A multidisciplinary approach to assess readiness for change in enterprise system implementations

Enterprise systems are information management systems that have broad business functional scope. They provide companies with the ability to improve information flows across the entire organisation enabling improved decision making and action. Although companies face numerous complexities in enterprise system implementations, examination of critical success factors (CSF) has provided insight into successful implementation practices. The main CSFs affecting enterprise system success are people related. In this paper we will identify these factors in the context of change management. A path model is developed incorporating I/O and psychology disciplines demonstrating individual contextual and implementation variables implicated in implementation success. Further, we argue that consideration of antecedents and interactions are essential for understanding change impacts and for development of an effective change management strategy

Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians

Objective To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures. Methods Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network. Results 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Yearly practice was recommended for six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal intubation, laryngeal mask airway insertion, defibrillation/direct current (DC) cardioversion and intraosseous needle insertion) by at least 80% of respondents. 16 procedures were recommended for yearly practice by at least 50% of respondents. Two procedures (venous cutdown and ED thoracotomy) had yearly practice recommended by <40% of respondents. Simulation was the preferred learning modality for CPR, bag valve mask ventilation, DC cardioversion and transcutaneous pacing. Practice in alternative clinical settings (eg, the operating room) was the preferred learning modality for endotracheal intubation and laryngeal mask insertion. Use of models/mannequins for isolated procedural training was the preferred learning modality for all other invasive procedures. Free-text responses suggested the utility of cadaver labs and animal labs for more invasive procedures (thoracotomy, intercostal catheter insertion, open surgical airways, venous cutdown and pericardiocentesis). Conclusions Paediatric ED clinicians suggest that most paediatric critical procedures should be practised at least annually. The preferred learning modality depends on the skill practised; alternative clinical settings are thought to be most useful for standard airway manoeuvres, while simulation-based experiential learning is applicable for most other procedures