Stakeholder management in IOS projects: analysis of an attempt to implement an electronic patient file

2008 ◽  
Vol 17 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Albert Boonstra ◽  
David Boddy ◽  
Sheena Bell
Keyword(s):  
Stakeholder Management ◽  
Electronic Patient File ◽  
Patient File

Musculoskeletal Physiotherapy in the Emergency Department – Evaluation of a New Physiotherapy Service in a Swiss University Hospital

physioscience ◽  
2021 ◽  
Author(s):  
Balz Winteler ◽  
Franziska Geese ◽  
Beat Lehmann ◽  
Kai-Uwe Schmitt
Keyword(s):  
Emergency Department ◽  
Pilot Study ◽  
Added Value ◽  
University Hospital ◽  
Care Staff ◽  
Health Care Staff ◽  
Ed Visits ◽  
Department Evaluation ◽  
Electronic Patient File ◽  
Patient File

Abstract Background Many countries report a significant increase in emergency department (ED) visits. Patients with musculoskeletal disorders account for a large proportion of non-urgent cases. Objective Characterization and evaluation of a new service that provides immediate access to physiotherapy for patients in the ED. Method To characterize a new service at the Department of Emergency Medicine, Bern University Hospital, and to evaluate first experiences with it, a mixed methods approach was chosen. Data was collected from the electronic patient file and from a logbook kept by the physiotherapists. In addition, guideline-based interviews with involved health care staff were conducted. Results During the 63 days of the pilot study 79 patients were treated by physiotherapists. The most frequently reported patient complaint was back pain (47 %). Interventions included taking the medical history, performing manual tests and multimodal treatment and developing recommendations for further treatment. In 59 % of patients no medical imaging and in 58 % no additional physiotherapy was prescribed. Patients rated the physiotherapeutic service as very good or excellent (88 %). Physiotherapy was experienced as positive and appreciated by the other professions, and all interviewees emphasized the added value for patients. Conclusion The pilot study indicates that the physiotherapeutic consultation service has the potential to improve quality of care. The findings of this study are therefore valuable when considering the introduction of such a service in an ED.

A Case Study On Inter-Organizational Systems and Power

2011 ◽  
pp. 153-160
Author(s):  
Albert Boonstra
Keyword(s):  
The Netherlands ◽  
Empirical Study ◽  
Rational Solution ◽  
Organizational Systems ◽  
Political Processes ◽  
Design And Implementation ◽  
Electronic Patient File ◽  
Patient File

The objective of this article is to show by means of a case study how attempts to develop and implement inter-organizational systems (IOS) can be perceived as power battles, reflections of interests of stakeholders and struggles for domination. The paper shows that IOS is not simply a technical and rational solution but that it involves political processes of articulating interests, building alliances and struggling over outcomes. These issues will be examined through an empirical study of a project to introduce an electronic patient file (EPF) system in The Netherlands. We will seek to expand our knowledge of how inter-organizational systems impact relations among organizations and individuals who use these systems and how such systems affect the division of power inside and between organizations. Such knowledge can be useful when applying an analysis of power during the process of the design and implementation of IOS, which can help managers to implement IOS more effectively.

Incidence and Causes for Early Ticagrelor Discontinuation: A “Real-World” Dutch Registry Experience

Cardiology ◽  
2017 ◽  
Vol 138 (3) ◽  
pp. 164-168 ◽  
Author(s):  
Thomas O. Bergmeijer ◽  
Paul W.A. Janssen ◽  
Mathijs van Oevelen ◽  
Dymphie van Rooijen ◽  
Thea C. Godschalk ◽  
...  
Keyword(s):  
Real World ◽  
Antiplatelet Agent ◽  
High Volume ◽  
Coronary Intervention ◽  
Major Surgery ◽  
Coronary Syndrome ◽  
Percutaneous Coronary ◽  
Electronic Patient File ◽  
Patient File

Objectives: The PLATO trial revealed superiority of ticagrelor over clopidogrel for the prevention of atherothrombotic events in patients with acute coronary syndrome. However, adverse events such as bleeding, dyspnea, and bradycardia were frequently reported, potentially leading to excess early ticagrelor discontinuation (ETD), later confirmed in the PEGASUS trial. We here evaluated the incidence and causes for ETD in a real-world patient cohort in a high-volume nonacademic percutaneous coronary intervention center in the Netherlands. Methods: In a retrospective single-center registry, all patients discharged from the hospital with a new ticagrelor prescription were screened for ETD. Follow-up data were obtained using the hospital electronic patient file records and confirmed by telephone contact with the patient and/or general practitioner, if necessary, to complement the data. Results: Ticagrelor was prescribed in 354 patients between December 2011 and December 2012. The follow-up data were available in 301 patients with a mean follow-up duration of 330 days. ETD or switching to another antiplatelet agent occurred in 73 patients (24.3%), mostly due to dyspnea (11.6%), bleeding (3.7%), or planned major surgery (2.7%). Conclusions: Almost one quarter of ticagrelor patients were discontinued prematurely or switched to another antiplatelet agent within 1 year, mostly due to dyspnea or bleeding.

An Experiment to Measure the Performance of Phonetic Key Compression Retrieval Schemes

1977 ◽  
Vol 16 (04) ◽  
pp. 230-233 ◽  
Author(s):  
R. H. Greenfield
Keyword(s):  
Large Margin ◽  
Patient File

The results of an experiment to measure the performance of the Davidson and Soundex phonetic key compression schemes in finding sets of records representing the same individual in a moderately large radiology patient file, as compared to exact surname matches, are presented. This is similar to the problem of retrieving a record by name under the assumption that neither the search key nor the recorded key is accurately known. Both phonetic schemes perform similarly in obtaining extra matches and both outperform by a large margin the exact, name match. The results also indicate that the Davidson scheme is superior to the Soundex because it produces significantly fewer mismatches.

Examining the entry of Walmart into South Africa: A stakeholder management perspective

2019 ◽  
Vol 38 (2) ◽  
pp. 78-89
Author(s):  
Tembinkosi Bonakele ◽  
Dave Beaty ◽  
Fathima Rasool ◽  
Drikus Kriek
Keyword(s):  
South Africa ◽  
Trade Unions ◽  
Negative Impact ◽  
Stakeholder Management ◽  
Sources Of Information ◽  
Key Stakeholders ◽  
Management Perspective ◽  
Labour Standards ◽  
History Of ◽  
Primary Focus

The recent entry of the US multinational Walmart into South Africa has proved to be a source of controversy. Key stakeholders in South Africa objected to the merger and attempted to block it unless certain conditions were met. The aim of this study was to examine the controversy and the conditions surrounding the merger. The research employed a qualitative archival analysis to examine publicly available sources of information with regard to the merger. The findings revealed key stakeholders’ concerns that Walmart’s entry would lead to an increase in imports which would displace local producers, increase unemployment, marginalise trade unions and lower labour standards unless certain conditions were met. The results also revealed problems relating to the firm’s primary focus on “business” while neglecting “public interest” issues, naively relying on their “local retailer” to manage key stakeholders, and assuming that their perceived controversial reputation regarding treatment of trade unions and their views about unemployment as well as the controversies surrounding their history of entry into other global markets would not have the major negative impact it did on stakeholders in South Africa.

Jurnal Tata Kelola Dan Kerangka Kerja Teknologi Informasi

2018 ◽  
Vol 4 (2) ◽  
pp. 99-100
Author(s):  
Magister Sistem Informasi
Keyword(s):  
Change Management ◽  
Stakeholder Management

Jurnal yang diterbitkan berkala oleh Magister Sistem Informasi UNIKOM dua kali dalam setahun. Materi berisi keilmuan sistem informasi seperti: Manajemen Sistem Informasi, ERP, EAP, Kerangka Kerja TI, Tata Kelola TI, Manajemen Resiko, COBIT, Stakeholder Management, CRM, Change Management, IT COST.

Sign in / Sign up

Export Citation Format

Share Document