Innovations in inpatient flow and bed management

2015 ◽  
Vol 35 (5) ◽  
pp. 751-781 ◽  
Author(s):  
Teresa S. Waring ◽  
Martin Alexander

Purpose – The purpose of this paper is to address a gap in operations management empirical research through the use of diffusion of innovation (DOI) theory to develop further insight into patient flow and bed management, a problem that has been taxing healthcare organizations across the world. Design/methodology/approach – The study used an action research (AR) approach and was conducted over an 18-month period within an acute hospital in the north east of England. Data were generated through enacting AR cycles, interviews, participant observation, document analysis, diaries, meetings, questionnaires and statistical analysis. Findings – The research conducted within this study has not only led to practical outcomes for the hospital in terms of the successful adoption of a new patient flow system but has also led to new knowledge about the determinants of diffusion for technological and process innovations in healthcare organizations which are complex and highly political. Research limitations/implications – AR is not suited to all organizations and is most appropriate within those that are culturally attuned to participative and democratic ways of working. The results from this study are not generalizable but some similar organizations may see merits in this approach. Social implications – The AR approach has supported the hospital in adopting the new system, PFMS. This system is helping to improve the quality of patient care, providing facilities to support the work of clinicians, aiding timely discharge of well patients back into the community and saving the hospital money in terms of not needing to open emergency “winter” wards. Originality/value – From an operations management perspective this work has demonstrated the potential to bring theory, in this case DOI theory, and practice closer together as well as show how academic research can impact organizations. Local-H intends to continue developing its AR approach and take it into other systems projects.

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yang Zhao ◽  
Lin Wang ◽  
Yaming Zhang

PurposeThe paper aims to clarify the importance of the psychological processing of contextual cues in the mining of individual attention resources. In recent years, the research of more open spatial perspective, such as spatial and scene perception, has gradually turned to the recognition of contextual cues, accumulating rich literature and becoming a hotspot of interdisciplinary research. Nevertheless, besides the fields of psychology and neuroscience, researchers in other fields lack systematic knowledge of contextual cues. The purpose of this study is to expand the research field of contextual cues.Design/methodology/approachWe retrieved 494 papers on contextual cues from SCI/SSCI core database of the Web of Science in 1992–2019. Then, we used several bibliometric and sophisticated network analysis tools, such as HistCite, CiteSpace, VOSviewe and Pajek, to identify the time-and-space knowledge map, research hotspots, evolution process, emerging trends and primary path of contextual cues.FindingsThe paper found the core scholars, major journals, research institutions, and the popularity of citation to be closely related to the research of contextual cues. In addition, we constructed a co-word network of contextual cues, confirming the concept of behavior implementation intentions and filling in the research gap in the field of behavior science. Then, the quantitative analysis of the burst literature on contextual cues revealed that the research on it that focused more on multi-objective cues. Furthermore, an analysis of the main path helped researchers clearly understand and grasp in the development trend and evolution track of contextual cues.Originality/valueGiven academic research usually lags behind management practice, our systematic review of the literature to a certain extent make a bridge between theory and practice.


2018 ◽  
Vol 31 (3) ◽  
pp. 326-342 ◽  
Author(s):  
Pierre-Luc Fournier ◽  
Marie-Hélène Jobin

Purpose The purpose of this paper is to study the factors influencing doctors’ involvement in Lean change initiatives in public healthcare organizations in Canada. Design/methodology/approach An inductive research was conducted over a three-year span studying Lean implementation across three healthcare organizations in Canada. Various interviews were conducted with healthcare actors. Through analytical induction, analysis of the data allowed for multiple factors to be triangulated from which a conceptual model was developed. Findings Fifty-four interviews with 18 Lean healthcare actors allowed for the identification of ten factors possibly influencing the commitment of doctors towards Lean change. These factors are categorized into pre-change antecedents and change antecedents. Also, the level of transformational leadership demonstrated by a project manager was shown to potentially moderate the effect of medical behavioral support for change on change outcomes. These findings allowed us to develop a conceptual model of medical commitment and its impact of Lean change outcomes. Originality/value The paper investigates the role doctors play in Lean implementation, currently an important issue discussed among healthcare actors and researchers. Yet, very little academic research has been published on this subject.


2020 ◽  
Vol 4 (1) ◽  
pp. 3-17
Author(s):  
George A. Zsidisin ◽  
Amanda Bresler ◽  
Ben Hazen ◽  
Keith F. Snider ◽  
Taylor H. Wilkerson

Purpose The purpose of this paper is to provide insight on high-interest areas of research in defense-related logistics and supply chain management and opportunities for advancing theory and practice in this domain. Design/methodology/approach A panel of experts provided their insight to several questions oriented toward examining research opportunities and gaps in defense logistics research at the 2018 Academic Research Symposium of the Council of Supply Chain Management Professionals annual conference on September 30, 2018. Findings Three overarching themes emerged from the panel discussion for advancing theory and practice in defense logistics and supply chain management, which are developing a central repository, creating publication opportunities and integrating research practice and knowledge with the greater academic community. Originality/value Logistics and supply chain research is critical for advancing knowledge and practice in the military, as well as industrial settings. The intention in this manuscript is to provide scholars and practitioners in both settings greater awareness and potential avenues for developing synergies and processes for advancing logistics and supply chain research.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Inna Soifer ◽  
Katerina Berezina ◽  
Olena Ciftci ◽  
Alexander Mafusalov

PurposeThis study aims to explore virtual site visit adoption patterns of US convention facilities based on the diffusion of innovation (DOI) theory. Additionally, it offers predictive models of virtual site visit tool adoption by applying probability distributions.Design/methodology/approachThe study used content analysis of 369 US convention facility websites. Data collected from the websites recorded the presence or absence of the following tools facilitating virtual site visits: photos, floor plans, videos, 360-photos, 360-tours and virtual reality (VR)-optimized tours. The website content analysis was followed by application of the DOI theory and predictive modeling.FindingsAccording to the DOI theory, the use of VR-optimized tours (4.34%) is still in the early adoption stage, followed by 360-degree tours (12.74%) and standard videos (17.89%) that have transitioned into the early majority stage of adoption and photos (72.09%) and floor plans (84.82%) that represent a late majority stage. Three predictive models with shifted Gompertz, Gumbel and Bass distributions forecasted that convention centers would achieve a 50% adoption rate of 360-degree tools (photos and tours) in 4.67, 4.2 and three years, respectively. The same models predicted a 50% adoption rate of 360-degree tours in 6.62, 5.81 and 4.42 years.Practical implicationsThe research indicates that most US convention facilities have not taken full advantage of their websites as a sales and marketing tool.Originality/valueThis study is the first comprehensive attempt to evaluate the adoption rate of VR and other technologies enabling virtual site visits by using content analysis of US convention facility websites. Additionally, it is the first attempt to apply probability distributions to predict technology adoption in the convention industry context.


Humanomics ◽  
2017 ◽  
Vol 33 (4) ◽  
pp. 499-516 ◽  
Author(s):  
Muhammad Ali ◽  
Chin-Hong Puah

Purpose This study aims to investigate the factors that determine the customer adoption of Islamic banking in Pakistan. Design/methodology/approach This paper aims to use a sample of 540 Islamic bank customers located in the biggest city of Pakistan (Karachi). This study is based on the diffusion of innovation (DOI) theory and analyzed the role of five attributes (compatibility, relative advantage, complexity, observability and trialability) along with the consumer awareness about the customer adoption of Islamic banking. Additionally, the present research also considers Islamic banking as a new idea (innovation) in Pakistan under the framework of DOI theoretical assumptions. The exploratory and confirmatory factor analyses are applied to the sample data. The theoretical framework is then tested using structural equation modeling. Findings The findings of the study revealed that all five attributes of the DOI theory are positively and significantly related to the customer adoption of Islamic banking. The customer awareness also proved its importance in the hypothesized model by representing a positive and significant relationship. Originality/value The present study provides a useful guideline for the Islamic bank managers and the academicians to better understand the customer adoption of Islamic banking.


2017 ◽  
Vol 8 (3) ◽  
pp. 377-386 ◽  
Author(s):  
Keivan Zokaei ◽  
Ioannis Manikas ◽  
Hunter Lovins

Purpose This paperaims to review how the field of lean and green has been evolving. Authors draw parallels between the fields of sustainability and quality management. The paper’s title is borrowed and modified from Crosby’s seminal book: Quality is Free. Design/methodology/approach The paper starts with a review on how early lean researchers in the late 1980s draw upon benchmark studies, looking at Toyota versus other auto manufacturers to demonstrate that quality is free. Similarly, the authors carry out a benchmark to show how the same argument is valid about Toyota’s environmental performance and how Toyota’s concept of Monozukuri can be exploited as proof for the environment is free movement. The paper concludes with an attempt to address the gap between theory and practice in the field of lean and green. Findings The starting point for creating a lean and green business system is the understanding that there is no trade-off between lean and green, that lean and green should be brought together in a symbiosis, as Toyota have done with Monozukuri approach. This requires a coherent strategy that is well developed, and well deployed across all levels of business. The bottom line remains that environment is free, but it is not a gift. Research limitations/implications The findings presented in the paper are based on arguments resulted from the review of the relevant literature. It is important to obtain feedback from a large sample of businesses regarding lean and green symbiosis to arrive at sound and valid conclusions. Originality/value This paper contributes to the fields of operations management and sustainability by proposing a change in businesses’ mind-set about sustainability. Rather than seeing environmental protection as a cost, it should be regarded as an opportunity for enhancing economic performance. In doing so, we can seek inspiration from the fields of quality management and the total quality movement.


2018 ◽  
Vol 24 (2) ◽  
pp. 128-155 ◽  
Author(s):  
James M. Wilson

Purpose The purpose is to provide an intellectual history of Operations Management, particularly noting recent developments and its underlying continuity with earlier systems and thinking. Operations Management as a discipline identifies its “modern” incarnation as dating from the 1960s when it became more rigorous and managerially focused. This re-invention constructed a “narrative” that the profession still follows, yet a critical perspective reveals significant, though under-appreciated continuity with earlier theory and practice. Design/methodology/approach This paper presents a comprehensive literature review and comparative analysis of historic developments in management and academia. Findings In the early 1900s, F. W. Taylor’s Shop Management established Operation Management, but its main component, Scientific Management, had stagnated by the 1950s. At that point, the rise of Management Science both reinvigorated Operations Management and threatened it with a competing new discipline. To compete Operations Management then modernized by redefining itself, reasserting its interest in several areas and co-opting Operational Research tools for those. It also contracted, withdrawing from areas considered vocational, or more suited to Industrial Engineering. Research limitations/implications This historical overview shows the critical importance of drawing research agenda from practical managerial concerns. Practical implications Practitioners benefit from the intellectual rigor that academics provide and a historical perspective shows that the relationship has been mutually beneficial. Social implications The disciplines of Operations Management, Operations Research and Industrial Engineering are complementary and competitive in addressing many problems that transcend their boundaries, and use common ideas and techniques. The demands of “academic rigor” have had a deleterious effect on the practical managerial relevance of these disciplines. Originality/value A long-term, cross-disciplinary perspective provides a unique understanding of the research interests and practical orientations of these disciplines.


2016 ◽  
Vol 27 (3) ◽  
pp. 250-275 ◽  
Author(s):  
Mekhail Mustak ◽  
Elina Jaakkola ◽  
Aino Halinen ◽  
Valtteri Kaartemo

Purpose – Management of customer participation (CP) in service production and delivery is of critical concern for service managers, as CP can result in various positive but also negative outcomes. However, an integrated understanding on how service providers can manage CP is still missing. The purpose of this paper is to gather and synthesize the extant knowledge on the constituents of CP management into a comprehensive framework, and to offer an extensive agenda for future research. Design/methodology/approach – A systematic literature review of existing research is conducted. A total of 181 journal articles are analyzed in five steps: attaining basic understanding, coding, categorization, comparison, and further analysis. Findings – The authors provide identification and categorizations of the customer inputs, their antecedents, the management approaches, and the outcomes of CP. To date, CP management has been addressed from three distinct perspectives: human resource management that treats customers as partial employees; operations management that focusses on customer functioning during the service process; and marketing that highlights the roles and value outcomes for customers. Research limitations/implications – The authors call for further research that addresses the relationships between the antecedents, customer inputs, management approaches, and outcomes of CP, and argue for extension of contextual diversity. The detailed research agenda provided is helpful for interested researchers. Practical implications – The study offers managerial insights on how the degree and quality of CP can be improved by applying the various management methods examined in academic research. Originality/value – As the first comprehensive review on this topic, this paper brings together the dispersed knowledge on CP, integrates it into a comprehensive framework of CP management, and paves the way for future focussed research.


2017 ◽  
Vol 37 (10) ◽  
pp. 1425-1450 ◽  
Author(s):  
Palie Smart ◽  
Stefan Hemel ◽  
Fiona Lettice ◽  
Richard Adams ◽  
Stephen Evans

Purpose The purpose of this paper is to progress operations management theory and practice by organising contributions to knowledge production, in industrial sustainability, from disparate researcher communities. It addresses the principal question “What scholarly dialogues can be explicated in the emerging research field of industrial sustainability?” and sub-questions: what are the descriptive characteristics of the evidence base? and what thematic lines of scientific inquiry underpin the body of knowledge? Design/methodology/approach Using an evidenced-based approach, a systematic review (SR) of 574 articles from 62 peer-reviewed scientific journals associated with industrial sustainability is conducted. Findings This paper distinguishes three prevailing dialogues in the field of industrial sustainability, and uses Kuhn’s theory of paradigms to propose its pre-paradigmatic scientific status. The three dialogues: “productivity and innovation”, “corporate citizenship” and “economic resilience” are conjectured to privilege efficiency strategies as a mode of incremental reductionism. Industrial sustainability espouses the grand vision of a generative, restorative and net positive economy, and calls for a future research trajectory to address institutional and systemic issues regarding scaling-up and transition, through transformative strategies. Research limitations/implications The review is limited by the nature of the inquiries addressed in the literatures by specific researcher communities between 1992 and 2014. Originality/value This study performs the first SR in the field of industrial sustainability, synthesises prevailing scholarly dialogues and provides an evaluation of the scientific status of the field.


2020 ◽  
Vol 25 (6) ◽  
pp. 863-879 ◽  
Author(s):  
Jun-Jie Hew ◽  
Lai-Wan Wong ◽  
Garry Wei-Han Tan ◽  
Keng-Boon Ooi ◽  
Binshan Lin

Purpose Given the emerging nature of integrating blockchain into food traceability systems, this study aims to investigate the intention to participate in a blockchain-based Halal traceability system through a united model that consists of Halal orientation strategy, institutional theory and diffusion of innovation theory. Design/methodology/approach A sample that consists of 143 Malaysian Halal food and beverage manufacturers was drawn from Halal Malaysia Official Portal using the simple random sampling technique. The responses were collected from the key managerial personnel with experience and knowledge on the Halal supply chain using phone interviews. Subsequently, the partial least squares structural equation modelling approach was then used to analyse the theoretical model. Findings The manufacturers would go through a chain of the process before deciding to participate in the traceability system. Firstly, the manufacturers which practice a comprehensive Halal orientation strategy will be more perceptive towards the institutional pressures that demand them to participate in a traceability system. Secondly, in response to the pressures, the manufacturers would evaluate the technological characteristics of the system and subsequently develop their perceived desirability. Thirdly, the manufacturers with favourable perceived desirability shall decide to participate in the system. Originality/value This study advances the current literature of Halal supply chain, information systems, operations management and blockchain through an integrated model that could explain 73.19% of the variance in intention to participate.


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