... to improve PPI initiatives deployed at the organisational level. Compared to primary care settings (Sharma et Grumbach, 2017 ; Liang et al., 2018), hospitals seem to have jumped on the bandwagon rather late, particularly in western Europe. A cross-sectional study conducted in 2017 in four western...

... hospitals. Integrating these new systems requires meticulous planning and coordination to ensure that changes do not disrupt patient care or compromise safety (Simsim et al., 2021). Moreover, cultural considerations, regulatory frameworks and resource availability in Saudi Arabia further impact...

... investigates HR allocation for surgical instrument picking processes at a North American hospital. The hospital recently redesigned its surgical instrument inventory, picking processes and transportation methods, leading to new roles in the operating rooms (OR) and the central sterilization department (CSD...

... hospitals. Design/methodology/approach This study employs a retrospective cross-sectional design, using a web-based survey of 651 HCWs. The data were analyzed using descriptive statistics, logistic regression, an independent sample t-test, and path analysis. Findings Around 651 HCWs...

...Adamina Ivcovici; Greg Bamber; Timothy Bartram; Pauline Stanton; Jessica Borg; Patricia Pariona-Cabrera Purpose This study aims to examine how hybrid medical managers in a public hospital reconcile their identities and involvement in management-introduced top-down interventions to improve...

.../approach The research examines how increased centralization and reduced organizational autonomy affect decision-making in hospitals, employing qualitative analysis through in-depth interviews with top managers. The study collected and analyzed data from 15 hospital managers in year 2015 and 2022 (eight...

... level (47), followed by comparisons at a hospital/organizational level (11), and only one study at a team/unit/ward level and two at multiple levels. There were more quantitative studies overall (43) than qualitative (21), while some studies employed both/mixed methods (six). In the articles using...

...Hendrik Winzer; Tor Kristian Stevik; Kaspar Akilles Lilja; Therese Seljevold; Joachim Scholderer Purpose Tactical capacity planning is crucial when hospitals must cope with substantial changes in patient requirements, as recently experienced during the Covid-19 pandemic. However, there is only...

... to multidisciplinary team meetings (MDTMs). This study analyses the factors that influence whether or not nurses will speak up and increase patient-centred decision-making in MDTMs. Design/methodology/approach A multiple case study with cross-case comparison of twelve tumour groups across two Belgian hospitals...

... for the Greek general hospitals (GHs) during the period 2016–2018. Design/methodology/approach Financial statements (balance sheets and income statements) of 84 general hospitals (GHs), 52 public and 32 private, over a three-year period (2016–2018), were analyzed. Spearman’s Rs correlation was carried out...

...Thanduxolo Elford Fana; Jane Goudge Purpose In this paper, the authors examine the strategies used to reduce labour costs in three public hospitals in South Africa, which were effective and why. In the democratic era, after the revelations of large-scale corruption, the authors ask whether...

...Helge Schnack; Sarah Anna Katharina Uthoff; Lena Ansmann Purpose Like other European countries, Germany is facing regional physician shortages, which have several consequences on patient care. This study analyzes how hospitals perceive physician shortages and which strategies they adopt to address...

... improvement (PI) activities in a hospital setting. Design/methodology/approach A single case study of a hospital system in Melbourne, Victoria, Australia, was used to assess the applicability of the framework. The study sought to verify the framework's intention, that PI methods could be used to address...

...Maureen Alice Flynn; Niamh M. Brennan Purpose The paper examines interviewee insights into accountability for clinical governance in high-consequence, life-and-death hospital settings. The analysis draws on the distinction between formal “imposed accountability” and front-line “felt accountability...

...Annelies van der Ham; Arno van Raak; Dirk Ruwaard; Frits van Merode Purpose Integration, that is, the coordination and alignment of tasks, is widely promoted as a means to improve hospital performance. A previous study examined integration and differentiation, that is, the extent to which tasks...

... and challenging elements in hospital reforms. The authors study the social aspects of management and the roles of middle managers in the aftermath of a hospital merger. Especially, the purpose of this paper is to investigate how professional staff and middle managers perceive their relationships with top managers...

...Sandra C. Buttigieg; Dorothy Gauci; Frank Bezzina; Prasanta K. Dey Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon’s decision that considers criticality of the surgery, patient’s conditions before and after surgery, expected time to recovery...

... Thinking, and the organizational context is the imaging department of an Australian public hospital. Design/methodology/approach – Intrinsic case study methods including observation, interviews with radiology and emergency personnel about scheduling procedures, mapping patient appointment processes...

...Inger Johanne Pettersen; Elsa Solstad Purpose – The hospital sector in Norway has been continuously reorganized since 2002 and the reforms have created organizations that are functionally/vertically controlled, whereas the production lines are coordinated on a process or a lateral basis...