TY - JOUR A1 - Hogan, Barbara A1 - Rasche, Christoph A1 - Braun von Reinersdorff, Andrea T1 - The First View Concept introduction of industrial flow techniques into emergency medicine organization JF - European journal of emergency medicine : official journal of the European Society for Emergency Medicine N2 - The number of patients seeking treatment in emergency departments is rising, although many governments are seeking to reduce expenditure on health. Emergency departments must achieve more with the same resources or perform the same functions with fewer resources. Patients demand higher emergency clinical care quality, with low waiting times viewed as a key quality criterion by many patients. The objective of this study was to create an improved working system in emergency departments that cuts patient waiting times for first specialty physician contact. Techniques from industrial flow management were applied to the working process of an emergency department and the concept was named 'First View.' A total of 3269 patient contacts using the First View Concept during a treatment month showed statistical significance. Before introduction, a total 3230 patients in a comparative treatment month had a median waiting time before the first doctor contact of 47.6 min, a first quartile waiting time of 36.1 min, and a third quartile waiting time of 62.7 min. After introduction, 3269 patients had a median waiting time before first specialty physician contact of 11.2 min, a first quartile waiting time of 9.1 min, and a third quartile waiting time of 15.2 min. Industrial flow concepts can achieve significant improvements in emergency department workflows in countries in which sufficient numbers of specialty physicians are available. More attention to the organization of emergency department working processes is needed, especially involving lean management. KW - emergency department KW - lean management KW - organization KW - waiting times Y1 - 2012 U6 - https://doi.org/10.1097/MEJ.0b013e32834bbd93 SN - 0969-9546 VL - 19 IS - 3 SP - 136 EP - 139 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Küttner, Uwe-Alexander T1 - Tying sequences together with the [that’s + wh-clause] format BT - on (retro-)sequential junctures in conversation JF - Research on language and social interaction N2 - This article explores a sequence organizational phenomenon that results from the use of a loosely specifiable turn format (viz., That's + wh-clause) for launching (next) sequences while at the same time connecting back to a prior turn. Using this practice creates a sequential juncture, i.e., a pivot-like nexus between one sequence and a next. In third position, such junctures serve to accomplish seamless sequential transitions from one sequence into a next by presenting the latter as locally occasioned. The practice may, however, also be deployed in second position to launch actions that have not been made relevant or provided for by the preceding action and exhibit response relevance themselves. The sequential junctures then become retro-sequential in character: They transform the projected trajectory of the sequence in progress and create interlocking sequential structures. These findings highlight that sequence is practice, while pointing to understudied interconnections between tying and sequentiality. Data are in English. KW - answers KW - organization KW - questions KW - responses Y1 - 2020 U6 - https://doi.org/10.1080/08351813.2020.1739422 SN - 0835-1813 SN - 1532-7973 VL - 53 IS - 2 SP - 247 EP - 270 PB - Routledge, Taylor & Francis Group CY - New York ER - TY - JOUR A1 - Seyfried, Markus A1 - Döring, Matthias A1 - Ansmann, Moritz T1 - The sequence of isomorphism— BT - the temporal diffusion patterns of quality management in higher education institutions and hospitals JF - Administration & society N2 - Isomorphism has been widely used to describe why trends penetrate entire organizational fields. However, research so far has neglected the temporal aspects of such diffusion processes and the organizational reasons underlying the introduction of new management tools. We argue that during reform waves, the reasons for adopting the new tools differ over time. Using comparative data from two surveys on quality management in the field of higher education and the health sector, we show that early adopters are more likely to be motivated by instrumental reasons, while late adopters will more likely be motivated by institutional reasons. KW - isomorphism KW - quality management KW - hospitals KW - higher education KW - institutions KW - organization Y1 - 2021 U6 - https://doi.org/10.1177/00953997211017137 SN - 0095-3997 SN - 1552-3039 VL - 54 IS - 1 SP - 87 EP - 116 PB - Sage Publ. CY - Thousand Oaks ER -