Luca Lazzeri, Franca De Mattei, Fiorenzo Bucelli and Sandro Palmieri

The technical properties of Crambe abyssinica oil prompted the co‐operation between a research institute and a lubricant producer to determine some possible industrial…

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Abstract

The technical properties of Crambe abyssinica oil prompted the co‐operation between a research institute and a lubricant producer to determine some possible industrial applications. The results confirm the special physico‐chemical characteristics of crambe oil which, compared with some vegetable or synthetic oils, shows a higher heat removal capability and interesting lubrication characteristics. The research establishes that crambe oil could be a good hydraulic fluid. These findings led to the cultivation of a suitable area with Crambe abyssinica to obtain a sufficient amount of oil for lubricant formulation on a commercial scale.

Details

Industrial Lubrication and Tribology, vol. 49 no. 2
Type: Research Article
ISSN: 0036-8792

Keywords

1 – 10 of 187