Best Practices of Knowledge Strategy in Hospitals

2010 ◽  
pp. 180-202
Author(s):  
Cláudio Reis Gonçalo ◽  
Edison Jacques Jacques
Keyword(s):  
Best Practices ◽  
Organizational Context ◽  
Formal Structure ◽  
Daily Activities ◽  
Multidisciplinary Teams ◽  
Common Language ◽  
Barriers And Enablers ◽  
Knowledge Strategy ◽  
Knowledge Strategies ◽  
Medical Protocols

This study analyses best practices of knowledge strategies in hospitals considering the implementation of medical protocols. Protocols are research products originated from the based-on-evidence medicine. Knowledge strategy depends on specific organizational context that can be expressed by its barriers and enablers. Eight hospitals were studied in the state of Rio Grande do Sul, Brazil, involving multidisciplinary teams of the cardiology services which are acknowledged as the area of expertise with more implemented protocols. The same protocols are available in all investigated hospitals and are implemented by different practices in daily activities. A formal structure for the promotion of the organizational context is proposed in relation to the protocol implementation. The following factors were found as critical for the promotion of knowledge strategies’ best practices in hospitals: a common language for sharing information among different professionals; the knowledge gap as a corporate vision, and the particular hole of information technology.

scholarly journals Louisiana School Counselors’ Daily Activities and the ASCA National Model: A Complex History and a Hopeful Future

2021 ◽  
Vol 17 (5) ◽  
Author(s):  
Wendy D. Rock ◽  
Jennifer Curry
Keyword(s):  
Mixed Methods ◽  
Best Practices ◽  
School Counseling ◽  
School Counselors ◽  
State Policy ◽  
Daily Activities ◽  
Asca National Model ◽  
State Legislation ◽  
Developmental Models ◽  
National Model

This mixed methods, concurrent nested study was designed to explore the extent to which one state’s school counselors report daily activities that align to the ASCA National Model (ASCA, 2005, 2012, 2019). In spite of federal and state legislation, state policy, and a state model supporting best practices for school counseling, a significant number of school counselors in this study (approximately 25%) report barriers to implementing comprehensive, developmental models. These barriers include inordinate amounts of duty, testing, and coordination of specialized services. However, with nearly three out of four school counselors in the sample reporting knowing and implementing pieces of the ASCA National Model (ASCA, 2005, 2012, 2019), we remain hopeful for the future of school counseling in Louisiana.

Developing Business Aligned Knowledge Management Strategy

2011 ◽  
pp. 2631-2645
Author(s):  
El-Sayed Abou-Zeid
Keyword(s):  
Knowledge Management ◽  
Competitive Advantage ◽  
Business Strategy ◽  
Strategic Alignment ◽  
Strategic Choices ◽  
Knowledge Management Strategy ◽  
Knowledge Strategy ◽  
Alignment Model ◽  
Knowledge Strategies ◽  
The Relationship

With the growing awareness of the crucial role that knowledge can play in gaining competitive advantage, several issues with regard to knowledge management (KM) initiatives have challenged executives. The articulation of the relationship between an organization’s competitive strategy and its knowledge strategy is the most eminent. This chapter addresses the issue of how to align knowledge strategy with enterprise business strategy. Based on the premise that the realization of business value from KM investments requires alignment between business and knowledge strategies, the issue is addressed by developing a strategic alignment model for KM. This model, which is based on the Henderson-Venkatraman strategic alignment model, includes the external domains (opportunities/threat) and internal domains (capabilities/arrangements) of both business (B-) and knowledge (K-) strategies and the relationships between them. Furthermore, it provides alternative strategic choices. The model is used to study a KM initiative at Buckman Laboratories.

Performance Improvement Utilizing Multidisciplinary Collaborations and Analytics Are the Key Drivers in Paradigm Shift From Volume to Value in Improving Test Utilization, Patient Safety, and Quality of Care

2019 ◽  
Vol 152 (Supplement_1) ◽  
pp. S143-S144
Author(s):  
Sachin Gupta ◽  
Jo Bean ◽  
Maura Pieretti ◽  
Larry Bischof ◽  
Victor Hruszczyk ◽  
...  
Keyword(s):  
Patient Safety ◽  
Best Practices ◽  
Performance Improvement ◽  
Clinical Excellence ◽  
Multidisciplinary Teams ◽  
Blood Contamination ◽  
Rapid Pcr ◽  
Specimen Collection ◽  
Admission Screening ◽  
Enterprise Data Warehouse

Abstract Objectives The objective of this session is to understand the value of performance improvement, teamwork, and laboratory analytics to improve test utilization, quality, and patient safety. This presentation will highlight BayCare Health System’s journey to achieve clinical excellence. Methods Laboratory performance improvement team collaborated with the Enterprise Data Warehouse team to build in-house Laboratory Analytics dashboards. The dashboard reports were used to identify opportunities and to implement best practices in collaboration with multidisciplinary teams. The improvements were achieved by using performance improvement tools and were measured by various process and outcome metrics. Results: ( 1) Lab collaborated with the infection prevention team and standardized the admission screening policies for rapid PCR testing. This has resulted in 50% and 85% reduction in MRSA and VRE testing, respectively, which led to annual savings of over $1 million/year. (2) Collaborating with the antibiotic stewardship team and introducing new urinalysis reflex criteria resulted in an about 18,000 fewer urines reflexed to culture per year. This change led to about $190,000 per year reduction in expense of reagents and labor. (3) Collaborating with the team of nursing, as well as monitoring and implementing best practices to reduce the blood contamination rates, has resulted in <1.4% blood contamination rates. (4) Multidisciplinary teams were able to reduce transfusion rates for various blood products in our hospitals to less than 7%, which brings us to top-decile performers in Premier database. (5) Collaboration with nursing and lab, by using lab analytics, was able to reduce emergency department lab orders result time by 21% and improve patient throughput. (6) The analytics reports also improved staff planning and efficiencies in specimen collection. Conclusion Performance improvement utilizing multidisciplinary collaborations and Lab Analytics are the key players in shifting the paradigm from volume to value, which eventually helps in appropriate test utilization and better patient care.

Competing Through Knowledge and Information Systems Strategies: A Study of Small and Medium-Sized Firms

2016 ◽  
Vol 15 (03) ◽  
pp. 1650027 ◽  
Author(s):  
Yolande E. Chan ◽  
James S. Denford ◽  
Joyce Y. Jin
Keyword(s):  
Information Systems ◽  
Firm Performance ◽  
Empirical Support ◽  
Resource Based View ◽  
Knowledge Strategy ◽  
Information Systems Strategy ◽  
Knowledge Intensive ◽  
And Performance ◽  
Knowledge Strategies ◽  
Innovation Capital

In this study, we investigated strategies that small and medium-sized enterprises (SMEs) in Canada employ to create, transfer, and apply knowledge, and we evaluated the importance of supporting dynamic knowledge capabilities and information systems. To examine the empirical support for a model based on the resource-based view of the firm, we conducted a survey of SMEs operating in knowledge-intensive industries. We tested relationships among knowledge strategy, information systems strategy, dynamic knowledge capabilities, and firm performance. SME performance was measured by their physical and financial capital, as well as four intangible types of capital: structural, human, innovation, and relational. We observed that dynamic knowledge capabilities only partially mediate the link between knowledge strategy and performance in SMEs. However, dynamic knowledge capabilities fully mediate the link between information systems (IS) strategy and performance in the small and medium-sized firms studied. We observed that information systems only indirectly influence firm performance, but they directly support the knowledge and innovation capital of SMEs. Further, our results indicated that, in SMEs, knowledge strategies directly influence IS strategies, and that alignment between knowledge strategies and IS strategies positively impacts dynamic knowledge capabilities, and hence firm performance.

scholarly journals Silence as a Political Behavior in Academic Organizations: A Phenomenological Study

2021 ◽  
Vol 11 (1) ◽  
pp. 148-160
Author(s):  
Nuray Akar
Keyword(s):  
Political Behavior ◽  
Organizational Context ◽  
Phenomenological Study ◽  
Academic Staff ◽  
Formal Group ◽  
Phenomenological Approach ◽  
Formal Structure ◽  
Academic Organizations ◽  
Group Settings ◽  
Structural Descriptions

The purpose of this study is to reveal the causes and meanings of silence in formal group settings of academic organizations. To this end, a deep and comprehensive investigation was performed using the phenomenological approach, which is a qualitative method, with 36 academic staff who had experienced silence within the relevant formal structure. The findings revealed that silence in the context produced by structural and cultural characteristics of formal group settings of academic organizations was caused by psychological, socio-cultural, individual, situational, and managerial factors, and factors attributed to the organizational context, besides the system. On the other hand, the synthesis of textural and structural descriptions showed that silence reflects a form of political behavior in formal group settings of academic organizations. The study identified different definitions and insights related to the phenomenon of silence in organizational life.

scholarly journals Australian GPs’ perceptions of barriers and enablers to best practice palliative care: a qualitative study

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Anne Herrmann ◽  
Mariko L. Carey ◽  
Alison C. Zucca ◽  
Lucy A. P. Boyd ◽  
Bernadette J. Roberts
Keyword(s):  
Palliative Care ◽  
Qualitative Study ◽  
End Of Life ◽  
Best Practice ◽  
Healthcare Providers ◽  
Multidisciplinary Teams ◽  
Healthcare Team ◽  
Care Provision ◽  
Roles And Responsibilities ◽  
Barriers And Enablers

Abstract Background General Practitioners (GPs) often play an important role in caring for people at the end of life. While some international studies suggest that GPs experience a number of barriers to providing palliative care, little is known about views and experiences of GPs in Australia. This study explored Australian GPs’ perceptions of barriers and enablers to the provision of palliative care and provides new insights into how to implement best practice care at the end of life. Methods This was a qualitative study using 25 semi-structured phone interviews conducted with GPs practising in metropolitan and non-metropolitan New South Wales, Australia. Data were analysed using qualitative content analysis. Results GPs reported difficulties with palliative care provision due to i) the complex and often emotional nature of doctor-family-interaction; ii) a lack of evidence to guide care; and iii) the need to negotiate roles and responsibilities within the healthcare team. GPs listed a number of strategies to help deal with their workload and to improve communication processes between healthcare providers. These included appropriate scheduling of appointments, locally tailored mentoring and further education, and palliative care guidelines which more clearly outline the roles and responsibilities within multidisciplinary teams. GPs also noted the importance of online platforms to facilitate their communication with patients, their families and other healthcare providers, and to provide centralised access to locally tailored information on palliative care services. GPs suggested that non-government organisations could play an important role by raising awareness of the key role of GPs in palliative care provision and implementing an “official visitor” program, i.e. supporting volunteers to provide peer support or respite to people with palliative care needs and their families. Conclusions This study offers new insights into strategies to overcome well documented barriers to palliative care provision in general practice and help implement optimal care at the end of life. The results suggest that researchers and policy makers should adopt a comprehensive approach to improving the provision of palliative care which tackles the array of barriers and enablers identified in this study.

Dispersed knowledge management in ecosystems

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Leonardo Augusto de Vasconcelos Gomes ◽  
Aline Mariane de Faria ◽  
Felipe Mendes Borini ◽  
Ximena Alejandra Flechas Chaparro ◽  
Matheus Graciani dos Santos ◽  
...  
Keyword(s):  
Knowledge Management ◽  
Structured Interviews ◽  
Content Type ◽  
Knowledge Strategy ◽  
Multiple Case ◽  
New Type ◽  
The Right ◽  
Knowledge Strategies ◽  
Micro Foundations

Purpose Accessing and sharing dispersed knowledge in ecosystems is neither easy nor automatic. In ecosystems, focal firms should purposely create the right conditions and act to deal with dispersed knowledge. This study aims to investigate how focal firms manage dispersed knowledge in ecosystems characterized by a set of autonomous, heterogeneous, yet interdependent actors involved in experimentation under uncertainty. Design/methodology/approach Following a conceptual framework based on preceding literature, this study conducted a broad qualitative case study of 6 firms and 12 projects, with 43 semi-structured interviews to identify the patterns of actions associated with dispersed knowledge management (KM) in ecosystems. This paper combines coding and multiple case comparisons to examine the processes and strategies used by the firms to strategically manage dispersed knowledge in ecosystems. Findings This paper proposes a framework that articulates a new type of orchestration (dispersed knowledge orchestration) and offers a new set of dispersed knowledge strategies (transfer, modularity and circular) for ecosystems. Practical implications Innovation and knowledge managers play the roles of dispersed knowledge orchestrators. The study offers guidance on how focal firms should carefully use a particular set of approaches (e.g. integrative theorization) including a portfolio of dispersed knowledge strategies in ecosystems. Originality/value Current literature on KM and ecosystem management offers a limited understanding of how organizations manage dispersed knowledge in ecosystems. The research provides three major original contributions. First, the framework contributes to broadening the current understanding of ecosystem orchestration by identifying the micro-foundations of dispersed knowledge orchestration: integrative theorization, nurturing distributed sensemaking and a new chapter for ecosystem governance (i.e. dispersed knowledge governance). Moreover, the framework proposes a new type of strategy, the dispersed knowledge strategy. Finally, by exploring the interplay between the micro-foundations of dispersed knowledge orchestration and dispersed knowledge strategy, the results contribute to a multi-level approach in the field.

Knowledge Strategy and Its Role in the Organization

2010 ◽  
pp. 1387-1402
Author(s):  
Joseph E. Kasten
Keyword(s):  
Human Resources ◽  
Organizational Structure ◽  
Structured Interview ◽  
Interview Data ◽  
Formal Structure ◽  
Early Literature ◽  
Knowledge Based ◽  
Knowledge Strategy ◽  
Technology Strategies

Knowledge strategy is defined as the set of guidelines and philosophies that guide an organization’s knowledge-based activities, such as knowledge gathering, development, storage, and utilization. Much of the early literature describing knowledge strategy suggests that its role in the organization is to drive, and be driven by, organizational structure and the human resources and technology strategies. The present research utilizes semi-structured interview data to determine that knowledge strategy is less of a formal structure and more of a lens through which knowledge-based decisions are viewed and focused, resulting in organizational actions that align with the knowledge strategy of the organization.

scholarly journals The Disaster Approach: Countering Learner Apprehension in Role-Play

2017 ◽  
Vol 3 (2) ◽  
pp. 172-180
Author(s):  
Paul Donovan ◽  
John Townsend
Keyword(s):  
Best Practices ◽  
Organizational Context ◽  
Training Programs ◽  
Skill Development ◽  
Role Play ◽  
The Other ◽  
Corrected Version ◽  
Job Role ◽  
The Ideal

Training programs enhance the skills of participants. Role-play, one method used for such skill development, is learning through performing a set of behaviors, in accordance with predetermined expectations of a job role in an organizational context. Some learners find role-play daunting, even traumatic. To counter this experience, this article shows an innovative role-play format where, in advance of the program, tutors design and create a “disaster” video—an encounter where almost everything goes awry. In class, the video is shown and the group is divided into two teams: and one team designs and demonstrates a “corrected” version of the encounter. The second team composes a set of best practices on the ideal way to conduct such an encounter. The role-play event is performed in plenary by the “Demonstration” team, and the “Best Practices” team applies their guidelines to the other team’s performance. Instructions on how to use the exercise are given.

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