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1 – 10 of over 74000David Greenfield, Marjorie Pawsey, Justine Naylor and Jeffrey Braithwaite
The purpose of this article is to test whether healthcare accreditation survey processes are reliable.
Abstract
Purpose
The purpose of this article is to test whether healthcare accreditation survey processes are reliable.
Design/methodology/approach
The study uses multiple methods to document stakeholder experiences and views on accreditation survey reliability. There were 29 research activities, comprising 25 focus groups, three interviews and a survey questionnaire. In total, 193 stakeholders participated; 134 in face‐to‐face activities and 56 via questionnaire. All were voluntary participants. Using open‐ended questioning, stakeholders were asked to reflect upon accreditation survey reliability.
Findings
Stakeholders perceived healthcare accreditation surveys to be a reliable activity. They identified six interrelated factors that simultaneously promoted and challenged reliability: the accreditation program, including organisational documentation and surveyor accreditation reports; members' relationship to the accrediting agency and survey team; accreditation agency personnel; surveyor workforce renewal; surveyor workforce management; and survey team conduct including coordinator role. The six factors realised shared expectations and conduct by accreditation stakeholders; that is, they enabled accreditation stakeholder self‐governance.
Practical implications
Knowledge gained can be used to improve accreditation program reliability, credibility and ongoing self‐governance.
Originality/value
The paper is a unique examination of healthcare accreditation surveys the reliability. The findings have potential application to reliability in other healthcare areas.
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Peter F. Martelli, Peter E. Rivard and Karlene H. Roberts
Given the pace of industry change and the rapid diffusion of high reliability organization (HRO) approaches, lags and divergences have arisen between research and practice in…
Abstract
Purpose
Given the pace of industry change and the rapid diffusion of high reliability organization (HRO) approaches, lags and divergences have arisen between research and practice in healthcare. The purpose of this paper is to explore several of these theory-practice gaps and propose implications for research and practice.
Design/methodology/approach
Classic and cutting-edge HRO literature is applied to analyze two industry trends: delivery system integration, and the confluence of patient-as-consumer and patient-centered care.
Findings
Highly reliable integrated delivery systems will likely function very differently from classic HRO organizations. Both practitioners and researchers should address conditions such as how a system is bounded, how reliable the system should be and how interdependencies are handled. Additionally, systems should evaluate the added uncertainty and variability introduced by enhanced agency on the part of patients/families in decision making and in processes of care.
Research limitations/implications
Dramatic changes in the sociotechnical environment are influencing the coupling and interactivity of system elements in healthcare. Researchers must address the maintenance of reliability across organizations and the migration of decision-making power toward patients and families.
Practical implications
As healthcare systems integrate, managers attempting to apply HRO principles must recognize how these systems present new and different reliability-related challenges and opportunities.
Originality/value
This paper provides a starting point for the advancement of research and practice in high-reliability healthcare by providing an in-depth exploration of the implications of two major industry trends.
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Petros Vourvachis and Thérèse Woodward
The purpose of this paper is to review the use of content analysis in social and environmental reporting (SER) research. It explores how the relevant literature has evolved over…
Abstract
Purpose
The purpose of this paper is to review the use of content analysis in social and environmental reporting (SER) research. It explores how the relevant literature has evolved over time and particularly how recent developments have affected the validity and reliability challenges that researchers face when executing the method.
Design/methodology/approach
The paper combines a quasi-systematic review of the literature employing content analysis (examining a sample of 251 studies published over the last 40 years in a wide array of journals with interest in the field), with a largely interpretive meta-analysis, using an index, considering the research questions asked and frameworks used as well as the specific content analysis decisions.
Findings
A number of issues of concern in the use of the method are identified, mainly over comparability and reliability of coding schemes. Potential explanations are developed and methodological refinements that could enhance the usefulness of content analysis methods in SER research are subsequently proposed.
Research limitations/implications
It should be acknowledged that, as 251 SER studies have been reviewed, there is always the possibility that some unique studies that could have contributed in the discussion have been ignored.
Practical implications
By reviewing the use of the method in a comprehensive sample of 251 SER studies published over the last 40 years in a wide array of journals with interest in the field, the paper also offers a guide for researchers (particularly in the SER field) wishing to employ content analysis in the future.
Originality/value
The paper contributes to the literature by offering a critical and comprehensive review of the method’s theoretical underpinnings and application in SER research, and by describing changing patterns in content analysis, in order to help build a more secure foundation for future work.
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Ajith Tom James, Girish Kumar, Adnan Qayyum Khan and Mohammad Asjad
The purpose of this paper is to identify and analyze the challenges associated with the implementation of the concept of Maintenance 4.0 in industries.
Abstract
Purpose
The purpose of this paper is to identify and analyze the challenges associated with the implementation of the concept of Maintenance 4.0 in industries.
Design/methodology/approach
The challenges in the implementation of Maintenance 4.0 are identified through a literature survey and interaction with professionals from the industry and academia. A structural hierarchy framework that integrates the methodologies of ISM and MICMAC is used for the analysis of Maintenance 4.0 implementation challenges. The framework establishes the interrelationship among challenges and segregates them into driving, linkage, dependent and autonomous groups.
Findings
A novel concept of Maintenance 4.0 under the aegis of Industry 4.0 is gaining appreciation worldwide. However, there are challenges in the adaptation of Maintenance 4.0 concepts among industries. The various challenges as well as their impact on the objective of implementation of Maintenance 4.0 are identified.
Practical implications
The practicing engineers, academicians, researchers and the concerned industries can infer from the results to improve upon the causes of such challenges and promote the implementation of Maintenance 4.0 most efficiently and effectively.
Originality/value
This paper is a novel, unique and first of its kind that addresses the most contemporary challenges in the implementation of Maintenance 4.0 concepts in industries.
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As a literature review article, the purpose of this paper is to highlight the intricate interaction and correlation between the interconnection microstructure and the failure…
Abstract
Purpose
As a literature review article, the purpose of this paper is to highlight the intricate interaction and correlation between the interconnection microstructure and the failure mechanism. It is therefore critical to summarize all the challenges in understanding solder solidification of interconnections.
Design/methodology/approach
Literature review.
Findings
Solidification of solder interconnections is therefore critical because it is the process during which the solder interconnection is formed. The as‐solidified microstructure serves as the starting point for all failure modes. Because of the miniaturization of electronics, the interconnection size decreases continuously, already to such a range that solder solidification takes place remarkably differently from the bulk ingot, on which solidification studies have been focused for decades. There are many challenges in understanding the solidification of tiny solder interconnections, including the complex metallurgical system, dynamic solder composition, supercooling and actual solidification temperature, localized temperature field, diverse interfacial IMC formation, and so on, warranting further research investment on solder solidification.
Originality/value
This paper provides a critical overview of the concerns in solidification study for lead‐free solder interconnection. It is probably an article initiating more attention towards solidification topics.
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Juha Haakana, Jukka Lassila, Tero Kaipia, Jarmo Partanen, Juha Lohjala and Hanna Niemelä
Underground cabling has become a true alternative in construction of electricity distribution networks, even in rural areas. The increasing amount of underground installations…
Abstract
Purpose
Underground cabling has become a true alternative in construction of electricity distribution networks, even in rural areas. The increasing amount of underground installations requires strategic work that helps to define the most profitable cabling targets. The purpose of this paper is to introduce a methodology to consider the underground cabling process.
Design/methodology/approach
The paper proposes a cabling concept that covers the issues on how cabling should be carried out. The analysis is based on techno‐economic and reliability analyses. The methodology consists of several steps that together constitute the concept.
Findings
The underground cabling concept comprises several steps that can be simplified into questions: where, what, when and how the network cabling process is carried out. The analysis of these questions and the related features of the network show that different approaches to the renovation can cause significant differences in profitability between the renovation strategies.
Research limitations/implications
The underground cabling concept provides a method to analyse the cabling process, and it contains several alternatives for applying the concept. Thus, the applicability of a certain method depends on the network and the objectives of the distribution system operator.
Practical implications
Renovation planning of the network has become common in distribution companies. Traditionally, ageing of the network has been the driver for the renovation. However, in the future, the scope of renovation planning should also include other renovation drivers, such as reliability.
Originality/value
The methodology proposed in the paper can be applied in the renovation and development process of distribution networks. The results are universal in the electricity distribution.
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Keywords
Raul L. Katz, Pantelis Koutroumpis and Fernando Callorda
Digitization is defined as the social transformation triggered by the massive adoption of digital technologies to generate, process, share and transact information. This paper…
Abstract
Purpose
Digitization is defined as the social transformation triggered by the massive adoption of digital technologies to generate, process, share and transact information. This paper seeks to present a methodology followed to calculate the Digitization Index, a concept originally developed by Booz & Company, the global management consulting firm, with the support of the authors.
Design/methodology/approach
This index consists of six elements capturing Ubiquity, Affordability, Reliability, Speed, Usability and Skill and 24 sub‐indicators measuring tangible parameters of perceived digitization metrics.
Findings
The index indicates that countries are clustered as Digitally Constrained, Emerging, Transitional or Advanced, with varying degrees of contribution of digitization to economic growth. The Index is used to assess the situation of Latin American countries in terms of their progression to digitally advanced societies. In this context, the areas to focus on in the formulation of Latin America digital agenda are outlined.
Originality/value
Until now, most indices that measure progress towards this new era have focused primarily on metrics such as wireless telephony penetration, access to the internet and broadband adoption. The paper argues that these indices, even those that are more comprehensive in scope (Network Readiness Index by the World Economic Forum, or the Digital Opportunity Index by the International Telecommunication Union) capture only a portion of the ongoing transformations.
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Aki Jääskeläinen and Niklas Luukkanen
The purpose of this paper is to investigate how middle managers utilize performance measurement information in their work. More specifically, the study gives understanding on the…
Abstract
Purpose
The purpose of this paper is to investigate how middle managers utilize performance measurement information in their work. More specifically, the study gives understanding on the impact of performance measurement, policies and procedures (formal controls), and individual intuition and experiential knowledge (informal controls) on strategy implementation and decision making. The study also identifies hindrances to the use of measurement information.
Design/methodology/approach
The study is carried out as a semi-structured interview study in Finnish companies representing five industries and 29 interviewees. Empirical data were analyzed deductively according to the research framework combining informal and formal management controls with two managerial processes.
Findings
The work of middle managers is clearly affected by informal controls. Much of the managerial work relies on individual intuition and judgment based on experience instead of performance information or formal instructions. The study also unveiled that top management sees the status of utilizing performance measurement information in a more positive light than do middle managers. This is the case especially in strategy implementation. Deficiency of measurement information was found to be a key factor hindering the use of measurement information but improper analysis of results is also a challenge.
Research limitations/implications
This study examined the work of middle managers widely in different positions and industries which means that the findings are rather explorative. Simplification was required in order to operationalize the complex tasks of strategy implementation and decision making. Further, more contextually focused research is required in order to understand better the contextual causes of the findings and to provide more understanding on the appropriate ways of improving the utilization of performance measurement information.
Practical implications
The practical contribution of this study lies in the detailed description of strategy implementation and decision-making processes based on observations in several large companies representing different industries. The study also suggests areas to which development efforts should be concentrated on in order to improve the use of performance information among middle managers.
Originality/value
This study contributes to the earlier literature by highlighting the usage of performance measurement information as opposed to developing new measures. In addition, the novelty value of the paper relates to the focus in the work of middle managers which has gained less attention in the previous research.
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Hatem Algabroun, Jon Bokrantz, Basim Al-Najjar and Anders Skoogh
This paper presents a concept for digitalised maintenance (DM), maps the conceptualised DM to maintenance problems in industries and highlights challenges that might be faced when…
Abstract
Purpose
This paper presents a concept for digitalised maintenance (DM), maps the conceptualised DM to maintenance problems in industries and highlights challenges that might be faced when realizing this concept.
Design/methodology/approach
First, maintenance problems that are faced by the industry are presented, followed by a conceptualisation of DM. Next, a typical operational scenario is used as an exemplification to show system dynamics. The characteristics of this conceptualised DM are then mapped to the identified maintenance problems of industry. Then, interesting initiatives in this domain are highlighted, and finally, the challenges to realize this approach are discussed.
Findings
This paper identified a set of problems related to maintenance in industry. In order to solve current industrial problems, exploit emerging digital technologies and elevate future industries, it will be necessary to develop new maintenance approaches. The mapping between the criteria of DM and maintenance problems shows the potential of this concept and gives a reason to examine it empirically in future work.
Originality/value
This paper aims to help maintenance professionals from both academia and industry to understand and reflect on the problems related to maintenance, as well as to comprehend the requirements of a digitalised maintenance and challenges that may arise.
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David Greenfield, Deborah Debono, Anne Hogden, Reece Hinchcliff, Virginia Mumford, Marjorie Pawsey, Johanna Westbrook and Jeffrey Braithwaite
Health systems are changing at variable rates. Periods of significant change can create new challenges or amplify existing barriers to accreditation program credibility and…
Abstract
Purpose
Health systems are changing at variable rates. Periods of significant change can create new challenges or amplify existing barriers to accreditation program credibility and reliability. The purpose of this paper is to examine, during the transition to a new Australian accreditation scheme and standards, challenges to health service accreditation survey reliability, the salience of the issues and strategies to manage threats to survey reliability.
Design/methodology/approach
Across 2013-2014, a two-phase, multi-method study was conducted, involving five research activities (two questionnaire surveys and three group discussions). This paper reports data from the transcribed group discussions involving 100 participants, which was subject to content and thematic analysis. Participants were accreditation survey coordinators employed by the Australian Council on Healthcare Standards.
Findings
Six significant issues influencing survey reliability were reported: accreditation program governance and philosophy; accrediting agency management of the accreditation process, including the program’s framework; survey coordinators; survey team dynamics; individual surveyors; and healthcare organizations’ approach to accreditation. A change in governance arrangements promoted reliability with an independent authority and a new set of standards, endorsed by Federal and State governments. However, potential reliability threats were introduced by having multiple accrediting agencies approved to survey against the new national standards. Challenges that existed prior to the reformed system remain.
Originality/value
Capturing lessons and challenges from healthcare reforms is necessary if improvements are to be realized. The study provides practical and theoretical strategies to promote reliability in accreditation programs.
Details