Stephanie Coughlin and Frank Milligan
The purpose of this paper is to report the findings of an audit undertaken on the use of the Thrombolysis in Myocardial Infarction (TIMI) scoring system, and adherence to agreed…
Abstract
Purpose
The purpose of this paper is to report the findings of an audit undertaken on the use of the Thrombolysis in Myocardial Infarction (TIMI) scoring system, and adherence to agreed treatment protocols, in the triage of patients with cardiac chest pain.
Design/methodology/approach
A retrospective review of case notes. Sixty eight patients were audited on the use of TIMI score and 64 of these were further audited on the management commenced in the emergency department.
Findings
Only nine of the 68 patients with cardiac chest pain had a TIMI score documented. Of the 64 patients, 31 analysed for treatment commenced were managed correctly, 33 patients (n=64) were either under or over treated.
Practical implications
Adherence to clinical guidelines should be subject to audit review to assess impact on patient outcomes. Over‐treatment included administration of unnecessary anticoagulants raising patient safety and cost issues. Under‐treatment left patients vulnerable to further cardiac events.
Originality/value
This paper demonstrates the value of utilising audit data in quantifying adherence to clinical guidelines, thereby improving patient outcomes.
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Stephanie Bilderback and Chelsae B. Thompson
This paper explores how higher education institutions can redesign curricula to produce globally competitive graduates equipped with critical skills for success in an…
Abstract
Purpose
This paper explores how higher education institutions can redesign curricula to produce globally competitive graduates equipped with critical skills for success in an interconnected workforce. It emphasizes the integration of interdisciplinary learning, global competence and experiential education while positioning leadership development as a central pillar of career readiness.
Design/methodology/approach
The study synthesizes human capital theory, social cognitive career theory and global competence theory to create a framework for equipping students with emotional intelligence, technological proficiency and a global mindset. Using a structured literature review, the paper analyzes stakeholder collaboration strategies and provides actionable recommendations for curriculum redesign and workforce alignment.
Findings
Higher education institutions must move beyond traditional academic models by adopting interdisciplinary approaches, fostering experiential learning and building global partnerships. These strategies help students adapt to dynamic international settings. Stakeholder collaboration and curriculum innovation are critical for ensuring that graduates are prepared to meet the demands of an evolving global economy.
Originality/value
This paper offers a unique contribution by integrating three foundational theories into practical framework that aligns academic preparation with global workforce needs. The proposed framework highlights leadership competence as essential for global adaptability and provides actionable insights for educators, policymakers and industry leaders to bridge academic preparation and workforce demands.
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Hafida Boudkouss and Souad Djelassi
The purpose of this research is twofold: (1) to identify and understand consumer motivations to use interactive technologies in stores through the lens of the uses and…
Abstract
Purpose
The purpose of this research is twofold: (1) to identify and understand consumer motivations to use interactive technologies in stores through the lens of the uses and gratifications (UGT) approach and (2) to understand how these gratifications differ between different interactive technologies (interactive kiosks and self-checkouts).
Design/methodology/approach
This research presents a dual qualitative study based on 32 in-depth interviews with 20 consumers, eight salespersons and four phygital experts.
Findings
The data analysis identified three specific gratifications sought in using interactive kiosks (information-seeking, hedonic and social interaction) and two gratifications common to both interactive kiosks and self-checkouts (control and time-saving).
Originality/value
From a media perspective (UGT), this research provides a deeper understanding of gratifications sought in using interactive technologies in a phygital store. It also contributes significantly to previous research by highlighting that gratifications differ between different technology types.
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Stephanie Thomas, Jacqueline Eastman, C. David Shepherd and Luther Trey Denton
The purpose of this paper is to study the relational impact of using win-win or win-lose negotiation strategies within different types of buyer-supplier relationships.
Abstract
Purpose
The purpose of this paper is to study the relational impact of using win-win or win-lose negotiation strategies within different types of buyer-supplier relationships.
Design/methodology/approach
A multi-method approach is used. Qualitative interviews with supply chain managers reveal that relationship-specific assets and cooperation are important relational factors in buyer-supplier negotiations. Framing interview insights within the social exchange theory (SET), hypotheses are tested using a scenario-based behavioral experiment.
Findings
Experimental results suggest that win-lose negotiators decrease their negotiating partner’s commitment of relationship-specific assets and levels of cooperation. In addition, the use of a win-lose negotiation strategy reduces levels of relationship-specific assets and cooperation more in highly interdependent buyer-supplier relationships than relationships that are not as close.
Research limitations/implications
Buyer-supplier relationships are complex interactions. Negotiation strategy choice decisions can have long-term effects on the overall relationship. As demonstrated in this study, previous research focusing on one side “winning” a negotiation as a measure of success has oversimplified this complex phenomenon.
Practical implications
The use of a win-lose negotiation strategy can have a negative impact on relational outcomes like cooperation and relationship-specific assets. For companies interested in developing strong supply chain relationships, buyer and suppliers should choose their negotiation strategy carefully as the relational impact extends beyond the single negotiation encounter.
Originality/value
Previous research predominantly advocates for the use of a win-win negotiation strategy within interdependent relationships. This research offers evidence that the use of a win-lose strategy does have a long-term relational impact.
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Ya Luan Hsiao, Eric B. Bass, Albert W. Wu, Melissa B. Richardson, Amy Deutschendorf, Daniel J. Brotman, Michele Bellantoni, Eric E. Howell, Anita Everett, Debra Hickman, Leon Purnell, Raymond Zollinger, Carol Sylvester, Constantine G. Lyketsos, Linda Dunbar and Scott A. Berkowitz
Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities…
Abstract
Purpose
Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities. The Johns Hopkins Community Health Partnership (J-CHiP) was created to improve coordination of acute, sub-acute and ambulatory care for patients, and improve the health of high-risk patients in surrounding neighborhoods. The paper aims to discuss this issue.
Design/methodology/approach
J-CHiP targeted adults admitted to the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, patients discharged to participating skilled nursing facilities (SNFs), and high-risk Medicare and Medicaid patients receiving primary care in eight nearby outpatient sites. The primary drivers of the program were redesigned acute care delivery, seamless transitions of care and deployment of community care teams.
Findings
Acute care interventions included risk screening, multidisciplinary care planning, pharmacist-driven medication management, patient/family education, communication with next provider and care coordination protocols for common conditions. Transition interventions included post-discharge health plans, hand-offs and follow-up with primary care providers, Transition Guides, a patient access line and collaboration with SNFs. Community interventions involved forming multidisciplinary care coordination teams, integrated behavioral care and new partnerships with community-based organizations.
Originality/value
This paper offers a detailed description of the design and implementation of a complex program to improve care coordination for high-risk patients in an urban setting. The case studies feature findings from each intervention that promoted patient engagement, strengthened collaboration with community-based organizations and improved coordination of care.