A Study on the Impact of Service Improvement on the Satisfaction Level of Smart Watch Functions

2021 ◽  
Vol 34 (5) ◽  
pp. 807-825
Author(s):  
Jaehoon Choi ◽  
Pansoo Kim
Keyword(s):  
Service Improvement ◽  
Satisfaction Level ◽  
Smart Watch ◽  
The Impact

Abstract 2524: Increasing the Proportion of Patients Treated with Stroke Thrombolysis: Reducing In-hospital Delays has Substantially More Impact than Extension of the Time Window

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Martin A James ◽  
Thomas Monks ◽  
Ken Stein ◽  
Martin Pitt
Keyword(s):  
Time Window ◽  
Discrete Event ◽  
Fold Increase ◽  
Service Improvement ◽  
Disability Benefit ◽  
Prospective Data ◽  
Stroke Service ◽  
Event Simulation ◽  
Simulation Based ◽  
The Impact

Background Pooled analyses show the benefit of IV alteplase for ischemic stroke up to 4·5 hours after onset, and expert guidelines have been updated to reflect this. However, the benefit from thrombolysis is critically time-dependent, and the additional benefit from extending the time window may be jeopardised by in-hospital delays. Methods We developed a discrete-event simulation based on prospective data from 1142 acute stroke patients arriving at our large district hospital over a two-year period to April 2011, modelling the time spent in the ED for triage and assessment, brain imaging and, if applicable, thrombolysis. Outputs from the model included arrival to treatment times (ATT), percentage of strokes thrombolysed, and the number of thrombolysed patients with a 90 day modified Rankin Scale (mRS) of 0-1. We sought to model the current stroke pathway (treatment <3 hours of onset), and compare it with developmental scenarios exploring the impact of extending treatment from 3 to 4.5 hours, of ED staff alerting the stroke service at triage, of ambulance pre-alert to the stroke service, and combinations of these measures. Results The model illustrates that extending the treatment window modestly increases the percentage of acute strokes thrombolysed, from 5% to 6% (95% CI 5.8-6.1%), and increases the number of thrombolysed patients with mRS 0-1 by 7 per year (95% CI 5.9-8.0). Both the triage alert and ambulance pre-alert scenarios increase thrombolysis rates to 15% (95% CI 14.9% to 15.7%); but the ambulance pre-alert reduces ATT by a mean of 27 mins (95% CI 26.3-28.4) compared to the triage alert scenario. The ambulance pre-alert scenario increases the number of thrombolysed patients with mRS 0-1 by 35/year (95% CI 32.9-37.7) compared to 22 (95% CI 20.4-23.5) in the triage alert scenario. Combining the treatment extension with either alerting measure does not increase the thrombolysis rate further (15%, 95% CI 14.7-15.1%). Sensitivity analysis illustrates that the pre-alert system is the least vulnerable to a drop in compliance rates. Conclusions Our simulation model shows that the greatest disability benefit accrues from measures to substantially reduce in-hospital delays to alteplase treatment - a potential three-fold increase in the proportion of patients treated. Compared to extending the time window for alteplase from 3 to 4.5 hours, eradicating in-hospital delays to treatment offers a five-fold greater disability benefit, and this should be the pre-eminent focus of service improvement for all emergency receiving hospitals.

scholarly journals Factors Affecting Employee Satisfaction in the Private Organizations of Bahawalpur Pakistan

2014 ◽  
Vol 4 (2) ◽  
pp. 147
Author(s):  
Muhammad Ahsan Awan ◽  
Muhammad Rizwan ◽  
Junaid Bin Razzaq ◽  
Usman Ali
Keyword(s):  
Working Conditions ◽  
Employee Satisfaction ◽  
Satisfaction Level ◽  
Islamic Republic ◽  
Factors Affecting ◽  
Insignificant Effect ◽  
Private Organizations ◽  
Degree Of Satisfaction ◽  
The Impact

Research was conducted to analyze the effect of empowerment, rewards, training & development and working conditions on employee satisfaction and also the impact of top level management on all these variables. The aim of this study was to find out the degree of satisfaction level of employees and the behavior of top level management in suffocated conditions in the developing city of Islamic Republic Pakistan. For this purpose 200 questionnaires were distributed from which 160 were got back and 151 were selected to examine and analysis. It was found after analysis that only rewards has positive significant effect on worker, rest of the variables showed insignificant effect on employee satisfaction. The top level management had the positive significant effect on rewards, training & development and empowerment.

Online banking adoption

2015 ◽  
Vol 33 (6) ◽  
pp. 760-785 ◽  
Author(s):  
Pallab Sikdar ◽  
Munish Makkad
Keyword(s):  
Customer Satisfaction ◽  
Five Factor Model ◽  
Online Banking ◽  
Ease Of Use ◽  
Equation Modeling ◽  
Intention To Use ◽  
Satisfaction Level ◽  
Content Type ◽  
Proposed Model ◽  
The Impact

Purpose – The study considers a five-factor model toward online banking adoption in the context of banking customers in India and validates the proposed model. In addition, the authors consider the impact of validated factors on overall satisfaction of customers. Design/methodology/approach – A five-factor online banking adoption model has been tested for reliability and validity by confirmatory factor analysis. For determining contribution of factors toward overall satisfaction level of banking customers structural equation modeling has been adopted. Four explanatory variables have been used to assess the overall satisfaction level of online banking users. A structured questionnaire incorporating variables identified from literature has been used as survey instrument for the study. Final respondent sample was 280 banking customers. Findings – Trust, Usage Constraint, Ease of Use, Accessibility and Intention to Use as reliable and valid factors determining internet banking adoption among customers in India. Accessibility, Usage Constraints, Intention to Use portrayed strong and significant relationship with overall customer satisfaction. Trust and Ease of Use are relatively weaker and insignificant contributors toward overall customer satisfaction. Originality/value – The existing studies in the context of e-banking in general and online banking in particular have been majorly confined to proposing key drivers toward adoption of such alternate banking mediums. By providing an insight towards satisfaction level of customers adopting online banking the proposed model attempts to fill this gap. As the study relates to banking customers in India, findings will be of particular value to domestic and foreign banking entities looking to leverage technology as a tool to attain stronghold with an emerging economic set-up.

scholarly journals Meeting the needs of older people living at home with dementia who have problems with continence

2017 ◽  
Vol 18 (4) ◽  
pp. 246-253 ◽  
Author(s):  
Vari M. Drennan ◽  
Jill Manthorpe ◽  
Steve Ilifffe
Keyword(s):  
Older People ◽  
Social Care ◽  
Clinical Care ◽  
Care Practice ◽  
Service Improvement ◽  
Content Type ◽  
People With Dementia ◽  
Care Relationships ◽  
The Impact ◽  
At Home

Purpose The purpose of this paper is to discuss the question of how to meet the needs of older people living at home with dementia who have problems with continence. The paper is focused on social care practice in community settings. Design/methodology/approach This paper is practice focused and draws on the authors’ research and experiences in clinical care, workforce development and service improvement. Findings This paper summarises research on incontinence and its negative effects on quality of life and care relationships. It describes the impact of incontinence in terms of social embarrassment, restricted social activity, extra work (such as laundry) and costs, but also distress. It links research with care practice, with a focus on people with dementia who may be at particular risk of both continence problems and of assumptions that nothing can be done to assist them. Social implications This paper provides questions that could be addressed in commissioning and provision of services and argues that they need to be informed by care practitioners’ experiences. It provides details of sources of support that are available at national and local levels. Originality/value This paper draws together research on continence and social care practice to provide a series of self-assessment questions for local services. It focuses on social care workers who are at the frontline of practice including personal assistants and carers.

scholarly journals The impact of story: measuring the impact of story for organisational change

2017 ◽  
Vol 9 (2) ◽  
pp. 170-184 ◽  
Author(s):  
Lisa Rossetti ◽  
Tony Wall
Keyword(s):  
Organisational Change ◽  
Evaluation Framework ◽  
Service Improvement ◽  
Organisational Development ◽  
Structured Interviews ◽  
Content Type ◽  
Health And Social Care ◽  
The Uk ◽  
The Impact ◽  
New Evidence

Purpose The role of dialogue has recently been identified as being important in generating impact in organisations, but the purposeful use of narrative or story-based approaches to effect organisational change and service improvement is still relatively innovative. The purpose of this paper is to document and examine two projects in health and social care settings which aim to generate organisational development and service improvement. Design/methodology/approach The paper evaluates and compares two case studies of story-based organisational development and service improvement projects in the UK. This involved developing an appropriate evaluation framework and assessing the impacts in each case using semi-structured interviews and thematic content analysis. Findings This paper reports the diversity of impacts and outcomes that were generated by the projects. Specifically, it is argued that there is a strong indication that story-based projects best achieve their objectives when clearly linked to key organisational strategic drivers or pathways, as evidenced by robust evaluation. Practical implications This paper recommends that researchers and practitioners, working with story-based methods, design credible and robust evaluative practices, in order to evidence how their work supports organisations to meet current sector challenges. The paper recommends a flexible evaluation framework for evaluating story-based projects in the workplace. Originality/value This paper offers new evidence and insight into the impacts and outcomes of using story-based approaches, and a new evaluation framework for these sorts of projects.

scholarly journals Understanding Consumer Characteristics in an Online Tourism Community in India

2016 ◽  
Vol 11 (2) ◽  
pp. 2673-2686
Author(s):  
Nidhi Phutela ◽  
Hirak Dasgupta
Keyword(s):  
Online Shopping ◽  
Positive Impact ◽  
Consumer Trust ◽  
Satisfaction Level ◽  
Customer Perceptions ◽  
General Data ◽  
Online Stores ◽  
The Impact ◽  
Tourism Community ◽  
The Relationship

Analysing customer perceptions is an important requirement not only for offline stores, but for online stores as well. Study of customer perceptions helps the company in understanding the requirements and expectations of the customers in a better way. This study is an extension of the researcher’s previous study of identifying antecedents of consumer trust for e-tourism companies in India. This study tries to explore the relationship between factors that build trust of the consumers on the online companies and their satisfaction level. Apart from studying the preferences and expectations of the consumers from e-tourism companies in India, the researcher has also tried to study the customer perceptions in context of online shopping in general. Data was collected by the researcher from 367 tourists (customers) who plan their tours online in Delhi NCR. Hypothesis testing has been done by using ANOVA and t-test. Findings of the study revealed that that amongst seven Consumer Trust dimensions, only “Promotional deals” and “Price Competitiveness” have a significant positive impact on “Customer Satisfaction”, whereas the impact of other five variables are not significant.

scholarly journals Evaluating the impact of a national clinical leadership fellow scheme

BMJ Leader ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. 37-42 ◽  
Author(s):  
Judy McKimm ◽  
Donna Hickford ◽  
Peter Lees ◽  
Kirsten Armit
Keyword(s):  
Policy Development ◽  
Success Factors ◽  
Service Improvement ◽  
Healthcare Leadership ◽  
Leadership And Management ◽  
Clinical Leadership ◽  
Healthcare Improvement ◽  
Wide Range ◽  
Unique Experience ◽  
The Impact

BackgroundThe drive towards engaging UK doctors in clinical leadership and management has involved a number of initiatives at various levels, including specific fellowships for doctors in training which enable them to take a year out of programme to work with senior leaders on service improvement or policy development projects.ObjectivesThis paper reports on the findings of an impact evaluation of a national Fellowship Scheme for doctors in training. The evaluation aimed to determine: What were the key success factors and areas for improvement of the Scheme? How did the Fellows experience the Scheme and how has this influenced their subsequent engagement, behaviours and thinking about healthcare leadership and management? What was the perceived impact of the Scheme?ParticipantsSix cohorts of Fellows and key stakeholders were involved in the evaluation .ResultsThe evaluation has clearly demonstrated the impact of this long-standing national Fellowship Scheme and the huge benefits for the individuals and organisations involved. For the Fellows, a national scheme such as this provides a unique experience, allowing them to learn first-hand from a range of senior decision-makers and engage in policy and strategic developments and processes.ConclusionsThis evaluation has demonstrated the wide impact of the Scheme but has also highlighted that more evaluations are needed of the wide range of fellowship schemes on offer to evidence broader impact, and raised issues around some of the difficulties these Fellows encounter on their return to practice in using their new skills to engage in service and healthcare improvement initiatives.

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