Search results

1 – 10 of over 86000
To view the access options for this content please click here
Article
Publication date: 12 July 2011

Paresh Wankhade

The purpose of this paper is to assess the performance measurement in the UK NHS ambulance service documenting various unintended consequences of the current performance…

Abstract

Purpose

The purpose of this paper is to assess the performance measurement in the UK NHS ambulance service documenting various unintended consequences of the current performance framework and to suggest a future research agenda.

Design/methodology/approach

The paper reviews the literature on ambulance performance targets and documents several unintended consequences of the current performance system through an in‐depth case study analysis based on interviews with Trust staff and policy experts along with observation of performance review meetings in the chosen Trust. Ethical approval for the study was obtained from a local NHS research ethics committee.

Findings

Significant unintended consequences of the ambulance performance targets based on response times have been systematically documented, which are likely to put the target under spotlight, especially that of the eight‐minute response. The current policy focus to reform the eight‐minute target by making it more stringent has the potential of jeopardising the reform agenda based on developing clinical skills of the paramedics and introducing clinical management in the service.

Practical implications

The paper makes an objective assessment of the sustainability of the current policy framework and identifies future lines of enquiry for further research.

Originality/value

This paper makes an original contribution in identifying and documenting the disjuncture between stated and unintended consequences of ambulance performance measurement, which will be of value to academics, practitioners and policy makers.

Details

International Journal of Public Sector Management, vol. 24 no. 5
Type: Research Article
ISSN: 0951-3558

Keywords

To view the access options for this content please click here
Article
Publication date: 18 May 2020

Mengli Yu, Ronggang Zhou, Zhao Cai, Chee-Wee Tan and Huiwen Wang

This study examines the impact of response time on user experience for mobile applications and considers the moderating influence of gender and network environment on this…

Abstract

Purpose

This study examines the impact of response time on user experience for mobile applications and considers the moderating influence of gender and network environment on this relationship.

Design/methodology/approach

An experiment was conducted with 50 young adults to evaluate their user experience of a mobile application that simulates variations in network environment and response time. User experience was evaluated based on the three constituent dimensions of tolerance, acceptance, and satisfaction.

Findings

Analytical results demonstrate that response time not only adversely affects user experience of mobile applications, but that this effect is not homogeneous across the three dimensions of tolerance, acceptance and satisfaction. The findings also illustrate that gender moderates the effect of response time on user experience, however, the negative influence is more salient for males than females, which is opposite to our hypothesis. The joint moderating influence of gender and network environment turned out to be partly significant.

Practical implications

By illuminating users' tolerance, acceptance, and satisfaction with varied response times, findings from this study can inform the design of mobile applications such that desired levels of user experience can be assured with minimum resources.

Originality/value

Although response time has been hailed as a key determinant of user experience for desktop applications, there is a paucity of studies that have investigated the impact of response time on user experience for mobile applications. Furthermore, prior research on response time neglects the multi-dimensional nature of user experience. This study bridges the above mentioned knowledge gaps by delineating user experience into its constituent dimensions and clarifying the effects of response time on each of these dimensions.

Details

Internet Research, vol. 30 no. 5
Type: Research Article
ISSN: 1066-2243

Keywords

To view the access options for this content please click here
Book part
Publication date: 17 January 2009

Eddie Rhee and Gary J. Russell

Database marketers often select households for individual marketing contacts using information on past purchase behavior. One of the most common methods, known as RFM…

Abstract

Database marketers often select households for individual marketing contacts using information on past purchase behavior. One of the most common methods, known as RFM variables approach, ranks households according to three criteria: the recency of the latest purchase event, the long-run frequency of purchases, and the cumulative dollar expenditure. We argue that RFM variables approach is an indirect measure of the latent purchase propensity of the customer. In addition, the use of RFM information in targeting households creates major statistical problems (selection bias and RFM endogeneity) that complicate the calibration of forecasting models. Using a latent trait approach to capture a household's propensity to purchase a product, we construct a methodology that not only measures directly the latent propensity value of the customer, but also avoids the statistical limitations of the RFM variables approach. The result is a general household response forecasting and scoring approach that can be used on any database of customer transactions. We apply our methodology to a database from a charitable organization and show that the forecasting accuracy of the new methodology improves upon the traditional RFM variables approach.

Details

Advances in Business and Management Forecasting
Type: Book
ISBN: 978-1-84855-548-8

To view the access options for this content please click here
Article
Publication date: 17 May 2013

Jessye L. Bemley, Lauren B. Davis and Luther G. Brock

As the intensity of natural disasters increases, there is a need to develop policies and procedures to assist various agencies with moving aid to affected areas. One of…

Abstract

Purpose

As the intensity of natural disasters increases, there is a need to develop policies and procedures to assist various agencies with moving aid to affected areas. One of the biggest limitations to this process is damage to transportation networks, in particular waterways. To keep waterways safe, aids to navigation (ATONs) are placed in various areas to guide mariners and ships to their final destination. If the ATONs are damaged, then the waterways are left unsafe, making it difficult to move supplies and recover from a disaster. The aim of this paper is to explore the effectiveness of pre‐positioning strategies for port recovery in response to a natural disaster.

Design/methodology/approach

A stochastic facility location model is presented to determine where teams and commodities should be pre‐positioned in order to maximize the number of ATONs repaired, given a constraint on response time. The first stage decisions focus on determining the location of resources. The second stage decisions consist of the distribution of supplies and teams to affected areas.

Findings

Results show the benefit of pre‐positioning and the value of coordination toward the responsiveness of restoring waterways. Furthermore, the relationship between resources, repair time, and response is characterized.

Originality/value

There has been extensive work addressing pre‐positioning as it relates to responding to the needs of populations affected by disasters. However, little has been done to explore pre‐positioning in the context of business recovery from severe weather events.

Details

Journal of Humanitarian Logistics and Supply Chain Management, vol. 3 no. 1
Type: Research Article
ISSN: 2042-6747

Keywords

To view the access options for this content please click here
Article
Publication date: 15 May 2017

Andrew Greasley and Chris M. Smith

This study is based at a police force’s communications centre which undertakes a vital role in receiving and processing emergency and non-emergency telephone calls from…

Abstract

Purpose

This study is based at a police force’s communications centre which undertakes a vital role in receiving and processing emergency and non-emergency telephone calls from the public and other agencies. The purpose of this paper is to evaluate a method for addressing the conflict between the need to reduce cost and the requirement to meet national standards in terms of a timely response to customer calls.

Design/methodology/approach

In a two-stage methodology an activity-based costing (ABC) approach is used as a framework to show how costs are generated by the three “drivers” of cost which relate to the design efficiency of the process, the demand on the process and the cost of resources used to undertake the process. The study then provides an analysis from a resource driver perspective using discrete-event simulation to model workforce staffing scenarios.

Findings

Cost savings within the police communications centre are identified from an analysis of the three drivers of cost. Further analysis from a resource driver viewpoint using a simulation study of an alternative workforce schedule predicted an overall reduction in staffing cost of 9.4 per cent.

Originality/value

The study outlines an innovative method that identifies where cost can be reduced using ABC and then provides an assessment of strategies that aim to reduce cost whilst maintaining service levels in a police operation using simulation.

Details

Policing: An International Journal of Police Strategies & Management, vol. 40 no. 2
Type: Research Article
ISSN: 1363-951X

Keywords

To view the access options for this content please click here
Article
Publication date: 1 December 2004

Breda Sweeney and Bernard Pierce

Audit firms face a constant conflict between the business of auditing and the profession of auditing, which is manifested at audit senior level in the pressure to perform…

Abstract

Audit firms face a constant conflict between the business of auditing and the profession of auditing, which is manifested at audit senior level in the pressure to perform quality work within specified time limits. Prior quantitative studies have reported high levels of quality‐threatening behaviour (QTB) at senior level and the importance of examining contributory factors has been highlighted. Semi‐structured interviews were conducted with audit seniors in four of the (then) Big Five firms and findings suggest that key variables (time pressure, participative target setting, and style of performance evaluation) have been inadequately operationalised in previous studies and that two distinct forms of QTB exist: deliberate and inadvertent. Propositions are developed for variables associated with both forms of QTB, which provide direction and focus for future research.

Details

Accounting, Auditing & Accountability Journal, vol. 17 no. 5
Type: Research Article
ISSN: 0951-3574

Keywords

To view the access options for this content please click here
Article
Publication date: 25 April 2008

Zoe Radnor

This conceptual paper seeks to consider the impact of performance measurement and reporting based around performance indicators and targets within the public sector and to…

Abstract

Purpose

This conceptual paper seeks to consider the impact of performance measurement and reporting based around performance indicators and targets within the public sector and to identify that the response to indicators and targets is often gaming which happens at organisational level. It then goes on to present a definition and typology of organisational gaming.

Design/methodology/approach

The paper draws from a range of documents both government and academic to identify both the process of, and the types of, organisational gaming.

Findings

The paper finds that organisational gaming occurs at both different levels (low and high) and extent (internal and external). It builds on this by presenting a framework (2 × 2 matrix) which presents types of organisational gaming which range in their degree of impact and consequence.

Research limitations/implications

The concepts within this paper focus around public services on which the framework is built. This may – but it is doubtful – have limitations when considering the ideas within private sector organisations. Another limitation could be levelled at the 2 × 2 typology in that it may be difficult to place a gaming phenomenon into one “box” alone.

Originality/value

The value in the paper and the framework is that a distinction between measurement and reporting is drawn together with identification of a different gaming phenomenon. This, the paper argues, is important to understand, if organisations are to avoid some of the more “dangerous” or high impact consequences of gaming.

Details

International Journal of Productivity and Performance Management, vol. 57 no. 4
Type: Research Article
ISSN: 1741-0401

Keywords

To view the access options for this content please click here
Article
Publication date: 7 August 2017

Mike Brady

Complaints are an integral element of the quality control and clinical governance process of UK ambulance services, and form a valid and reliable way of identifying areas…

Abstract

Purpose

Complaints are an integral element of the quality control and clinical governance process of UK ambulance services, and form a valid and reliable way of identifying areas of practice that require improvement. The purpose of this paper is to assess to what extent such complaints and their possible causes are researched; to identify any possible areas of practice requiring further investigation.

Design/methodology/approach

A computerised literature search was conducted using the online databases Science Direct, Cochrane library, and Web of Science, as well as specific searches of the Journal of Paramedic Practice and the International Journal of Paramedic Practice database. Online databases were searched for peer-reviewed full research articles between January 2012 and May 2016.

Findings

A total of 125 papers were identified and after further screening 90 articles were excluded. Additional screening using the critical appraisal skills programme (2014) criterions excluded a further 21 papers, leaving 14 studies for inclusion within the review.

Originality/value

This review found no specific research focussing on any causes of complaints made to UK ambulance services. Moreover, no research was identified specifically investigating the top three cited themes of complaints made in the last three years. More research is required both in researching those themes of complaints already known but also determining any other possible causes of complaints made. This review has evidenced that studies investigating response times improvement strategies, ambulance staff attitudes, and educational assessments of errors, all have findings which are meaningful and valid to determining the possible causes of complaints and possible improvement strategies. Ambulance services, commissioners, practitioners, and clinical academics should endeavour to research and share causes of complaints made to improve the quality of patient care.

Details

International Journal of Emergency Services, vol. 6 no. 2
Type: Research Article
ISSN: 2047-0894

Keywords

To view the access options for this content please click here
Article
Publication date: 16 October 2018

Xiufeng Zhang, Jitao Dai, Xia Li, Huizi Li, Huiqun Fu, Guoxin Pan, Ning Zhang, Rong Yang and Jianguang Xu

This paper aims to develop a signal acquisition system of surface electromyography (sEMG) and use the characteristics of (sEMG) signal to interference action pattern.

Abstract

Purpose

This paper aims to develop a signal acquisition system of surface electromyography (sEMG) and use the characteristics of (sEMG) signal to interference action pattern.

Design/methodology/approach

This paper proposes a fusion method based on combining the coefficient of AR model and wavelet coefficient. It improves the recognition rate of the target action. To overcome the slow convergence speed and local optimum in standard BP network, the study presents a BP algorithm which combine with LM algorithm and PSO algorithm, and it improves the convergence speed and the recognition rate of the target action.

Findings

Experiments verify the effectiveness of the system from two aspects the target motion recognition rate and the corresponding reaction speed of the robotic system.

Originality/value

The study developed a signal acquisition system of sEMG and used the characteristics of (sEMG) signal to interference action pattern. The myoelectricity integral values are presented to determine the starting point and end point of target movement, which is more effective than using single sample point amplitude method.

To view the access options for this content please click here
Article
Publication date: 7 November 2016

Paresh Wankhade

There is a growing academic interest in the examination and exploration of work intensification in a wide range of healthcare settings. The purpose of this paper is to…

Abstract

Purpose

There is a growing academic interest in the examination and exploration of work intensification in a wide range of healthcare settings. The purpose of this paper is to explore the differing staff perceptions in emergency ambulance services in the UK. It provides evidence on the challenges for the paramedic professionalisation agenda and managing operational demands and work intensity in emotionally challenging circumstances, with significant implications for patient safety.

Design/methodology/approach

Drawing on the evidence from an empirical study in a large National Health Service ambulance trust in England, this paper examines the challenges and differing staff perceptions of the changing scope and practice of ambulance personnel in the UK. Amidst the progress on the professionalisation of the paramedic agenda, individual trusts are facing challenges in form of staff attitudes towards meeting performance targets, coupled with rising demand, fear of loss of contracts and private competition.

Findings

Research findings highlight differing perceptions from various sub-cultural groups and lack of clarity over the core values which are reinforced by cultural and management differences. Need for greater management to explore the relationship between high sickness levels and implications for patient safety including the need for policy and research attention follows from this study. The implications of work intensity on gender equality within the ambulance settings are also discussed.

Research limitations/implications

Ambulance services around the world are witnessing a strain on their operational budgets with increasing demand for their services. Study evidence support inconclusive evidence for patent safety despite the growing specialist paramedic roles. Organisational implications of high staff sickness rates have been largely overlooked in the management literature. This study makes an original contribution while building upon the earlier conceptions of work intensification.

Practical implications

The study findings have significant implications for the ambulance services for better understanding of the staff perceptions on work intensity and implications for patient safety, high sickness absence rates amidst increasing ambulance demand. Study findings will help prepare the organisational policies and design appropriate response.

Social implications

Societal understanding about the organisational implications of the work intensity in an important emergency response service will encourage further debate and discussion.

Originality/value

This study makes an original contribution by providing insights into the intra-organisational dynamics in an unusual organisational setting of the emergency ambulance services. Study findings have implications for further research inquiry into staff illness, patient safety and gender issues in ambulance services. Evidence cited in the paper has further relevance to ambulance services globally.

Details

International Journal of Emergency Services, vol. 5 no. 2
Type: Research Article
ISSN: 2047-0894

Keywords

1 – 10 of over 86000