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1 – 10 of 194Susan P. McGrath, Emily Wells, Krystal M. McGovern, Irina Perreard, Kathleen Stewart, Dennis McGrath and George Blike
Although it is widely acknowledged that health care delivery systems are complex adaptive systems, there are gaps in understanding the application of systems engineering…
Abstract
Although it is widely acknowledged that health care delivery systems are complex adaptive systems, there are gaps in understanding the application of systems engineering approaches to systems analysis and redesign in the health care domain. Commonly employed methods, such as statistical analysis of risk factors and outcomes, are simply not adequate to robustly characterize all system requirements and facilitate reliable design of complex care delivery systems. This is especially apparent in institutional-level systems, such as patient safety programs that must mitigate the risk of infections and other complications that can occur in virtually any setting providing direct and indirect patient care. The case example presented here illustrates the application of various system engineering methods to identify requirements and intervention candidates for a critical patient safety problem known as failure to rescue. Detailed descriptions of the analysis methods and their application are presented along with specific analysis artifacts related to the failure to rescue case study. Given the prevalence of complex systems in health care, this practical and effective approach provides an important example of how systems engineering methods can effectively address the shortcomings in current health care analysis and design, where complex systems are increasingly prevalent.
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The article contributes to affective ethnography focussing on the fluidity of organizational spacing. Through the concept of affective space, it highlights those elements that are…
Abstract
Purpose
The article contributes to affective ethnography focussing on the fluidity of organizational spacing. Through the concept of affective space, it highlights those elements that are ephemeral and elusive – like affect, aesthetics, atmosphere, intensity, moods – and proposes to explore affect as spatialized and space as affective.
Design/methodology/approach
Fluidity is proposed as a conceptual lens that sits at the conjunction of space and affect, highlighting both the movement in time and space, and the mutable relationships that the capacity of affecting and being affected weaves. It experiments with “writing differently” in affective ethnography, thus performing the space of representation of affective space.
Findings
The article enriches the alternative to a conceptualization of organizations as stable entities, considering organizing in its spatial fluidity and in being a fragmented, affective and dispersed phenomenon.
Originality/value
The article's writing is an example of intertextuality constructed through five praxiographic stories that illustrate the multiple fluidity of affective spacing in terms of temporal fluidity, fluidity of boundaries, of participation, of the object of practice, and atmospheric fluidity.
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This performative chapter offers three movements that celebrate aspects of Norman Denzin's prolific and influential career: an ode to an aging cowboy that signal's Denzin's work…
Abstract
This performative chapter offers three movements that celebrate aspects of Norman Denzin's prolific and influential career: an ode to an aging cowboy that signal's Denzin's work on the West and Native Americans, a corresponding piece that signals Denzin's commitments to performance studies and autoethnography, and a litany of his scholarship as a bibliography of worship with his commitment to critical and creative forms of writing.
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The purpose of this paper is to discuss the practice as research of a site-specific audio documentary project made while on a residency in North Iceland.
Abstract
Purpose
The purpose of this paper is to discuss the practice as research of a site-specific audio documentary project made while on a residency in North Iceland.
Design/methodology/approach
This project uses the application of a methodology of listening in the creation of the work.
Findings
The author claims that rather than focusing on the concept of voice in documentary, listening reveals the inherent ecology and inter-relatedness of the documentary materials.
Originality/value
A practice of listening in documentary making can reveal multiple co-existing relationships.
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