Managing Risks in SMEs: A Literature Review and Research Agenda

In times of crisis, companies need to carefully monitor current expenses and forecast potential costs, which could be caused by risky actions. Risk is inherent in all business functions and in every kind of activity. Knowing how to identify risks, attribute a value and a priority scale, design actions and mechanisms to minimize risks, and continuously monitor them, are essential to guarantee companies’ survival and create sustainable value. This is especially true for small- and medium-sized businesses that are most exposed to the harmful effects of the risks, due to limited resources and structural features. The objective of this study is to analyze available literature on the subject of risk management for small- and medium-sized enterprises from 1999 to 2009. The analysis derives interesting characteristics from the scientific studies, highlighting gaps and guidelines for future research

Evaluating Performance of University Spin-Off Companies: Lessons from Italy

Academic spin-offs are very special start-up companies that are founded by an academic inventor with the aim to exploit technological knowledge that originated within a University setting in order to develop products or services. During the last two decades, academic spin-offs have received increasing attention from both researchers and practitioners, mainly due to their ability to advance industrial application of scientific knowledge. Much of the studies available in literature on this matter, however, have focused on USA’s spin-offs, while still little attention has been paid to the European countries, and to Italy in particular. Thus, the aim of our research is twofold: first, to fill this gap in literature. Second, to propose, on the basis of the above mentioned literature review, a model of ex-ante evaluation of the spin-off companies’ performance. Specifically, the research methodology followed was a combination of literature analysis and Delphi technique: we first extensively reviewed the extant literature on spin-off companies, then we proposed to a panel of expert the indicators that emerged from the literature as affecting the performance of academic spin-offs

Determinants and Catalysts in Intrafirm Technology Transfer: Learning From Case Studies

The sharing of technological knowledge between firms or within the same firm is becoming essential to develop innovations. Although previous studies have investigated the determinants of technology transfer(TT), they have not pointed out the existence of catalysts, i.e. determinants that assume a more crucial role than others in making transfer effective, and which compensate for the weaknesses in other determinants. In this paper, from the analysis of transfer processes within three manufacturing multinationals, three catalysts have emerged: leadership by the top management, anticipated profitability from the adoption of the new technology, and the professionalism of centralized research and development staff

organizational solutions to improve timeliness and effectiveness of the stroke care

Saving time means saving neurons in stroke care process. Managerial and organizational solutions that lean the processes should be considered in order to overcome the effects of stroke, which is the second worldwide cause of death. The purpose of the paper is to understand how Health Lean Management (HLM) can be adopted to achieve a more efficient stroke care process. In this peculiar context, efficiency enhancement leads to safety and effectiveness results. For this reason, the investigated projects have been recognized as Lean & Safety (L&S) projects, being HLM projects reporting patient safety improvements. Due to the peculiarity of the project to investigate, a holistic case study has been conducted in a university hospital of Tuscany region. Thanks to the research framework developed in the literature for L&S projects, data regarding motivations, objectives, organizational and managerial aspects, outcomes, enablers and obstacles of the project have been collected and analysed. A multidisciplinary team, already trained on HLM and supported by the top management, was created and the step-by-step Six Sigma approach was adopted. After a mapping phase, a value stream map was created, Key Performance Indicators were defined and, finally, the Door To Needle (DTN) times and the modified Rankin Scales (mRS) were measured. Thanks to root cause analysis, the identified wastes were analyzed and intervention actions were defined and implemented. They regarded mainly different organizational interventions and they led to a decrease of both DTN times and mRS. The analysed project has demonstrated how it is possible to obtain relevant operational and clinical outcomes through organizational solutions. The analysis of this project, in which pursuing efficiency has led to safety and effectiveness results, has demonstrated how these different performances are linked each other in some peculiar care processes, in which shorter time means more effective and safer care, as in the stroke case. The implementation of L&S projects can improve care processes, providing a contribution to realize a more efficient, effective and safer healthcare system

Supply chain risk and its impact on performance: A structured literature review

Purpose: In the supply chain risk management literature, many reviews have been conducted to provide a full understanding of various aspects such as role of simulation and optimization methods in risk management, classification of risks, classification of risk mitigation strategies, and supply chain risk definitions. However, a structured review of risk impact on performance in supply chains is still lacking. Such a review is useful since the literature implies that maintaining and improving performance in risk environments are critically important to the business survival of firms in supply chains. Design/methodology/approach: This review synthesizes and analyses 48 papers published in journals from 2006 to 2020 based on the following criteria: risk type, impact mechanisms of risk (i.e., direct and indirect), performance, research method, research setting, and risk mitigation strategy. Findings: The findings conclude that the impact of risk on performance is complicated and influenced by many factors namely antecedents, mediators, and moderators. Originality/value: This review contributes to the theoretical development of SCRM research through the analysis of SCR impact mechanisms, and indicate gaps of knowledge and future research opportunities. Moreover, it helps managers to devise appropriate risk mitigation strategies thanks to a full understanding of risk impact mechanisms

The Role of Attitudes Toward Medication and Treatment Adherence in the Clinical Response to LAIs: Findings From the STAR Network Depot Study

Background: Long-acting injectable (LAI) antipsychotics are efficacious in managing psychotic symptoms in people affected by severe mental disorders, such as schizophrenia and bipolar disorder. The present study aimed to investigate whether attitude toward treatment and treatment adherence represent predictors of symptoms changes over time. Methods: The STAR Network \u201cDepot Study\u201d was a naturalistic, multicenter, observational, prospective study that enrolled people initiating a LAI without restrictions on diagnosis, clinical severity or setting. Participants from 32 Italian centers were assessed at three time points: baseline, 6-month, and 12-month follow-up. Psychopathological symptoms, attitude toward medication and treatment adherence were measured using the Brief Psychiatric Rating Scale (BPRS), the Drug Attitude Inventory (DAI-10) and the Kemp's 7-point scale, respectively. Linear mixed-effects models were used to evaluate whether attitude toward medication and treatment adherence independently predicted symptoms changes over time. Analyses were conducted on the overall sample and then stratified according to the baseline severity (BPRS < 41 or BPRS 65 41). Results: We included 461 participants of which 276 were males. The majority of participants had received a primary diagnosis of a schizophrenia spectrum disorder (71.80%) and initiated a treatment with a second-generation LAI (69.63%). BPRS, DAI-10, and Kemp's scale scores improved over time. Six linear regressions\u2014conducted considering the outcome and predictors at baseline, 6-month, and 12-month follow-up independently\u2014showed that both DAI-10 and Kemp's scale negatively associated with BPRS scores at the three considered time points. Linear mixed-effects models conducted on the overall sample did not show any significant association between attitude toward medication or treatment adherence and changes in psychiatric symptoms over time. However, after stratification according to baseline severity, we found that both DAI-10 and Kemp's scale negatively predicted changes in BPRS scores at 12-month follow-up regardless of baseline severity. The association at 6-month follow-up was confirmed only in the group with moderate or severe symptoms at baseline. Conclusion: Our findings corroborate the importance of improving the quality of relationship between clinicians and patients. Shared decision making and thorough discussions about benefits and side effects may improve the outcome in patients with severe mental disorders

Open innovation in public sector: research-based spin-offs resources and performance

Purpose The open innovation (OI) phenomenon is spreading among public organizations. One of the OI practices used by the public research centres to market their technologies is to set up new business entities called research-based spin-offs (RBSOs). Many studies have focused on spin-offs but there are still some gaps. Design/methodology/approach To overcome the existing limitations, the authors built a framework which they tested on three previous case studies. The aim of this study is to verify and improve the framework assessing the evolution and importance of the technological, human, social and financial resources of an Indian RBSO throughout its four stages of development by Vohora et al (2004). Findings The results obtained show how a parent organization and its incubator can play fundamental roles in creating and developing a successful RBSO. This is done by supplying managerial staff and providing access to skills, funds and other material and immaterial resources. Research limitations and contribution The limitations of this study are related to the sectoral and geopolitical factors of the single case analysed. For this reason, the observations that emerge should be supported by other empirical analyses. Nevertheless, the findings of this study can offer a better understanding of the spin-off life to managers, researchers, public organizations and government agencies. They can learn how to improve policies and practices of technology transfer and strengthen the national industrial system

Safety improvements from health lean management implementation: evidences from three cases

Purpose - In a context where healthcare systems have to face multiple challenges, the development of a methodology that combines new managerial approaches could contribute to pursue and achieve multiple objectives. Inside the research stream that intends to combine Health Lean Management (HLM) and Clinical Risk Management (CRM), this paper aims to study the significant features that characterize HLM projects obtaining patient safety improvements (L&S projects). Design/methodology/approach - The novelty of the research implies to adopt qualitative research methodology, analysing in-depth case studies. L&S projects at different organizational levels have been selected from the same hospital. Following a research protocol, data have been collected through semi-structured interviews and they have been triangulated studying reports and archival documentation. Findings - Comparing the three cases, it emerges that HLM can be a support for CRM since safety improvements can be achieved solving organizational issues. Analyzing the significant features of the three cases, relevant differences have been highlighted among them. At the end, first indications useful for achieving safety improvements from lean project implementation have been grasped. Originality/value - This research provides a preliminary contribution to a new research stream that aims to develop a synergic methodology combining HLM and CRM. The first provided indications can be followed by hospital managers who wish to learn how to implement projects achieving patient safety improvements besides efficiency enhancement. After testing and exploiting the obtained results, a new methodology should be developed moving towards a safer and more sustainable health care system