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91.
92.
Despite numerous efforts to foster quality improvement in healthcare, much of the extant data and research indicate that substantial shortcomings in the delivery of effective and reliable care remain. This research examines both general and outcome-specific operations management efforts and their impact on delivering quality healthcare. We empirically test a conceptual framework of safety culture that accounts for the use of general quality practices as well as outcome-specific approaches in light of the general and more focused climates in which those practices are embedded. We utilize structural equation modeling to analyze a unique pairing of primary data from a survey of quality improvement directors and chief nursing officers at 272 hospitals across the U.S. with secondary data on process of care performance publicly reported by the federal government's Center for Medicare and Medicaid Services (CMS). General safety climate and quality practices are found to establish an environment in which outcome-specific efforts enable process quality improvement. A split-group SEM analysis highlights significant differences in managing healthcare safety outcomes through climate and practices. In particular, the employment of practices focused on the specific outcome goals is found to relate to higher quality of patient care in smaller hospitals. In contrast, the development of a climate focused on specific outcome goals is found to relate to higher quality of patient care in larger hospitals. These findings suggest alternative approaches for small and large hospitals in the critical effort to improve patient safety and reduce healthcare costs. 相似文献
93.
文章介绍了现代徽机保护中的自动重合闸装置,结合4/3断路器接线方式下的自动重合闸与保护的配合情况及现场实际,阐述了4/3断路器接线方式下重合闸选型、运行操作及注意事项。 相似文献
94.
Sevgi Erdo?an Elise Miller-Hooks 《Transportation Research Part E: Logistics and Transportation Review》2012,48(1):100-114
A Green Vehicle Routing Problem (G-VRP) is formulated and solution techniques are developed to aid organizations with alternative fuel-powered vehicle fleets in overcoming difficulties that exist as a result of limited vehicle driving range in conjunction with limited refueling infrastructure. The G-VRP is formulated as a mixed integer linear program. Two construction heuristics, the Modified Clarke and Wright Savings heuristic and the Density-Based Clustering Algorithm, and a customized improvement technique, are developed. Results of numerical experiments show that the heuristics perform well. Moreover, problem feasibility depends on customer and station location configurations. Implications of technology adoption on operations are discussed. 相似文献
95.
96.
螺杆钻是一种理想的井下工具,在油田修井作业中主要用来钻可钻桥塞、水泥塞及大修、侧钻的。螺杆钻在钻塞中有它的优点,也有它的缺点,施工过程中稍微不注意,就会钻塞失败,造成钻塞无进尺,甚至造成井下复杂。只要能够认真总结分析钻塞作业失败的原因,找出螺杆钻在钻塞作业过程中的关键所在,就能够找到改进的方法,避免工程事故的发生,减少作业时间,较好的节约作业成本,获得可观的经济价值。 相似文献
97.
作业人员参与油料作业全过程的每个环节,在其中发挥着极其重要的作用。据相关统计,大部分油料安全事故均或多或少在与作业人员的不安全行为有关。为保证油料作业顺利进行,在油料作业过程中应加强对人员的安全管理。 相似文献
98.
The impact of information technologies on manufacturing operations and performance is well established. However, scant research has been devoted to examining information technology (IT) investment among hospitals and how it influences patient care and financial performance. Using the lens of the Theory of Swift Even Flow (TSEF), we present an operations management-based perspective on the effect of IT in streamlining hospital operations. Specifically, we examined the role of IT on patient flow and its consequences for improved hospital efficiency and performance. 相似文献
99.
《Journal of Operations Management》2014,32(4):154-174
In this study, we develop an agent-system co-development (ASC) theoretical framework for behavioral research in supply chains. The ASC framework aims at explaining the dynamic agent-system relationships in supply chains whereby both action-influencing properties of human agents (e.g., beliefs, personalities, attitudes) and governance-influencing properties of supply chain systems (e.g., social norms, power-dependence, partnerial/adversarial relationship forms) mutually influence each other over time. Two empirical studies are conducted to illustrate how ASC can be a useful theoretical framework in supply chain research and to partially validate the central thesis of ASC in the contexts of partnerial/adversarial supply chain relationships and cooperative/competitive attitudes of human agents in supply chains. The results of both studies support the central thesis of ASC regarding the dynamic agent-system relationships. From two replicated experiments in Study 1, the results suggest that agents’ cooperative and competitive attitudes in business relationships are altered as they are exposed to different supply chain conditions of partnerial and adversarial relationships. In addition, from the multi-method research efforts in Study 2, the results from two survey studies and an experiment are largely consistent with one another, suggesting that personnel turnovers in existing supply chain systems can eventually lead to changes in supply-chain-system properties including the degrees of long-term commitment, information sharing, and joint problem-solving between supply chain partners, as well as the frequency of opportunism occurrences in the supply chains. Finally, we propound that the dynamic agent-system relationships proposed in the ASC framework can be a useful analytical lens in viewing various supply chain issues, such as supply chain evolutions and changes, supply chain designs and personnel decisions, and self-reinforcing feedback loops and decision tendencies in supply chains. 相似文献
100.
This article analyzes the attitudes of United States business professionals toward the issue of international bribery, and
in particular, whether or not having a written code of ethics has an effect on these attitudes. A vignette relating to international
bribery from a widely used survey instrument was employed in a nationwide survey of business professionals to gather information
on ethical attitudes of respondents. Data were also collected on gender of respondents, whether or not respondents were self-employed,
whether or not the respondents’ firms had a written code of ethics, and to what extent the respondents’ firms generated revenues
from international operations. Attitudes concerning whether or not international bribery is ever acceptable exhibited wide
dispersion. Respondents from firms that have a written code of ethics were significantly less likely to find international
bribery acceptable. Firms that generate revenues from international operations were significantly more likely to have a written
code of ethics than were firms which did not generate revenues from international operations. Implications of the findings
for business policy are discussed.
Joseph A. McKinney is Ben H. Williams Professor of International Economics at Baylor University. He was previously on the
faculty of the University of Virginia, and has served as visiting professor to universities in Japan, France, the United Kingdom
and Canada. His research interests include business ethics, international trade policy, and regional economic integration.
Carlos W. Moore is the Edwin W. Streetman Professor of Marketing at Baylor University, where he has been on the faculty for
more than 30 years. His research interests include business ethics, marketing and advertising evaluation, and small business
strategies. He has done consulting on bank marketing and new product development. 相似文献