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We aim to explore the role of the interplay between intuition and rationality in the causation-effectuation decision-making processes of small creative businesses during their international expansion.

We developed process research to investigate the causation-effectuation decision-making processes during the internationalization of a creativity-intensive small business located in Brazil. In just three years, its cartoon reached screens in 80 countries.

We discovered an orthogonal relationship between causation and effectuation moderated by the balance between intuition and rationality, enabling small creative businesses to successfully navigate internationalization by adapting to contractual demands and exploring creative opportunities. To explain these relationships, we offer five process-based propositions for further studies.

We reconstructed the internationalization process based on retrospective interviews, so eliminating all biases from rationalization may have been impossible. We elucidate the interrelationship between causation-effectuation decision-making logic and demystify that decision-making effectuation logic is predominantly intuitive. We provide evidence that rational thinking permeates the entire decision-making process as a process of building the future.

Understanding causation-effectuation decision-making processes in creativity-intensive small businesses can be helpful for other businesses because they nurture production on a large scale.

The study emphasizes the importance of creativity-intensive small businesses to countries’ economies. Creativity-intensive businesses grow in other industries and generate many jobs in mature industries.

We demystify the decision-making assumption that effectuation logic is predominantly intuitive while causation logic is rational. Instead, we show that these logics coexist and interact orthogonally and dynamically.

This study aims to establish if risk factors for venous thromboembolism (VTE) in older hospitalized psychiatric patients differ from geriatric inpatients and if the current risk assessment tools being used are suitable.

The authors undertook a single centre retrospective review of 75 records for presence of predetermined risk factors. In total, 55 discharged patients with thrombotic events within geriatric settings were compared with 20 from mental health settings. Differences in risk factors were determined using t-test and Fisher’s exact test.

VTE patients in geriatric units were older and had reduced mobility. Psychiatric patients were more likely to be dehydrated and treated with psychotropics. Whilst rates of VTE screening were comparable in both settings, geriatric inpatients were more frequently prescribed thromboprophylaxis.

Older psychiatric inpatients differ from those in medical/surgical settings in their profiles and risk factors for VTE. Approaches for VTE risk management also differed.

The study suggests the need for VTE screening tools and treatment protocols specific to older psychiatric settings.

Targeted approaches may improve outcomes specific to each group.

To the best of the authors’ knowledge, this is the first attempt in comparing VTE risk factors across acute physical health care and mental health settings.

The purpose of the study has been to fill the gap detected in the literature and to analyze whether the application of management of R&D in accordance with UNE 166002:2021 allows companies to obtain higher product innovation and better performance, specifically incremental and radical product innovations.

The population used in this study included Spanish manufacturing organizations that were active, had more than 50 employees according to the SABI. The information was collected through a structured questionnaire previously tested using a company specializing in the sector under the supervision of the authors. A total of 1,154 companies were randomly contacted in order to reach an acceptable number of 225 valid questionnaires. The data analysis has been carried out with structural equation methodology.

The results obtained with a sample of 225 companies show that the application of this standard for innovation management promotes the development of new products with incremental and radical changes, and improves business performance. It has also been found that incremental and radical product innovations mediate the relationship between this standard and performance.

Firstly, the survey is only addressed to the company's operations manager. Secondly, the sample used is cross-sectional, whereas innovation management implies a broad implementation process.

Managers must know that radical and incremental product innovation can improve the company's operational performance. And the most direct implication of this work is that, those companies that are committed to the development of innovations should seriously consider the application of the principles incorporated in Standard 166,002, as an instrument that improves the results of innovation in the organization. Since this SIMS promotes both types of innovations, it improves results directly and indirectly through these product innovations.

The existing literature indicates that no empirical study has focused on the benefits of this SIMSs for innovation and BP. This paper fills this gap detected in the literature and analyzes the results of the implementation of this standard on incremental and radical product innovations and business performance.