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Adopting Process Management-the Importance of Recognizing the Organizational Transformation
Hellstrom, Andreas,Peterson, Jonas The Korean Society for Quality Management 2006 The Asian Journal on Quality Vol.7 No.1
The purpose of this study is to investigate what happens within an organization when a process view of the business is adopted. With the example of an empirical case, we aim to illustrate: how members of the organization make sense of process management; what contributions members of the organization consider to be the result of adopting a process view; and the relationship between the functional and the process structure. The empirical base in this study is one of Sweden's largest purchasing organizations within the public sector. The results are drawn from interviews with the process owners and a survey to all members involved in process teams. The case findings reveal an ambiguous image of process management. At the same time as process management solved specific organizational problems, it generated new dilemmas. It is argued that it is more rewarding to consider the adoption of the process view a 'social negotiation' rather than the result of planned implementation. The study also highlights that the meaning of process management is not anything given but something being created, and its negotiation and translation into organizational practice is open-ended. Furthermore, the study gives an illustration of the conflict between the adopted process view and the existing functional organization.
Evaluation of the IngVaL Pedobarography System for Monitoring of Walking Speed
Per Anders Rickard Hellstrom,Anna Åkerberg,Martin Ekström,Mia Folke 대한의료정보학회 2018 Healthcare Informatics Research Vol.24 No.2
Objectives: Walking speed is an important component of movement and is a predictor of health in the elderly. Pedobarography, the study of forces acting between the plantar surface of the foot and a supporting surface, is an approach to estimating walking speed even when no global positioning system signal is available. The developed portable system, Identifying Velocity and Load (IngVaL), is a cost effective alternative to commercially available pedobarography systems because it only uses three force sensing resistors. In this study, the IngVaL system was evaluated. The three variables investigated in this study were the sensor durability, the proportion of analyzable steps, and the linearity between the system output and the walking speed. Methods: Data was collected from 40 participants, each of whom performed five walks at five different self-paced walking speeds. The linearity between the walking speed and step frequency measured with R2 values was compared for the walking speed obtained ‘A’ only using amplitude data from the force sensors, ‘B’ that obtained only using the step frequency, and ‘C’ that obtained by combining amplitude data for each of the 40 test participants. Results: Improvement of the wireless data transmission increased the percentage of analyzable steps from 83.1% measured with a prototype to 96.6% for IngVaL. The linearity comparison showed that the methods A, B, and C were accurate for 2, 15, and 23 participants, respectively. Conclusions: Increased sensor durability and a higher percentage of analyzed steps indicates that IngVaL is an improvement over the prototype system. The combined strategy of amplitude and step frequency was confirmed as the most accurate method.
( Bo Bergman ),( Andreas Hellstrom ),( Svante Lifvergren ) 한국품질경영학회 2015 한국품질경영학회 학술대회 Vol.2015 No.2
Purpose - Quality improvement programs are still quite rare in healthcare, and often healthcare professionals that are given roles like ―quality managers”, ―organization development” or ―improvement leaders” do not have a common understanding of a basic underlying theory of quality improvement. As Deming, inspired by the pragmatic philosopher C I Lewis, said: ―Without a theory experiences teaches nothing”. In 2003 the Division of Quality Sciences at Chalmers was asked to provide a common theory to quality managers and improvement leaders - an academic course (30 ECTS) was created. Based on the very positive responses from the participants of this course and their employers we decided to create a Centre for Healthcare Improvement (CHI) at Chalmers with a focus on research and education with a pronounced objective to make a difference to healthcare organizations especially in the region of Vastra Gotaland. From these experiences we want to suggest that education could be used as a catalyst for healthcare transformation. Methodology - Since the starting point of the educational initiative in 2004 we have followed the development of improvement activities and educational initiatives in the surrounding healthcare system, i.e. the Vastra Gotaland region with special emphasis on the Skaraborg hospital group and the Regional Cancer Centre Vast as cases. Findings - Education has been at the core of the initiative at CHI and a lot of improvement activities have been catalysed through the course participants and their organizations. A research program with an action research profile supporting healthcare transformation has been created. The education together with this research has created a snowball effect leading to many improvement projects and a shift towards an improvement, process oriented and customer/patient focused culture in the participating healthcare organizations. Originality - In today´s search for remedies of the emerging health care crisis new ways of improving healthcare are needed. Education has been suggested as an important possibility. However, few long term results have been published - especially not long term effects from continual education in improvement science. The contribution herein gives a contribution to the literature on improvement science and corresponding education initiatives.
The development of practice model for uterus auto-transplantation using domestic pigs
( Jae Young Pae ),( Arvind Manikantan Padma ),( Mats Hellstrom ),( Mihai Oltean ),( Mats Brannstrom ),( Min Jong Song ) 대한산부인과학회 2020 대한산부인과학회 학술대회 Vol.106 No.-
Objective: The present study aims to develop a practice model for uterus auto-transplantation using domestic pigs. Methods: Ten domestic pigs were used to develop a practice model. First 3 pigs are used for anatomical investigation to choose proper vessels used for anastomoses. Seven pigs were used to perform the uterus auto-transplantation. Under general anesthesia, the bicornuate uterus was carefully dissected and harvested with its bilateral feeding arteries and draining veins. The feeding arteries were bilateral umbilical arteries and the draining veins were bilateral ovarian arteries. After harvesting the uterus, bilateral arteries were cannulated immediately and the uterus was flushed with cold (+4 C) Custodiol (HTK) solution supplemented with xylocaine (0.4 mg/ml). The uterus was stored at +4 cooling chamber during during flushing. Flushed uterus was placed in its original position and the bilateral umbilical arteries and bilateral ovarian veins were anastomosed end to side to bilateral external iliac arteries and veins respectively. Indocyanine green (ICG) angiography was performed to monitor of reperfusion for 1hour. Results: Mean total operation time was 298 minutes and mean duration of donor surgery was 119 minutes. The mean cold ischemic time was 56 minutes and the mean warm ischemic time was 123 minutes. Estimated mean blood loss was 200 mL. All seven auto-transplanted pigs were considered well isolated and flushed. They also showed satisfactory reperfusion judged by change in gross appearance and ICG angiography. Conclusion: This study showed that a practice model for uterus auto-transplantation using domestic pigs is feasible and demonstrated that a satisfactory reperfusion could be achieved.
Modifying Risk Factors in the Management of Erectile Dysfunction: A Review
Kenneth J DeLay,Nora Haney,Wayne JG Hellstrom 대한남성과학회 2016 The World Journal of Men's Health Vol.34 No.2
Erectile dysfunction (ED) is prevalent among men and its presence is often an indicator of systemic disease. Risk factors for ED include cardiovascular disease, hypertension, diabetes mellitus (DM), tobacco use, hyperlipidemia, hypogonadism, lower urinary tract symptoms, metabolic syndrome, and depression. Addressing the modifiable risk factors frequently improves a patient’s overall health and increases lifespan. The literature suggests that smoking cessation, treatment of hyperlipidemia, and increasing physical activity will improve erectile function in many patients. How the treatment of DM, depression, and hypogonadism impacts erectile function is less clear. Clinicians need to be aware that certain antihypertensive agents can adversely impact erectile function. The treatment of men with ED needs to address the underlying risk factors to ameliorate the disease process.