scholarly journals The Influence of Telepathology on Coordination Practices

2021 ◽  
Author(s):  
Julien Meyer ◽  
Guy Paré

Background: Coordination between physicians and allied professionals is essential to the effective delivery of care services and is associated with positive patient outcomes. As information technology can radically transform how professionals collaborate, both researchers and health care accreditation bodies are devoting a growing interest to the means of achieving better coordination. Introduction: The primary aim of this study is to explain the extent to which and how coordination practices between pathologists, technologists, and surgeons are transformed when telepathology is being implemented. Materials and Methods: An interpretive case study was conducted. A total of 60 semi-structured interviews with key participants were conducted, in addition to several days of direct observation of telepathology-based intraoperative consultations (IOC). Results: Three major kinds of transformation of coordination practices were observed. First, the telepathology system itself constrains and disrupts coordination routines, such as the presentation of slides. Second, anticipating IOC, proactively performed by the laboratory personnel in traditional settings, requires more formal requests in a telepathology context. Third, local technologists become more autonomous in performing complex macroscopy manipulations and managing the laboratory, tasks traditionally performed by pathologists. Conclusions: Successful coordination of work in a telepathology-based IOC context requires that significant transformations be anticipated and accounted for. Project managers need to formalize new work processes, support the transformations in professional roles and mitigate the major hindrances that small material changes may have on work routines.

2021 ◽  
Author(s):  
Julien Meyer ◽  
Guy Paré

Background: Coordination between physicians and allied professionals is essential to the effective delivery of care services and is associated with positive patient outcomes. As information technology can radically transform how professionals collaborate, both researchers and health care accreditation bodies are devoting a growing interest to the means of achieving better coordination. Introduction: The primary aim of this study is to explain the extent to which and how coordination practices between pathologists, technologists, and surgeons are transformed when telepathology is being implemented. Materials and Methods: An interpretive case study was conducted. A total of 60 semi-structured interviews with key participants were conducted, in addition to several days of direct observation of telepathology-based intraoperative consultations (IOC). Results: Three major kinds of transformation of coordination practices were observed. First, the telepathology system itself constrains and disrupts coordination routines, such as the presentation of slides. Second, anticipating IOC, proactively performed by the laboratory personnel in traditional settings, requires more formal requests in a telepathology context. Third, local technologists become more autonomous in performing complex macroscopy manipulations and managing the laboratory, tasks traditionally performed by pathologists. Conclusions: Successful coordination of work in a telepathology-based IOC context requires that significant transformations be anticipated and accounted for. Project managers need to formalize new work processes, support the transformations in professional roles and mitigate the major hindrances that small material changes may have on work routines.


Author(s):  
Maria Vittoria Elena ◽  
Chase Wentzky ◽  
Joshua D. Summers

Abstract A desire to better understand requirements and their uses within product development inspired this case study conducted at a large power tool company. Researchers were interested in determining if a requirements culture existed within the company investigated, how this culture varied across departments, and how individuals at the company viewed requirements in engineering design. Ten semi-structured interviews were conducted by five teams of interviewers over the course of two months to answer these questions. Employees in various positions across the company were interviewed in the study including Project Engineers, a CAD Designer, an Industrial Designer, Project Managers, and Vice Presidents. Through a detailed analysis of the interview transcripts and documentation, it was determined that the company did have a definite requirement culture and that the transfer of requirements across departments must remain consistent for the individual groups to be effective. Furthermore, it was found that employee engagement with requirements was more significant with those who were involved in the early stages of product development.


Author(s):  
Bankole O. Awuzie ◽  
◽  
Peter McDermott ◽  

Viability connotes a system’s ability to become ultra-stable through effective self-regulation of its internal processes and information processing among its subsystems. Applying this to an infrastructure delivery system (IDS) context, this study proposes that an IDS can successfully deliver on client requirements only if they attain and maintain viability. Research into the influence of National Culture (NC) on an IDS’s viability appears to be lacking; hence this study. Adopting a multi-case study, qualitative research design, this study explores three IDSs involved in the delivery of infrastructure projects in two different NC contexts; Nigeria and the United Kingdom. 25 semi-structured interviews were conducted across the cases to provide for an in-depth understanding of existing interactions between participants in these delivery systems: client/project sponsor; main contractor and sub-contractors and to understand the influence of the prevailing national culture on such interactions, if any. Findings indicate that NC in project delivery environments influence the ability of IDSs to attain viability, especially as it pertains to the sustenance of Team Quality Attributes (TWQ) within the system. Based on these findings, it is expected that in modelling IDSs for viability, adequate consideration should be given to the prevailing NC by project managers and planners.


2018 ◽  
Vol 20 (3) ◽  
pp. 363-377
Author(s):  
S. Rajasulochana ◽  
Umakant Dash

This case study examines the performance of public hospitals in Tamil Nadu in delivering emergency obstetric care services over a period of 8 years as well as to investigate from provider’s perspective the issues and constraints that affect performance. A mixed method approach has been adopted, integrating the descriptive analysis of administrative data on performance reports (2006–2007 to 2013–2014) of emergency obstetric and newborn care services in 46 public hospitals, along with primary study comprising of semi-structured interviews of 27 health personnel across selected public hospitals. Examination of trends in selected performance indicators shows that utilization of public hospitals for emergency obstetric and newborn care services has improved; a number of complicated and critical cases revived in the comprehensive emergency obstetric and newborn care (CEmONC) centres of public hospitals have gone up. The capability to treat complicated maternal and neonatal cases, however, is limited by inadequacy of specialist doctors, equipment maintenance issue and lack of hospital management. This case study is of interest to both public hospital administrators and health care policymakers who want to improve and develop strategies for better management in public hospitals. Specifically, there is an urgent need to (a) readdress human resource policy for health care personnel, (b) devise appropriate mechanisms for periodic inspection and preventive maintenance of hospital equipment and (c) develop management capabilities and leadership skills within public health system.


2012 ◽  
Vol 17 (3) ◽  
pp. 277-289 ◽  
Author(s):  
Hong Long Chen

PurposeResearchers in supply chain (SC) payment management have long sought to understand how project contractors, project owners, specialist contractors, and suppliers behave in the context of negotiating payment terms that improve contractors' SC cash flow.Design/methodology/approachUsing a single case study approach, semi‐structured interviews with contract and project managers identify behavioral patterns. An analysis of categorical experiments and Spearman's correlation tests on 118 surveys from Taiwanese project contracting corporations generalizes the case findings.FindingsThe findings suggest that payment terms of project owners, specialists, and suppliers have an important impact on contractors' working capital. The findings also reveal that contractors pass project owners' payment terms down to specialists and suppliers, suggesting that contractors' behavior depends on that of the project owners.Research limitations/implicationsThis paper generalizes the case findings via surveys, but does not assume that the reported behavior patterns apply to all business enterprises. Future research could triangulate the findings.Originality/valueThis study combines qualitative and quantitative methods to understand how the project owner‐contractor‐supplier (or owner‐contractor‐specialist) triad behaves. Particularly, it focuses on an economic sector – real estate and construction – that receives less research interest than processing or manufacturing.


Author(s):  
Jenny Brusk ◽  
Henrik Engström

This article examines how the unique characteristics of Marvinter, an inclusive transmedia Advent calendar, affected its production and the individual media workers involved in this. In the native transmedia Marvinter project, a radio series and a mobile game were created and released simultaneously. Using ‘partly shared’ resources, the project was developed by two collaborating, non-profit organisations. Each chapter of the digital game had to match the corresponding radio episode. The whole had to be designed to provide a shared cultural experience that included people with hearing or visual impairments. The authors of the present article were part of the game development team and thus directly experienced the complexity of developing a digital game as part of a transmedia project. This article presents the results of a case study with an insider perspective. It is supplemented by semi-structured interviews with key people in the project. The transmedia nature of Marvinter was justified by the need to include people with complementary disabilities. Although sometimes associated with negative connotations of ‘naked commercialisation’ in transmedia contexts, the marketing strategy was here an important element in promoting inclusivity. However, owing to the concurrent work processes, game production became overly complex.


SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402097237
Author(s):  
B. I. J. M. Van der Heijden ◽  
M. J. Burgers ◽  
A. M. Kaan ◽  
B. F. Lamberts ◽  
K. Migchelbrink ◽  
...  

An in-depth case study approach was followed and data were collected by means of nine semi-structured interviews with experts from six case organizations. Our findings indicate that gamification of work can be a promising path for working organizations and can be beneficial to both employers and employees. The success of gamification at the workplace is dependent on whether its implementation is able to fulfill employees’ psychological needs for competence, autonomy, and relatedness. To make the most out of gamification at the workplace, employers, supervisors, and employees themselves should pay ample attention to its conditions (i.e., personal preferences of the employees, their demographic characteristics, their need for psychological safety, and the purposefulness of the game). In addition, seven psychological mechanisms underlying successful performance were found in our empirical work (i.e., competition, intrinsic incentives, extrinsic incentives, choice, social interaction, feedback, and ownership). The properties of gamification schemes that also have to be dealt with by the parties involved comprise their duration and intensity, the inclusion of a facilitator, the type of equipment, and scale referring to the size of the gamification scheme. Finally, our study has provided more insight into the possible effects of gamification schemes (i.e., increased insight in the workflow and, through this, a better understanding of both the employees’ own contributions and of their employers’ contributions to the work processes, the transfer of game elements into work processes, team building enhancement, learning effects, and negative emotions).


2020 ◽  
Author(s):  
Iris Gräßler

In the development of mechatronic systems, risks are caused by changing requirements. In this paper, an approach towards the assessment of such kind of risks is presented. Starting with the requirements list, interactions between requirements are structured in the Requirements Structure Matrix (RSM) semi-automatically. In parallel, requirements are categorized according to their source (“influence area”) and prioritized. This priorization is based on the risk of change. It is characterised by the criteria “dynamics”, “uncertainty of knowledge base” and “relevance for product development”. The approach is validated by two approaches: structured interviews with project managers and developers as well as a case study focusing on a pedelec. By application of the approach, cross-disciplinary relations of requirements can be considered in order to reduce iterations in the development of mechatronic systems such as the pedelec.


Author(s):  
Helena Håkansson

This article examines intra-organizational trust and institutional logics in municipal social care services in the setting of a trust-based developmental project. A case study was conducted in a Swedish municipal district. The data consists of 27 semi-structured interviews with care workers, first-line managers, and strategic staff as well as 11 observations. The study adds insights regarding trust in public sector organizations and shows how a strong focus on economic efficiency can relativize trust into a question of financial accountability. The results demonstrate how the governing managerial logic is not only in conflict with but also seems to overrule attempts to establish a more trust-based logic. Moreover, contributing to the institutional logics literature, it further shows how power structures affect institutional logics and how conflicts between logics play out differently at various organizational levels. The prospects of accomplishing a more trust-based governance without larger institutional or organizational changes are hence problematized.


Author(s):  
Hilary Berger ◽  
Paul Beynon-Davies

This chapter uses a case study to consider how development methods shape information systems practice and how organizations adapt, deploy, and use such knowledge in situ. The authors explore how an information system development method (ISDM) acting as a de-contextualized “knowledge bundle” is diffused and infused within an organization through the process of contextualization. The case study looks at a regional government project responsible for the distribution of European Community (EC) monies through agricultural grants and subsidies. A new IT/IS system was designed and developed to improve the administration and management of the EC’s agricultural policy across the region. A longitudinal research project was conducted over three years and was situated within the project environment. It involved a sustained period of fieldwork (nine months of intensive observations), and data was collected through 126 semi-structured interviews, shadowing of key participants, and informal discussions and conversations. Secondary data involved an in-depth and systematic analysis of published literature, project documentation, and artifacts. The authors consider how the structure and culture of organizations affect implementation and processes of diffusion and infusion.


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