The ERP post-implementation stage: a knowledge transfer challenge

This paper examines the knowledge transfer process in ERP post-implementation projects, and specifically between the ERP project teams and the IT support team. Case studies were conducted in three large organizations and data was collected via semi-structured interviews. Descriptive and graphical representations were used to analyze knowledge transfer processes for each case and a cross-case analysis was performed. Results from this exploratory study shed light on the relation between the ERP evolution structure and the use of knowledge transfer mechanisms based on different types of knowledge (functional and technical). This paper highlights the necessity of relying on both formal and informal knowledge transfer mechanisms to cover recurring and ad hoc exchanges between the different stakeholders responsible for the evolution of an ERP. The paper also highlights the impact of the ERP integrator and its different inclusion strategies that are critical for the knowledge being shared by the ERP project stakeholders

Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

Cardiac device remote care system

El crecimiento de la población vieja aumenta la presión sobre los sistemas de salud tradicionales que sufren de un aumento de los costos y la disminución de los recursos materiales y humanos. La telemedicina aplicada a dispositivos cardíacos nos permite la monitorización remota del estado clínico de los pacientes con insuficiencia cardiaca, y allane el camino a un enfoque amplio y multidisciplinario de gestión de la enfermedad, que ofrece ventajas tanto en términos de resultados clínicos y de ahorro económico. A través de los últimos años, la telemedicina ha demostrado tener el potencial para mejorar la seguridad de los pacientes con respecto a los acontecimientos espontáneos clínicos y eventos relacionados con el dispositivo implantado. El objetivo principal del proyecto es la implementación de la solución de Telecardiología en los hospitales franceses. Este objetivo envuelve una amplia serie de misiones y funciones a partir de la comprensión técnica del sistema y pasando por la tareas de soporte técnico de formación y de marketing. La gestión de un proyecto de Telecardiología comienza con un conocimiento general pero esencial de las arritmias cardíacas, y los dispositivos proveídos por la empresa en términos de desfibriladores y marcapasos, lo que me permite entender los aspectos médicos del sistema que estamos presentando a los hospitales. Una vez que la patología clínica y los aspectos de su tratamiento se aclararon, entré en los detalles del dispositivo de Telecardiología y sus parámetros; más concretamente, los datos transmitidos por internet, y el análisis y la comprensión de estas transmisiones. Esta parte fue seguida directamente por una auto-formación sobre los aspectos técnicos del sistema: la comunicación por radiofrecuencia, los circuitos, la transmisión por red celular, la base de datos y el servidor web. Este período de formación técnica no se ha definido realmente en el tiempo, sabiendo que la parte de práctica se inició desde el primer día con el apoyo técnico y los casos reales. Mi misión consistió en el despliegue del sistema, con todos los aspectos complementares que incluyen la inauguración de nuevos centros, el apoyo técnico para los pacientes, médicos, profesionales de la salud y representantes de ventas. Otros aspectos de mi proyecto, como documentos de marketing, capacitación de personal y redacción de procedimientos también serán cotizados y detallados con otros aspectos complementarios, incluidos los aspectos reglamentarios y legales de la telemedicina

The ERP post-implementation stage: a knowledge transfer challenge

This paper examines the knowledge transfer process in ERP post-implementation projects, and specifically between the ERP project teams and the IT support team. Case studies were conducted in three large organizations and data was collected via semi-structured interviews. Descriptive and graphical representations were used to analyze knowledge transfer processes for each case and a cross-case analysis was performed. Results from this exploratory study shed light on the relation between the ERP evolution structure and the use of knowledge transfer mechanisms based on different types of knowledge (functional and technical). This paper highlights the necessity of relying on both formal and informal knowledge transfer mechanisms to cover recurring and ad hoc exchanges between the different stakeholders responsible for the evolution of an ERP. The paper also highlights the impact of the ERP integrator and its different inclusion strategies that are critical for the knowledge being shared by the ERP project stakeholders