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1 – 10 of 12
Article
Publication date: 6 July 2010

Joel French and Robert Weathersby

Only 55% of patients receive recommended care, with little difference found between care recommended for prevention, to address acute episodes, or to treat chronic…

Abstract

Only 55% of patients receive recommended care, with little difference found between care recommended for prevention, to address acute episodes, or to treat chronic conditions (McGlynn et al, 2003). The lag time between the discovery of more effective forms of medical treatment and their incorporation into routine patient care averages seventeen (17) years (IOM). Computerized provider order entry (CPOE) has been widely documented as a necessary tool to reduce preventable medication and other related errors but only 7.4% of acute care hospitals in the United States utilize CPOE with appropriate rules and evidence (HIMSS Analytics). The most fundamental building block for CPOE is the evidence based order set, but complexities associated with creating, managing and updating order sets have introduced major obstacles to CPOE implementation efforts. Chronic conditions such as heart disease, diabetes or arthritis affect more than 130 million Americans directly, and account for 7 in 10 deaths. Further, these chronic conditions consume 75% of all healthcare spending, and account for nearly two-thirds of the growth in health spending over the past 20 years -costing the U. S. economy $1 trillion annually (Almanac of Chronic Conditions, 2008 Edition). Estimates suggest the average patient upon hospitalization has 2.75 diagnoses - meaning "appropriate care" must span and synthesize multiple morbidity-specific best practices to effectively administer care to that "average" patient. The traditional approach to treating patients with evidence based protocols requires a physician to perform an ad hoc exercise of "mental merging" - reconciling duplicate candidate orders across multiple order sets to treat a patient with co-morbidities (today's norm). A more clinically effective, productive, and patient safety-centric alternative is to employ a proprietary software merging algorithm. These advanced algorithms remove duplicate orders, resolve conflicts, completes validation of the appropriate medical evidence and organizes the resulting merged order set so the physician can succinctly address the patients' often complicated treatment by focusing on the unique combination of labs, medications, etc. appropriate for the specific presenting conditions. This article describes a patent-pending propriety method of algorithmically merging multiple independent order sets for patients with co-morbid and chronic conditions into a single, maintenance free and evidence-based order set that can be immediately implemented into physician workflow to satisfy "Meaningful Use" guidelines for incremental provider reimbursement based on the American Recovery and Reinvestment Act (ARRA) legislation.

Details

International Journal of Innovation Science, vol. 2 no. 1
Type: Research Article
ISSN: 1757-2223

Book part
Publication date: 8 July 2021

Rebecca Bednarek, Marianne W. Lewis and Jonathan Schad

Early paradox research in organization theory contained a remarkable breadth of inspirations from outside disciplines. We wanted to know more about where early scholarship…

Abstract

Early paradox research in organization theory contained a remarkable breadth of inspirations from outside disciplines. We wanted to know more about where early scholarship found inspiration to create what has since become paradox theory. To shed light on this, we engaged seminal paradox scholars in conversations: asking about their past experiences drawing from outside disciplines and their views on the future of paradox theory. These conversations surfaced several themes of past and future inspirations: (1) understanding complex phenomena; (2) drawing from related disciplines; (3) combining interdisciplinary insights; and (4) bridging discourses in organization theory. We end the piece with suggestions for future paradox research inspired by these conversations.

Details

Interdisciplinary Dialogues on Organizational Paradox: Investigating Social Structures and Human Expression, Part B
Type: Book
ISBN: 978-1-80117-187-8

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Article
Publication date: 1 March 2002

Nadeem M. Firoz, Ahmad S. Maghrabi and Ki Hee Kim

In every country, specific cultures exist. In comparison most businesses have a variety of different cultures because there are different people working within the…

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Abstract

In every country, specific cultures exist. In comparison most businesses have a variety of different cultures because there are different people working within the company. People with the same religion, language, beliefs and values share a culture. This, in turn, is shared with all types of people in the same cultural system. Here the author examines the art of managing people who are from different cultures, taking into account their different set of values, traditions, and ways of achieving various goals. It exposes some of the problems inherent in the host (local) country where a home (parent company) manager refuses or is incapable of internalizing the local culture in which the expatriate operates. Business tactics are enforced and implemented differently depending on the culture the decision‐maker is from. Therefore, one should always think globally and act locally.

Details

International Journal of Commerce and Management, vol. 12 no. 3/4
Type: Research Article
ISSN: 1056-9219

Book part
Publication date: 5 December 2017

Robert P. Wright

Our preoccupation with the Repertory Grid Technique has left little time and attention to the core ideas articulated in Kelly’s (1955) Theory of Personal Constructs. After…

Abstract

Our preoccupation with the Repertory Grid Technique has left little time and attention to the core ideas articulated in Kelly’s (1955) Theory of Personal Constructs. After more than 20 years engaging with the method, I have (re)discovered his theorizing about man’s quest for knowing, to be the most insightful. This chapter shares my reflections/reflexions about the crucial role he placed on the notion of “anticipation.” I position this importance within the context of the challenges of our times and advocate that his “psychology of the unknown” is just as important today as it was 62 years ago.

Details

Methodological Challenges and Advances in Managerial and Organizational Cognition
Type: Book
ISBN: 978-1-78743-677-0

Keywords

Book part
Publication date: 5 December 2017

Gail P. Clarkson and Mike A. Kelly

The implications and influence of different cognitive map structures on decision-making, reasoning, predictions about future events, affect, and behavior remain poorly…

Abstract

The implications and influence of different cognitive map structures on decision-making, reasoning, predictions about future events, affect, and behavior remain poorly understood. To-date, we have not had the mechanisms to determine whether any measure of cognitive map structure picks up anything more than would be detected on a purely random basis. We report a Monte Carlo method of simulation used to empirically estimate parameterized probability outcomes as a means to better understand the behavior of cognitive map. Using worked examples, we demonstrate how the results of our simulation permit the use of exact statistics which can be applied by hand to an individual map or groups of maps, providing maximum utility for the collective and cumulative process of theory building and testing.

Details

Methodological Challenges and Advances in Managerial and Organizational Cognition
Type: Book
ISBN: 978-1-78743-677-0

Keywords

Article
Publication date: 1 May 1983

In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This…

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Abstract

In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of material poses problems for the researcher in management studies — and, of course, for the librarian: uncovering what has been written in any one area is not an easy task. This volume aims to help the librarian and the researcher overcome some of the immediate problems of identification of material. It is an annotated bibliography of management, drawing on the wide variety of literature produced by MCB University Press. Over the last four years, MCB University Press has produced an extensive range of books and serial publications covering most of the established and many of the developing areas of management. This volume, in conjunction with Volume I, provides a guide to all the material published so far.

Details

Management Decision, vol. 21 no. 5
Type: Research Article
ISSN: 0025-1747

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Article
Publication date: 11 May 2015

Maurizio Massaro, John Dumay and Andrea Garlatti

This paper aims to review and critique the public sector knowledge management (KM) literature, offers an overview of the state of public sector KM research and outlines a…

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Abstract

Purpose

This paper aims to review and critique the public sector knowledge management (KM) literature, offers an overview of the state of public sector KM research and outlines a future research agenda.

Design/methodology/approach

Articles published in KM journals are analyzed using a structured literature review methodology. The paper analyzes 180 papers published within ten journals specializing in the field of KM.

Findings

Public sector KM is a research area of growing importance. Findings show that few authors specialize in the field and there are several obstacles to developing a cohesive body of literature. Low levels of international cooperation among authors and international comparisons mean that the literature is fragmented. Some research topics and some geographical areas within the public sector theme are over-analyzed, while others are under-investigated. Additionally, academic researchers should re-think their methodological approach if they wish to make significant contributions to the literature and work toward developing research which impacts practice in conjunction with practitioners.

Originality/value

The paper presents a comprehensive structured literature review of the articles published in KM journals. The paper’s findings can offer insights into future research needs.

Details

Journal of Knowledge Management, vol. 19 no. 3
Type: Research Article
ISSN: 1367-3270

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Article
Publication date: 20 April 2010

Hong Bui and Yehuda Baruch

The purpose of this paper is to offer an application of a system model for Senge's five disciplines in higher education (HE) institutions.

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Abstract

Purpose

The purpose of this paper is to offer an application of a system model for Senge's five disciplines in higher education (HE) institutions.

Design/methodology/approach

The paper utilizes a conceptual framework for the analysis of antecedents and outcomes of Senge's five disciplines, focusing on specific factors unique to the HE sector.

Findings

The explication of the model manifests its relevance and applicability for the HE sector: it represent how universities operate as learning organizations and posits the anticipated interactions among specific constructs associated with Senge's five disciplines within the HE sector.

Practical implications

The paper manifests a causal model that links variables in the learning organization, a perspective that would be instrumental for HE institutions to achieve competitive advantage.

Originality/value

The paper provides added value both for academics and executives interested in the analysis of the complexity of Senge's five disciplines for HE institutions.

Details

The Learning Organization, vol. 17 no. 3
Type: Research Article
ISSN: 0969-6474

Keywords

Article
Publication date: 14 August 2017

Sofia Kjellström and Ann-Christine Andersson

The purpose of this paper is to address how adult development (AD) theories can contribute to quality improvement (QI).

Abstract

Purpose

The purpose of this paper is to address how adult development (AD) theories can contribute to quality improvement (QI).

Design/methodology/approach

A theoretical analysis and discussion on how personal development empirical findings can relate to QI and Deming’s four improvement knowledge domains.

Findings

AD research shows that professionals have qualitatively diverse ways of meaning-making and ways to approach possibilities in improvement efforts. Therefore, professionals with more complex meaning-making capacities are needed to create successful transformational changes and learning, with the recognition that system knowledge is a developmental capacity.

Practical implications

In QI and improvement science there is an assumption that professionals have the skills and competence needed for improvement efforts, but AD theories show that this is not always the case, which suggests a need for facilitating improvement initiatives, so that everyone can contribute based on their capacity.

Originality/value

This study illustrates that some competences in QI efforts are a developmental challenge to professionals, and should be considered in practice and research.

Details

International Journal of Health Care Quality Assurance, vol. 30 no. 7
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 21 November 2008

Luiz Angelo Steffenel, Maxime Martinasso and Denis Trystram

The purpose of this paper is to explain one of the most important collective communication patterns used in scientific applications which is the complete exchange, also…

Abstract

Purpose

The purpose of this paper is to explain one of the most important collective communication patterns used in scientific applications which is the complete exchange, also called All‐to‐All. Although efficient algorithms have been studied for specific networks, general solutions like those available in well‐known MPI distributions (e.g. the MPI_Alltoall operation) are strongly influenced by the congestion of network resources.

Design/methodology/approach

In this paper we present an integrated approach to model the performance of the All‐to‐All collective operation, which consists in identifying a contention signature that characterizes a given network environment, using it to augment a contention‐free communication model.

Findings

This approach, assessed by experimental results, allows an accurate prediction of the performance of the All‐to‐All operation over different network architectures with a small overhead.

Practical implications

The paper discusses the problem of network contention in a grid environment, studying some strategies to minimize the impact of contention on the performance of an All‐to‐All operation.

Originality/value

The approach used, assessed by experimental results, allows an accurate prediction of the performance of the All‐to‐All operation over different network architectures with a small overhead. Also discussed is the problem of network contention in a grid environment and some strategies to minimize the impact of contention on the performance of an All‐to‐All operation.

Details

International Journal of Pervasive Computing and Communications, vol. 4 no. 4
Type: Research Article
ISSN: 1742-7371

Keywords

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