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Patient safety is a top priority globally. A robust healthcare system requires strategic collaboration between research and development. The author analysed over 300 cases from seven hospitals using the failure modes, effects, and criticality analysis (FMECA) tool to understand the underlying causes of medical errors.

The author studied seven hospitals and 300 cases using FMECA to prioritise activities. The findings showed that high-priority events occurred less frequently but had the potential to cause the most harm. Team members evaluated independently to ensure unbiased evaluations. This approach is useful for setting priorities or assessing difficulties.

Poor communication and lack of coordination among staff in a healthcare organisation caused misunderstandings, ineffective decision-making, delays in patient care, and medical errors. Implementation of effective communication and coordination protocols can help avoid these problems.

The study recommends using FMECA to identify and prioritise failures and conducting in-depth analyses to understand their root causes. It also highlights the importance of interdisciplinary knowledge and soft skills for healthcare staff.

This study reveals the significance of FMECA in healthcare risk management and benchmarking. FMECA helps identify system failures, develop prevention strategies, and evaluate effectiveness against industry benchmarks. It offers healthcare professionals a valuable tool to enhance patient safety and improve healthcare quality.

The purpose of this paper is to present a case study the application of lean six sigma combined with mining transportation overall vehicle effectiveness (MTOVE) to improve mining transportation performance. MTOVE is a newly developed model to measure the overall effectiveness of mining transportation.

The method used is case study combines the MTOVE and LSS methodologies. Data were collected from the hauling operation during a three-month period. Various lean six-sigma tools, such as the Pareto chart, ANOVA, two sample t-tests, one sample t-test, cause-and-effect analysis and time study, have been used.

The case study resulted in improvement of vehicle overall effectiveness; a 35% increase in MTOVE value, a 17% improvement in productivity and a 9% increment in truck utilization. Statistical tests confirmed the significance of reducing the mean and variation in the hauling process cycle time, which led to productivity improvement.

This study provides practitioners with additional quantitative evidence of the potential benefits of LSS methods in the coal mining industry.

This paper practically and unquestionably has contributed to the LSS body of knowledge focused on the mining sector, which is recently still far behind the manufacturing sector. The study has demonstrated that some challenges in the mining environment can be solved through the effective implementation of LSS tools. Hence, this paper could be used as a reference for both researchers and practitioners.

The study contributes in the field of LSS spread in mining industries using a case study. This study shows practical evidence of improving overall vehicle effectiveness using LSS. Practitioners can refer to this study to understand the benefits of LSS in mining sector. Since the mining industry should also adopt the LSS principle into the mining business process due to its ability to improve business performance (Valente et al., 2020; Tupamahu et al., 2019; Zanon et al., 2021).

There has been little scientific study of the LSS implementation in the mining industry. This research provides detailed evidence of LSS implementation in the mining sector. The main contribution is the implementation framework, which shows the combination of newly developed indicators (MTOVE and LSS) to enhance hauling operation effectiveness. This paper demonstrates how LSS tools and methods can be applied in the mining transportation industry.

This study examines the preparedness and responsiveness of Malaysian academic librarians in handling disruptions in library services during a disaster.

This qualitative approach involved semi-structured interviews with decision-makers, chief librarians and library managers from five selected public universities.

Thematic and qualitative data analysis produced several key themes based on (1) disaster preparedness involving policies, plans, asset protection, risk management, coordination of disaster management and preparative measures; and (2) disaster response involving strategies for information and communication access, community engagement, emergency response teams and procedures, and resource availability.

The findings are expected to be useful for policymakers in formulating policies and guidelines for library disaster management plans.

The interruptions of academic library services during a disaster may result in the disruption of the information sources and social information networks of students, academics and researchers alike. Effective disaster management is also the library’s responsibility to protect collections that belong to society at large.

This is one of the first attempts in disaster management research to focus on the preparedness and responses of academic libraries in Malaysia in the face of disasters. Therefore, the results of this study can be used as a baseline for policymakers to prepare policies, guidelines and manuals for management in the event of a disaster.

This study aims to use institutional and upper echelons theories to comprehensively investigate the intricate interplay between TMT legal expertise and firms' adaptive strategies in legal contexts, notably within emerging economies. It explores how upper echelons experiences shape opportunistic compliance strategies, impacting value and risk perceptions. Drawing on upper echelons theory, the research probes how TMT legal expertise molds firms’ involvement in significant lawsuits, accounting for influential roles. It scrutinizes TMT’s impact on legal strategies, positing that managerial discretion emerges from environmental factors, organizational attributes and executive traits. The study underscores TMT’s internal incentives and external factors’ interplay, molding strategic legal engagement.

To validate this framework, statistical analysis is performed on data from 2,584 Chinese-listed firms. The data set spans 2010–2015, with 5,713 material lawsuits. Chosen due to reliable institutional-level incentives data from the China Market Index Database, years 2016–2019 are excluded for methodological disparities. Moreover, 2007–2009 is omitted to mitigate the potential financial crisis impact. This study’s 11,272 observations ensure robust empirical exploration, offering insights into the interplay of TMT legal expertise, institutional factors and firms’ legal strategies.

The study reveals that firms led by executives with legal expertise are more prone to engage in significant lawsuits, indicating strategic use of legal skills. TMT age moderates this, with older teams less likely to engage. TMT tenure’s effect remains unclear due to tenure-risk preference complexity. Institutional factors matter; less legally mature regions reduce managers’ legal risk intention. Results confirm hypotheses and highlight executive human capital’s impact on firms’ legal strategies.

This study acknowledges contributions while highlighting limitations, including the need for detailed distinctions in lawsuit roles and exploration of heterogeneous TMT power dynamics. Further research is proposed for nuanced power dynamics and comprehensive TMT legal background data. The study advances upper echelons theory by introducing TMT legal expertise as a factor influencing strategic lawsuit behavior. It challenges institutional theory by showing the adaptable legal context, beyond fixed constraints. Moderating factors – group risk attitude and external knowledge – deepen understanding of upper echelons’ impact. Enhanced data collection is encouraged to address limitations and refine findings.

This study’s implications extend to managerial practices. Firms should acknowledge the dynamic legal system, using TMT legal expertise for strategic legal challenges. Executives should pragmatically approach regulations. While legal professionals enhance compliance, caution is needed in selecting TMT members with legal expertise due to the risk of misusing it for unnecessary litigation, potentially misaligned with financial performance goals.

This study combines institutional and upper echelons theories to explore TMT legal expertise’s impact on firms’ adaptive strategies in emerging economies. It challenges the idea of a universally constraining legal environment and highlights how TMT legal expertise enhances firms’ management of complex legal risks. The research introduces TMT legal expertise as an influencing factor in strategic lawsuits, revealing nuanced relationships between legal contexts and strategic decisions. The findings enrich upper echelons theory, challenge conventional institutional views and identify moderating factors that deepen the understanding of upper echelons’ influence in legal landscapes.

After completion of the case study, the students will be able to understand ABC analysis and develop a systematic approach using PDCA, analyze processes, technology, employee training and supplier relationships when analyzing shrink and developing solutions, evaluate how technology improves production inventory control and visibility and recognize the importance of fostering a culture of employee accountability and ownership to minimize inventory loss and improve overall operational efficiency.

On June 2, 2023, sitting in his office in Karachi, Pakistan, Khan Aamir, the manager of store and inventory at Euro Manufacturing, found himself immersed in a cloud of confusion. The incessant loss of inventory items, particularly the nut bolts and small accessories, had become a perplexing challenge. To address these losses and provide a cycle count report to the director of supply chain, Aamir, manager of store and inventory, was given the responsibility to take action. He was looking for a comprehensive approach to address the current problems and prevent further losses in the future. This case study examines the various reasons for the losses, including theft, inadequate inventory control methods, human error and problems with suppliers. It highlights the importance of established procedures, the use of technology (such as barcode scanning, radio-frequency identification tagging and inventory management software) and the cultivation of a culture of accountability among employees.

This case study is developed for class discussion in the course of operations management or supply chain management. This case study is suitable for use with undergrad students. This case study can be taught in a module on operations management or supply chain management, as part of a broader course in business management or industrial engineering.

Teaching notes are available for educators only.

CSS: 9: Operations and logistics.

Healthcare organizations have been facing challenges due to high costs and low efficiency in health services. The growth of costs and losses caused by avoidable mistakes lead to the search for solutions, and Health Lean Management appears as a potential solution to help in solving service quality problems, as well as reducing risks. This study aims to analyse the state of the art in the literature centred on the Lean approach in the context of risk management in healthcare organizations, and to identify new research opportunities, highlighting possible lines of future research.

Following a systematic literature review approach, 51 papers were considered relevant for this research, and reviewed to explore the development of literature in this area.

Based on the results, five main research streams were identified: (1) risk management oriented towards patient safety; (2) risk management oriented towards employee safety; (3) importance of attitudes and behaviours in risk reduction projects; (4) Lean tools used in healthcare risk management and (5) Integration of approaches. Moreover, several shortcomings were identified in literature.

Identified shortcomings represent significant opportunities for further research development.

This article aims to assess risks related to the supply chain 5.0 digitalization. It aims to analyze interdependencies and causal relationships between critical digital supply chain 5.0 risks, emphasizing the need for proactive management to address emerging challenges.

Through an extensive literature review and expert judgment, risks related to supply chain 5.0 digitalization are identified. An integrated approach for risk assessment is employed, where the Analytic Hierarchy Process (AHP) is utilized to prioritize these risks. Subsequently, the Decision-Making Trial and Evaluation Laboratory (DEMATEL) method is employed to investigate cause-and-effect relationships among the identified top 10 risks. This comprehensive analysis forms the basis for informed strategic management decision-making.

The analysis identifies significant influences of “Dependence on technology,” “Complexity”, “Potential system failures”, and “Cyber security” while “Environmental impact” and “Socio-economic disparities” emerge as prominent risks in supply chain 5.0 digitalization. These findings offer actionable insights for management decision-making, guiding the formulation of strategies to address and mitigate critical risks.

The proposed integrated approach (AHP-DEMATEL) provides valuable insights for managers to effectively mitigate digital supply chain 5.0 risks and strategically respond to disruptions. By prioritizing risks, organizations can allocate resources efficiently and address the most critical challenges first, minimizing long-term damage to resilience. Embracing this approach enables practitioners to enhance overall supply chain resilience, guiding key management decisions for the development of sustainable and adaptive strategies.

This paper marks the first comprehensive attempt to assess supply chain 5.0 digitalization risks using decision-making methods like AHP and DEMATEL. The integrated approach contributes novel insights to the field of supply chain risk management, specifically aiding management decision-making in the face of digitalization challenges.

This review paper aims to highlight the causes of delays (COD) and their interactions in construction projects, potentially aiding in timely completion and waste reduction through early anticipation.

Forty-seven global literature were examined in detail to identify CODS and its interactions using the systematic literature review (SLR) method that utilised the PRISMA guidelines to ensure the studies reviewed were adequate to safeguard the robustness and comprehensiveness. Three-way analysis, such as Pareto, degree of centrality and loops, was undertaken to identify the critical Level 1,2 and 3 CODS that affect the Construction projects.

The research findings demonstrate that 65 CODs in eight categories affect construction projects. The CODs act in coherence rather than silos; the CLD displays complex interconnections of 44 factors obtained through the pairwise comparison of the 47 identified literature of the SLR. Through its systematic analysis of interaction loops, this research identified Ten level 1 critical CODs, two second-level critical CODs and 4 Third-level critical CODs. “Contractors' excessive workload/beyond potential/inadequate experience” emerged as the top COD that affects scheduling and project delay.

The study limitations include using only English articles and a restricted number of databases. However, the chosen databases were reputable and underwent thorough peer review processes. This study may have limitations due to the SLR, which means that factors affecting COD and interactions may vary by country, and future research is suggested for validation.

This study identified interactions of construction delays that potentially support scheduling risk management during the early stage of the project and reduce waste to improve sustainability. The theoretical implications of SLR-based research include helping develop a framework that would potentially have all COD in the current scenario and aid future academic and industrial research factor-wise and country-wise in aiding sustainability. This will support and provide construction professionals and academia with knowledge of the COD related to factors and their interactions to be considered in the early assessment and management of future projects and improve sustainability.

Most literature studies the factors or causes of construction delays that affect construction projects. The CODs primarily do not operate in silos but combine with other causes to enhance their influence on delays. Hence, it is of utmost importance to study the interactions of COD to enhance the knowledge in the construction field that would aid in schedule repair and, in turn, on-time project delivery. The study is the first related to COD and their interactions in construction projects in the digital era.

The altitude and weather conditions affect directly fuel consumption and engine efficiency of the aircraft engines. The thermo-physical properties of the weather of altitude play a significant role in this process. Unfortunately, engine performance based on altitude conditions also causes waste heat and environmental pollution due to engine entropy generation. However, environmental impact assessment is needed to improve environmental sustainability. This study aimed to analyse the energy and environmental performance of a piston engine based on altitude conditions.

This study is based on the entropy approach, and it aims to assess the environmental impact of the engine. Exergy analysis with together two new indices to evaluate the environmental effects caused by the engine under altitude conditions was used.

The analysis reveals that the exergy efficiency of the piston engine is 23.9% on average for the three referenced altitudes, while the exergy efficiency difference between altitude boundary conditions is 11%. In addition, the entropy production of the engine is on average 10.55 kW/K. In this case, the environmental pollution potential resulting from the entropy production of the engine is on average 3.29 times higher due to reversible conditions, while the improvement rate was found to be 58%.

This analysis shows that engine efficiency increases as altitude increases. Similarly, it can also be said that the environmental impacts are reduced and the improvement of the engine has opportunities for operational processes. Besides, in the study, some suggestions for motor performance impact analysis were presented.