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Article
Publication date: 11 April 2016

Sara Stingl de Freitas and Vasco Peixoto de Freitas

The purpose of this paper is to present a case study of cracks on external thermal insulation composite systems (ETICS) along the thermal insulation joints and the…

Abstract

Purpose

The purpose of this paper is to present a case study of cracks on external thermal insulation composite systems (ETICS) along the thermal insulation joints and the information available on the building pathology catalogue – PATORREB. The aim is to establish the methodology to study the cause of the pathology observed on a building which is located on the interior of Portugal based on in situ probing together with the analysis of hygrothermal and mechanical behaviour.

Design/methodology/approach

An in situ analysis was performed to assess the causes. The hygrothermal dynamic behaviour of the wall was analysed with a numerical simulation advanced tool considering the climatic conditions, the characteristics of the thermal insulation plates as well as the support and finishing layer properties. Moreover, a qualitatively analysis of the mechanical behaviour, based on the bonding process, thermal insulation and exterior rendering properties was performed.

Findings

It was concluded that the insulation properties – thermal expansion coefficient and stiffness, the thermal expansion coefficient of the exterior rendering, together with adverse climatic conditions were critical for the appearance of cracks along the plate joints, particularly with spot bonding. The expansion and retraction stresses and the restrained movements of the components can result in bending moments, especially when the insulation material has a high stiffness value, which will create the crack on the rendering system.

Originality/value

A combination between a hygrothermal and mechanical analysis of an ETICS pathology concerning the appearance of cracks with a subsequent integration into a building pathology catalogue.

Details

Structural Survey, vol. 34 no. 1
Type: Research Article
ISSN: 0263-080X

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Article
Publication date: 12 July 2013

Godfrey Isouard

The purpose of this paper is to discuss the challenges faced in Australia to maintain and sustain quality in pathology services, and present new strategic directions to…

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523

Abstract

Purpose

The purpose of this paper is to discuss the challenges faced in Australia to maintain and sustain quality in pathology services, and present new strategic directions to address such challenges.

Design/methodology/approach

The paper is a review of the literature on pathology services and its quality of delivery and emerging issues.

Findings

Major issues are emerging in pathology services which threaten to impact on the quality of future service delivery. These issues include workforce shortages, growth in inappropriate testing, advancing technology, rural and remote region servicing, and a negative image of the sector. New strategic directions are shown to be necessary in terms of workforce planning and addressing the escalation of new technology and innovation. In order to sustain quality of services, a significant change from current practice is recommended, with strong leadership as the change driver.

Practical implications

This paper highlights the potential impact of emerging issues on future pathology‐service quality. Significant implications for service delivery and patient care quality are reviewed.

Originality/value

This paper provides valuable information on current strategic and planning issues impacting on pathology services. It provides new solutions from the perspective of leadership of health and health services.

Details

International Journal of Health Care Quality Assurance, vol. 26 no. 6
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 14 November 2016

Polinpapilinho Freeman Katina

The purpose of this paper is to develop a systematic method for practitioners (owners, operators, designers, and performers) to identify pathologies (aberrations from…

Abstract

Purpose

The purpose of this paper is to develop a systematic method for practitioners (owners, operators, designers, and performers) to identify pathologies (aberrations from healthy system function) in complex systems.

Design/methodology/approach

A range of published works, which aim to provide practical and theoretical underpinnings on pathologies, were critiqued with respect to method development. A systematic method with five phases was then developed to help identify and assess existence of pathologies as conditions that negatively impact system performance.

Findings

There is a range of pathological conditions and factors that affect organizational (system) performance. However, there is a lack of supporting methods that can guide practitioners in identification of pathologies that exist in systems under their purview.

Research limitations/implications

The developed method is based on functional aspects of system viability as established in management cybernetics. Management cybernetics articulates functions that must be performed for continued viability of complex organizations. Therefore, the developed method supports practitioners in their responsibilities to effectively identify pathologies and develop corresponding remedies.

Practical implications

The proposed approach articulates a repeatable approach by which an analyst can interact with a system of interest in order to identify, assess existence of, and prioritize pathologies. This research introduces an opportunity to develop sets of feasible and purposeful responses to pathologies.

Originality/value

This paper fulfills an identified need to provide practitioners with an advanced systems thinking-based approach to identify deep systemic issues (pathologies) as an essential step in improving performance of an organization (system).

Details

Journal of Management Development, vol. 35 no. 10
Type: Research Article
ISSN: 0262-1711

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Article
Publication date: 14 October 2009

Maurice Yolles

The purpose of this paper is to explore the social psychological basis of pathologies, from which result neuroses and behaviours like corruption and sociopathic behaviour…

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1839

Abstract

Purpose

The purpose of this paper is to explore the social psychological basis of pathologies, from which result neuroses and behaviours like corruption and sociopathic behaviour. It takes the perspective that social collectives have normative minds and can be explored in terms of their social psychological processes.

Design/methodology/approach

Knowledge cybernetics will be used to show how pathologies can develop from the interconnection between such noumenal attributes as ideology and ethics.

Findings

Social entities have similar psychological pathologies to individual ones. Piaget's notions of how the mind operates can be applied to corporate personality, and their inability to create and coordinate different perspectives can be seen as an organisational pathology.

Research limitations/implications

The paper is a theoretical construct that explores corruption and sociopathology at a deep conceptual level. It requires elaboration through case examples to provide pragmatic meaning.

Practical implications

The capacity to create a methodology that is able to explore the existence and development of pathologies.

Originality/value

This is the first approach of this type using cybernetics to explore at a high conceptual focus the development of pathologies like corruption and sociopathic behaviour.

Details

Journal of Organizational Change Management, vol. 22 no. 6
Type: Research Article
ISSN: 0953-4814

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Article
Publication date: 1 February 1991

A.K. Szczepura

The future of pathology services in the NHS is currently underconsideration. Recent developments in diagnostic technologies and theirpossible impact on pathology testing…

Abstract

The future of pathology services in the NHS is currently under consideration. Recent developments in diagnostic technologies and their possible impact on pathology testing in the future are discussed. Trends and patterns of demand for all three main pathology specialties are analysed over the 12‐year period, 1974‐86. The inflation‐adjusted, revenue cost of pathology testing per hospital admission (excluding capital costs) is shown to have fallen in real terms over this period, although it is uncertain whether this would still be the case were capital costs to be included. In the hospital sector, reported increases in demand can be quite simply related to increasing hospital activity by using a linear regression model. However, the very large increases in demand observed in the primary care sector cannot be related reasonably to any routinely reported practice activity indicators. The implications of this highly volatile pattern of demand in general practice are discussed, especially in relation to recent technological advances designed to produce rapid, near‐patient, surgery‐based tests. Although analysis indicates no evidence for historical technology‐induced increases in demand for laboratory services following the introduction of laboratory automation in the 1970s, the possibility of technology‐induced demand in the primary health care sector following the widespread introduction of surgery‐based tests is discussed.

Details

Journal of Management in Medicine, vol. 5 no. 2
Type: Research Article
ISSN: 0268-9235

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Article
Publication date: 28 January 2014

Maurice Yolles and Gerhard Fink

Context and cultural condition given, cybernetic agency theory enables the anticipation of patterns of behaviour. However, this only occurs under “normal” conditions…

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262

Abstract

Purpose

Context and cultural condition given, cybernetic agency theory enables the anticipation of patterns of behaviour. However, this only occurs under “normal” conditions. Abnormal conditions occur when pathologies develop in the agency, especially within its Piagetian intelligences. An understanding of these pathologies, therefore, constitutes an appreciation of how abnormal behaviour develops. The paper aims to discuss these issues.

Design/methodology/approach

Different classifications of pathology are considered: autopathic and sociopathic, transitive and lateral pathologies, epistemological and ontological pathologies, within a system and outside system effects of pathologies. The effects of pathologies are inefficacy, loss of cohesion within a system, emerging neurosis, and not least corruption.

Findings

Within Agency Mindset Theory, four types of pathologies are identified: being detached from the cultural system, behaviour does not conform to extant values; an inhibited figurative intelligence is disturbing self-reference and resulting in incapability to learn cognitively; the operative system does not respond to strategic intentions: operative decision making is not anchored in ethical, ideological or strategic specifications of the social system; action and behaviour of the organisation are driven by outside interests.

Research limitations/implications

This part of the research could only provide a framework for theoretically identifying the systemic roots of pathologies within social systems, but not provide an in-depth analysis of the shifts in values and practices, which accompany the emergence of pathologies.

Practical implications

The research is indicating that emergent pathologies and moves towards corruption could be either identified through underlying shifts in values and practices, but also through reduced functions (inefficacies) of the indispensable internal processes of an organisation (a social system), be it action-oriented or learning-oriented processes.

Originality/value

The paper draws on earlier work undertaken in the last few years by the same authors, who in a new way are pursuing new directions and extensions of that earlier research.

Details

Kybernetes, vol. 43 no. 1
Type: Research Article
ISSN: 0368-492X

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Article
Publication date: 13 May 2014

Kathryn J. Hayes, Nick Reed, Anneke Fitzgerald and Vicki Watt

This purpose of this paper is to examine the application and outcomes of applying all of the seven lean flows to pathology laboratory remodelling as part of a lean rapid…

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1205

Abstract

Purpose

This purpose of this paper is to examine the application and outcomes of applying all of the seven lean flows to pathology laboratory remodelling as part of a lean rapid improvement event (RIE).

Design/methodology/approach

Longitudinal case study of a lean RIE linking emergency and pathology departments focusing on the systematic application of lean's seven flows to the physical environment.

Findings

Following the lean RIE, changes improving patient specimen, technician, supplies and information flows avoided 187 km and eight days of unnecessary walking each year.

Research limitations/implications

The difficulty of making accurate comparisons between time periods in a health care setting is acknowledged.

Practical implications

This research provides evidence that applying lean design concepts in a laboratory can make substantial improvements, particularly if the expertise of the people working in the laboratory is trusted to determine the most appropriate changes. Significant amounts of time and motion were saved by just one, easily quantifiable change.

Social implications

The laboratory staff is processing increased numbers of time-critical tests, yet report a calmer working environment, without any increase in the pace of work. Laboratory personnel also experienced satisfaction in exercising control over their work environment.

Originality/value

To the best of the authors’ knowledge this is the first comprehensive report applying lean flows to pathology laboratory remodelling and one of the few applications of Lean Systems Thinking between departments and between separate health services organisations.

Details

Journal of Health Organization and Management, vol. 28 no. 2
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 26 April 2019

Pedro Pablo Cardoso Castro and Angela Espinosa

The purpose of this is to explore the potential of the combined use of the viable system model (VSM) and social network analysis (SNA) to identify organizational pathologies.

Abstract

Purpose

The purpose of this is to explore the potential of the combined use of the viable system model (VSM) and social network analysis (SNA) to identify organizational pathologies.

Design/methodology/approach

Using a well-documented case study based on an academic consultancy intervention and Action Research Project, participative methods for the diagnostic of the VSM and questionnaires for the collection of connectivity data for the SNA were used to develop a heuristic to integrate these two tools and identify organizational pathologies.

Findings

This study provides empirical evidence of the benefits of the combined use of SNA to enhance the identification of organizational pathologies in VSM interventions, by providing an additional qualitative and quantitative framework for the interpretation of findings coming from VSM organizational diagnostics.

Research limitations/implications

This work explores some analytic routines of SNA frequently used in management. The validation is constrained to the nature of the data set from a case study. The document invites to a discussion of further and more advanced applications on the integration of the VSM and SNA.

Practical implications

The enhanced identification of organizational pathologies can contribute to the emerging new interest in applications of the VSM in management, providing robustness to the structural analysis of organizations.

Originality/value

This paper proposes a guideline to exploit the potential of the combined use of SNA and VSM. It opens new avenues for the study of organizational pathologies.

Details

Kybernetes, vol. 49 no. 2
Type: Research Article
ISSN: 0368-492X

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Article
Publication date: 1 February 2002

Necia France, Graham Francis, STEWART LAWRENCE and Sydney Sacks

The motivation for this paper is to better understand the strengths and limitations of quantitative performance measures in a changing environment. The context is one of…

Abstract

The motivation for this paper is to better understand the strengths and limitations of quantitative performance measures in a changing environment. The context is one of organisational change and innovative management. Using a case study approach, the paper presents a history of organisational change and focuses on attempts to drive and assess efficiency through performance measures in a public hospital‐based pathology laboratory. The various financial and non‐financial performance measures used in the laboratory are presented. A discrepancy between accounting reports and laboratory management analyses of costs is reported. The notorious difficulties of costing health services are examined through the dispute that arose about whether the mean cost‐per‐test was increasing or decreasing over a three‐year period. Competing representations of performance are analysed. Whilst the case study looks at a New Zealand example, many of the pressures facing pathology services are typical of medical laboratories worldwide. General issues of performance measurement are discussed.

Details

Pacific Accounting Review, vol. 14 no. 2
Type: Research Article
ISSN: 0114-0582

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Article
Publication date: 1 August 1994

A.R. Feeney and M. Zairi

Presents the results of a study which was undertaken to establish bestpractice in the management of a pathology department through bestpractice. The study was carried out…

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1953

Abstract

Presents the results of a study which was undertaken to establish best practice in the management of a pathology department through best practice. The study was carried out in two stages: an in‐depth analysis of the pathology department through a SWOT analysis and in‐depth interviews with 25 key internal and external customers, and a survey of NHS laboratories both in the UK and Ireland by targeting a sample of consultant pathologists in 50 random locations – the purpose of this questionnaire was an attempt at establishing best practice in pathology quality management. The study revealed that in pathology there is currently a major dependency on quality control that reflects a compliance to set standards laid down by professional bodies. It also identified a poor understanding of customer needs and expectations, a mechanistic culture which is resistant to change, and a reluctance by pathology managers to delegate ownership for ongoing quality improvement or to take responsibility for quality improvement issues such as waste reduction and cost improvement. Concludes with a set of recommendations geared towards helping managers of pathology services to deal with issues such as cost of quality, listening to customers, empowering employees and getting the job done right the first time and every time.

Details

Benchmarking for Quality Management & Technology, vol. 1 no. 2
Type: Research Article
ISSN: 1351-3036

Keywords

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