An exploratory case study of the organizational functioning of a decision‐making and referral support call center for frontline providers of maternal and new born care in the Greater Accra Region of Ghana

2018 ◽  
Vol 33 (4) ◽  
pp. e1112-e1123 ◽  
Author(s):  
Edith Frimpong ◽  
Ebenezer Oduro‐Mensah ◽  
Linda Vanotoo ◽  
Irene Akua Agyepong
Keyword(s):  
Decision Making ◽  
Call Center ◽  
Organizational Functioning ◽  
New Born ◽  
Exploratory Case Study ◽  
Greater Accra Region

scholarly journals Implementation of a referral and expert advice call Center for Maternal and Newborn Care in the resource constrained health system context of the Greater Accra region of Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ebenezer Oduro-Mensah ◽  
Irene Akua Agyepong ◽  
Edith Frimpong ◽  
Marjolein Zweekhorst ◽  
Linda Amarkai Vanotoo
Keyword(s):  
Decision Making ◽  
Call Center ◽  
Clinical Decision Making ◽  
Newborn Care ◽  
Clinical Decision ◽  
Series Data ◽  
Maternal And Newborn Care ◽  
Greater Accra Region ◽  
Maternal And Newborn ◽  
Decision Making Support

Abstract Background Referral and clinical decision-making support are important for reducing delays in reaching and receiving appropriate and quality care. This paper presents analysis of the use of a pilot referral and decision making support call center for mothers and newborns in the Greater Accra region of Ghana, and challenges encountered in implementing such an intervention. Methods We analyzed longitudinal time series data from routine records of the call center over the first 33 months of its operation in Excel. Results During the first seventeen months of operation, the Information Communication Technology (ICT) platform was provided by the private telecommunication network MTN. The focus of the referral system was on maternal and newborn care. In this first phase, a total of 372 calls were handled by the center. 93% of the calls were requests for referral assistance (87% obstetric and 6% neonatal). The most frequent clinical reasons for maternal referral were prolonged labor (25%), hypertensive diseases in pregnancy (17%) and post-partum hemorrhage (7%). Birth asphyxia (58%) was the most common reason for neonatal referral. Inadequate bed space in referral facilities resulted in only 81% of referrals securing beds. The national ambulance service was able to handle only 61% of the requests for assistance with transportation because of its resource challenges. Resources could only be mobilized for the recurrent cost of running the center for 12 h (8.00 pm – 8.00 am) daily. During the second phase of the intervention we switched the use of the ICT platform to a free government platform operated by the National Security. In the next sixteen-month period when the focus was expanded to include all clinical cases, 390 calls were received with 51% being for medical emergency referrals and 30% for obstetrics and gynaecology emergencies. Request for bed space was honoured in 69% of cases. Conclusions The call center is a potentially useful and viable M-Health intervention to support referral and clinical decision making in the LMIC context of this study. However, health systems challenges such inadequacy of human resources, unavailability of referral beds, poor health infrastructure, lack of recurrent financing and emergency transportation need to be addressed for optimal functioning.

scholarly journals Education Leaders’ Perceptions of Faculty Ethical Decision-Making: Awareness, Learning, and Change

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Cheryl Burleigh
Keyword(s):  
Decision Making ◽  
School Environment ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Exploratory Case Study ◽  
Education Leaders ◽  
School Day ◽  
Learning And Change ◽  
Perceptions Of Education

Conversations about ethical decision-making exist in a climate of misinformation within social and political forums. The issue of ethical decision-making in the context of educational leadership within a school environment has not been recently investigated. The purpose of this qualitative exploratory case study was to examine the perceptions of education leaders who observed the processes faculty employed when ethical decision-making commenced throughout the school day. Data was collected during interviews with education leaders who answered semi-structured, open-ended questions. The findings led the leaders to self-reflect, redefining their roles as authentic leaders and a gaining a deeper understanding of school culture, thus helping create systemic change.

scholarly journals Nothing about us, without us: A case study of a consumer-run organization by and for people on the autism spectrum in the Netherlands

2018 ◽  
Vol 25 (04) ◽  
pp. 464-480 ◽  
Author(s):  
Karin E. van den Bosch ◽  
Anna Krzeminska ◽  
Eun Young Song ◽  
Lineke B. E. van Hal ◽  
Mitzi M. Waltz ◽  
...  
Keyword(s):  
Decision Making ◽  
The Netherlands ◽  
Autism Spectrum ◽  
Adults With Autism ◽  
Self Advocacy ◽  
Exploratory Case Study ◽  
Autistic People ◽  
Decision Making Processes ◽  
Practical Implications

AbstractIn this exploratory case study based on qualitative research, we explore the perspectives and experiences of autistic self-advocates in the Netherlands regarding autism, (self-)advocacy, and consumer-run organizations. The focus of our study is a consumer-run organization by and for adult Persons on the Autism Spectrum in the Netherlands: PAS-Nederland or PAS for short. Our analysis reveals four themes relevant to the acceptance and integration of adults with autism into society and work: (1) invisibility of autistic adults; (2) diversity of the autism spectrum; (3) autistic leadership; and (4) collaboration between people with and without autism. We discuss the practical implications of our findings for the inclusion of people with autism in work and society. Our study underscores the importance of putting autistic people at the center of decision-making processes and solutions aimed at improving their outcomes in society, in general, and in the workplace specifically.

Help we are sinking! Stories from Norwegian dispatch centers on decision-making in unfamiliar and ambiguous situations

2018 ◽  
Vol 16 (4) ◽  
pp. 245
Author(s):  
Leif Inge Magnussen, PhD ◽  
Eric Carlstrøm, PhD ◽  
Ann-Kristin Berge, MSc ◽  
Frode Wegger, MSc ◽  
Jarle Løwe Sørensen, DBA
Keyword(s):  
Decision Making ◽  
Focus Group ◽  
Call Center ◽  
Emergency Services ◽  
Intuitive Decision Making ◽  
Group Interviews ◽  
Past Experiences ◽  
Emergency Medical Communication Centre ◽  
Emergency Dispatchers

The aim of this exploratory case study was to examine whether sensemaking processes may influence decision-making of emergency call center dispatchers when dealing with maritime crises. This article focuses on sensemaking and decision-making in an emergency services context using Norwegian operators as a case and reports on data collected from five focus-group interviews with emergency dispatchers at five different locations. Each focus group consisted of three dispatchers, representing the three main Norwegian emergency response dispatch centers: police, fire and rescue, and the Emergency Medical Communication Centre (AMK). The study’s purpose was to see whether choices made when responding to maritime crisis calls are influenced by sensemaking processes, and whether these processes may have influenced the dispatcher’s choice of which search and rescue resources to contact. The study found that the sensemaking processes that occurred prior to the decision-making might have been influenced by the dispatcher’s past experiences, in particular, experiences from land-based operations. The findings also suggested that the emergency dispatchers made decisions based on intuitive sensemaking, as they were perceived pressed on time and experienced maritime crisis in a more transboundary nature than everyday land-based emergencies. The effects of sensemaking processes and intuitive decision-making shown in this study are of possible relevance to emergency services educators and managers outside a Norwegian framework.

scholarly journals An interprofessional approach to shared decision making: an exploratory case study with family caregivers of one IP home care team

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
France Légaré ◽  
Dawn Stacey ◽  
Nathalie Brière ◽  
Hubert Robitaille ◽  
Marie-Claude Lord ◽  
...  
Keyword(s):  
Decision Making ◽  
Home Care ◽  
Family Caregivers ◽  
Shared Decision Making ◽  
Care Team ◽  
Shared Decision ◽  
Exploratory Case Study

scholarly journals Developing a Decision-Making Capacity Assessment Clinical Pathway for Use in Primary Care: a Qualitative Exploratory Case Study

2021 ◽  
Vol 24 (1) ◽  
pp. 26-35
Author(s):  
Lesley Charles ◽  
Jacqueline MI Torti ◽  
Suzette Brémault-Phillips ◽  
Bonnie Dobbs ◽  
Peter GJ Tian ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
Focus Groups ◽  
Clinical Pathway ◽  
Family Physicians ◽  
Assessment Process ◽  
Capacity Assessment ◽  
Exploratory Case Study ◽  
Decision Making Capacity

Background With an ageing population, the incidence of dementia will in­crease, as will the number of persons requiring decision-making capacity assessments. For over 10 years, we have trained family physicians in conducting decision-making capacity assessments. Physician feedback post-training, however, has highlighted the need to integrate the decision-making capacity assessment process into the primary care context. The purpose of this study was to develop a decision-making capacity as­sessment clinical pathway for implementation in primary care. Methods A qualitative exploratory case-study design was used to ob­tain participants’ perspectives regarding the utility of a visual algorithm detailing a decision-making capacity assessment clinical pathway for use in primary care. Three focus groups were conducted with family physicians (n=4) and allied health professionals (n=6) in two primary care clinics in Alberta. A revised algorithm was developed based on their feedback. Results In the focus groups, participants identified inconsistencies and a lack of standardization regarding decision-making capacity assessments within primary care, and provided feedback regarding a decision-making capacity assessment clinical pathway to make it more applicable to primary care. Participants described this pathway as appealing and straight­forward; they also made suggestions to make it more primary care-centric. Participants indicated that the presented pathway would improve teamwork and standardization of decision-making capacity assessments within primary care. Conclusions Use of a decision-making capacity assessment clinical path­way has the potential to standardize decision-making capacity assessment processes in primary care, and support least in­trusive and least restrictive patient outcomes for community-dwelling older adults.

Blockchain in Supply Chain: Case Study of Lottemart Ciputat

2019 ◽  
Vol 5 (1) ◽  
pp. 38-49 ◽  
Author(s):  
B. K. Handoyo ◽  
M. R. Mashudi ◽  
H. P. Ipung
Keyword(s):  
Decision Making ◽  
Supply Chain ◽  
Supply Chain Management ◽  
Information Asymmetry ◽  
New Technology ◽  
Business Case ◽  
Analysis Method ◽  
Chain Management ◽  
Production Processes

Current supply chain methods are having difficulties in resolving problems arising from the lack of trust in supply chains. The root reason lies in two challenges brought to the traditional mechanism: self-interests of supply chain members and information asymmetry in production processes. Blockchain is a promising technology to address these problems. The key objective of this paper is to present qualitative analysis for blockchain in supply chain as the decision-making framework to implement this new technology. The analysis method used Val IT business case framework, validated by the expert judgements. The further study needs to be elaborated by either the existing organization that use blockchain or assessment by the organization that will use blockchain to improve their supply chain management.

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