7,023 research outputs found

    TeamSTEPPS and Organizational Culture

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    Patient safety issues remain despite several strategies developed for their deterrence. While many safety initiatives bring about improvement, they are repeatedly unsustainable and short-lived. The index hospital’s goal was to build an organizational culture within a groundwork that improves teamwork and continuing healthcare team engagement. Teamwork influences the efficiency of patient care, patient safety, and clinical outcomes, as it has been identified as an approach for enhancing collaboration, decreasing medical errors, and building a culture of safety in healthcare. The facility implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to produce valuable and needed changes, facilitating modification of organizational culture, increasing patient safety compliance, or solving particular issues. This study aimed to identify the correlation between TeamSTEPPS enactment and improved organizational culture in the ambulatory care nursing department of a New York City public hospital

    An empirical investigation of the relationship between integration, dynamic capabilities and performance in supply chains

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    This research aimed to develop an empirical understanding of the relationships between integration, dynamic capabilities and performance in the supply chain domain, based on which, two conceptual frameworks were constructed to advance the field. The core motivation for the research was that, at the stage of writing the thesis, the combined relationship between the three concepts had not yet been examined, although their interrelationships have been studied individually. To achieve this aim, deductive and inductive reasoning logics were utilised to guide the qualitative study, which was undertaken via multiple case studies to investigate lines of enquiry that would address the research questions formulated. This is consistent with the author’s philosophical adoption of the ontology of relativism and the epistemology of constructionism, which was considered appropriate to address the research questions. Empirical data and evidence were collected, and various triangulation techniques were employed to ensure their credibility. Some key features of grounded theory coding techniques were drawn upon for data coding and analysis, generating two levels of findings. These revealed that whilst integration and dynamic capabilities were crucial in improving performance, the performance also informed the former. This reflects a cyclical and iterative approach rather than one purely based on linearity. Adopting a holistic approach towards the relationship was key in producing complementary strategies that can deliver sustainable supply chain performance. The research makes theoretical, methodological and practical contributions to the field of supply chain management. The theoretical contribution includes the development of two emerging conceptual frameworks at the micro and macro levels. The former provides greater specificity, as it allows meta-analytic evaluation of the three concepts and their dimensions, providing a detailed insight into their correlations. The latter gives a holistic view of their relationships and how they are connected, reflecting a middle-range theory that bridges theory and practice. The methodological contribution lies in presenting models that address gaps associated with the inconsistent use of terminologies in philosophical assumptions, and lack of rigor in deploying case study research methods. In terms of its practical contribution, this research offers insights that practitioners could adopt to enhance their performance. They can do so without necessarily having to forgo certain desired outcomes using targeted integrative strategies and drawing on their dynamic capabilities

    Understanding the Potential of Sport for Promoting Physical Activity and Psychological Well-Being in Middle-Aged and Older Adults

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    Insufficient physical activity is considered a global public health challenge. This thesis highlights that, for middle-aged and older adults, sport participation is associated with a wide range of psychosocial benefits. Then, the thesis offers insight into the potential of walking sport programmes to promote health-enhancing physical activity in middle-aged and older adults. Recommendations are provided to promote the appeal, feasibility, and sustainability of walking sport programmes in community-based settings

    The correlation between values-based leadership and economic success: An empirical evaluation within selected German cooperative banks and related policy implications

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    We are living in a society which is characterised by a permanent developing knowledge culture. The emergence of this megatrend among others, in combination with the financial crisis started in 2007 is the basis of the discussion about values and their impact on economic success. This study explores the links between values, which promote leadership, especially cooperative values, and economic success. The thesis is based on an online survey with all cooperative banks in Germany with an individual balance sheet totals over 1500 million Euro. These banks represent the greatest cooperative banks in Germany and their employees were invited to answer a questionnaire in order to analyse if cooperative values are part of everyday leadership and are perceived accordingly. The examined values were fairness, confidence, certainty, competence, reliability, individuality, common ground, respect, partnership, responsibility and solidarity. These values were set in correlation to financial figures: capital adequacy, asset quality, management efficiency, earnings quality and liquidity management. In addition to that the questionnaire of the online survey contained questions about performance appraisal systems including feedback systems for executives. The concept of values-based leadership and economic success measured in Key Performance Indicators formed the conceptual framework as presented in the literature review. Beyond that, this research follows the fundamental philosophy ‘critical theory’, because critical theory as a social theory is oriented toward critiquing society as a whole or like in this research project a part of our society. The study shows first small indications about the relationships between cooperative management values and business key figures. Correlation analysis was one of the main statistical analysis method of the study, because it measures the relationship between two items. In this case values and financial figures. In addition, various regression analyses were carried out. The aim of regression analysis is to determine the relationships between a dependent variable (financial figures) on the one hand and several explanatory variables (cooperative values) on the other. The elaborations in this study indicate that values-based leadership might have a positive influence on economic success. Organisations could be able to improve their results if they follow the concept of values-based leadership or even the cooperative values management style. The findings of this study might have important implications for those training, coaching or selecting executives, those intending to take a leadership position or who already are leaders, the organisations within values-based leadership is put into focus and for other researchers who want to build on the results. Thus, this study contributes to both practice and knowledge

    Culturing for conservation: the need for timely investments in reef aquaculture

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    Temperate oyster and tropical coral reefs are analogous systems that create habitat for economically, ecologically, and culturally important species, and they provide countless ecosystem services to human coastal communities. Globally, reefs are imperiled by multiple anthropogenic stressors, particularly climate impacts. Using aquaculture to support conservation goals - known as conservation aquaculture - is a relatively new approach for many reef building species, but it shows great promise for promoting species recovery and bolstering resilience to stressors. Concerns about aquaculture-associated risks, both known and potential, have often restricted the implementation of this tool to an emergency intervention following dramatic declines on reefs, when species or systems were unlikely to recover. Here, we combine expertise from coral and oyster reef ecosystems to consider the role of aquaculture as a conservation intervention for reefs, and provide recommendations for its timely development and targeted implementation. We highlight the importance of evaluating reef systems - alongside local stakeholders and Indigenous communities - to determine where and when the benefits of using aquaculture are most likely to outweigh the risks. We spotlight the importance of proactive monitoring to detect reef population declines, and the value of early aquaculture interventions to increase efficacy. Novel aquaculture approaches and technologies specifically designed for reef builders are considered, including techniques for building complex, multi-generational and multi-species reefs. We address the need for scaling up aquaculture-assisted reef recovery, particularly of corals, using high volume methods like those that have been successfully employed for oysters. We also recommend the immediate assessment and development of techniques to increase climate resilience of reef builders and we identify the challenges and trade-offs of these approaches. We highlight the use of proof-of-concept projects to test these promising methods, and we advise tracking of all interventions over time to determine their long-term efficacy. Finally, we outline opportunities to leverage novel partnerships among conservation, industry, and community interests that utilize aquaculture to facilitate the conservation of reefs. Developing conservation aquaculture approaches now is critical to position managers, scientists, and restoration practitioners to implement this intervention in timely and effective ways to support resilient reef and human communities worldwide

    Capturing the Dynamic Nature of Cyber Risk: Evidence from an Explorative Case Study

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    In this research, we developed a novel approach to enable a dynamic cyber risk management strategy as the dynamic nature of cyber risk is rarely considered in current decision support tools. Our explorative case study shows that many management challenges such as investment decisions, priority setting, and “shelf time” analyses can be continuously analyzed. Our research using system thinking and modelling provides valuable insights about these challenges to support current strategic decision-making practices and improve managerial learning. These insights enable management to identify and analyze the effectiveness of future cyber risk management strategies before implementing them

    The European AI Liability Directives -- Critique of a Half-Hearted Approach and Lessons for the Future

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    As ChatGPT et al. conquer the world, the optimal liability framework for AI systems remains an unsolved problem across the globe. In a much-anticipated move, the European Commission advanced two proposals outlining the European approach to AI liability in September 2022: a novel AI Liability Directive and a revision of the Product Liability Directive. They constitute the final cornerstone of EU AI regulation. Crucially, the liability proposals and the EU AI Act are inherently intertwined: the latter does not contain any individual rights of affected persons, and the former lack specific, substantive rules on AI development and deployment. Taken together, these acts may well trigger a Brussels Effect in AI regulation, with significant consequences for the US and beyond. This paper makes three novel contributions. First, it examines in detail the Commission proposals and shows that, while making steps in the right direction, they ultimately represent a half-hearted approach: if enacted as foreseen, AI liability in the EU will primarily rest on disclosure of evidence mechanisms and a set of narrowly defined presumptions concerning fault, defectiveness and causality. Hence, second, the article suggests amendments, which are collected in an Annex at the end of the paper. Third, based on an analysis of the key risks AI poses, the final part of the paper maps out a road for the future of AI liability and regulation, in the EU and beyond. This includes: a comprehensive framework for AI liability; provisions to support innovation; an extension to non-discrimination/algorithmic fairness, as well as explainable AI; and sustainability. I propose to jump-start sustainable AI regulation via sustainability impact assessments in the AI Act and sustainable design defects in the liability regime. In this way, the law may help spur not only fair AI and XAI, but potentially also sustainable AI (SAI).Comment: under peer-review; contains 3 Table

    Biosimilars in Europe

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    This reprint examines regulatory, pricing and reimbursement issues related to the market access and uptake of off-patent biologics, biosimilars, next-generation biologics and competing innovative medicines in European countries
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