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- Andersson, Roy, et al.
(författare)
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Total productive maintenance in support processes : an enabler for operation excellence
- 2015
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Ingår i: Total Quality Management and Business Excellence. - : Informa UK Limited. - 1478-3363 .- 1478-3371. ; 26:9-10, s. 1042-1055
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Tidskriftsartikel (refereegranskat)abstract
- In order to stay competitive in today's marketplace, it is vital to reduce activities that do not create value. Lean production has in the last decade been seen as a philosophy to reduce non-value time. The office environment often presents a major improvement opportunity to reduce non-value time. Lean contributes positively to business performance applied in a manufacturing context and is also suggested to do the same in a service context. The purpose of the paper is to analyse and determine how total productive maintenance (TPM) can be applied within the support process and to identify effects from an employee and business perspective. A case study has been performed and a qualitative research approach was selected. Empirical data were gathered by using semi-structured interviews at one case company, but from several teams that had applied TPM. The result was then used as an inductive approach to explore how TPM can be applied in a support process. To implement and apply TPM within an office context, it should be structured in three steps (i) define, (ii) implement and (iii) sustain. TPM should be conducted as a part of the ordinary day-to-day work. The planning and discussions connected to TPM can be included in regular daily departmental stand-up meetings' involving everybody. The work with 5S and maintenance should also be a part of the TPM structure, connecting it as a system and not as an isolated activity. TPM can create value from both a business and an employee perspective. In the employee perspective, TPM reduces the risk of missing/forgetting areas of responsibility and creates more involvement. In the business perspective, objectives such as cost and quality are improved, but TPM also enables the reduction of waste.
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| 2. |
- Andersson, S.-O., et al.
(författare)
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The criteria nurses use in assessing acute trauma in military emergency care
- 2007
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Ingår i: Accident and Emergency Nursing. - : Elsevier BV. - 0965-2302 .- 1532-9267. ; 15:3, s. 148-156
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Tidskriftsartikel (refereegranskat)abstract
- Emergency medical care for seriously injured patients in war or warlike situations is highly important when it comes to soldiers' survival and morale. The Swedish Armed Forces sends nurses, who have limited experience of caring for injured personnel in the field, on a variety of international missions. The aim of this investigation was to identify the kind of criteria nurses rely on when assessing acute trauma and what factors are affecting the emergency care of injured soldiers. A phenomenographic research approach based on interviews was used. The database for the study consists of twelve nurses who served in Bosnia in 1994-1996. The criteria nurses rely on, when assessing acute trauma in emergency care, could be described in terms of domain-specific criteria such as a physiological, an anatomical, a causal and a holistic approach as well as contextual criteria such as being able to communicate, having a sense of belonging, the military environment, the conscript medical orderly and familiarity with health-caring activity. The present study shows that the specific contextual factors affecting emergency care in the field must also be practised before the nurse faces military emergency care situations. This calls for realistic exercises and training programs, where experience from civilian emergency care is interwoven with the knowledge specific to military medical care. © 2007 Elsevier Ltd. All rights reserved.
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| 3. |
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| 4. |
- Hagiwara, Magnus, et al.
(författare)
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The effect of a Computerised Decision Support System (CDSS) on compliance with the prehospital assessment process: results of an interrupted time-series study
- 2014
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Ingår i: BMC Medical Informatics and Decision Making. - : Springer Science and Business Media LLC. - 1472-6947. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Errors in the decision-making process are probably the main threat to patient safety in the prehospital setting. The reason can be the change of focus in prehospital care from the traditional "scoop and run" practice to a more complex assessment and this new focus imposes real demands on clinical judgment. The use of Clinical Guidelines (CG) is a common strategy for cognitively supporting the prehospital providers. However, there are studies that suggest that the compliance with CG in some cases is low in the prehospital setting. One possible way to increase compliance with guidelines could be to introduce guidelines in a Computerized Decision Support System (CDSS). There is limited evidence relating to the effect of CDSS in a prehospital setting. The present study aimed to evaluate the effect of CDSS on compliance with the basic assessment process described in the prehospital CG and the effect of On Scene Time (OST). Methods: In this time-series study, data from prehospital medical records were collected on a weekly basis during the study period. Medical records were rated with the guidance of a rating protocol and data on OST were collected. The difference between baseline and the intervention period was assessed by a segmented regression. Results: In this study, 371 patients were included. Compliance with the assessment process described in the prehospital CG was stable during the baseline period. Following the introduction of the CDSS, compliance rose significantly. The post-intervention slope was stable. The CDSS had no significant effect on OST. Conclusions: The use of CDSS in prehospital care has the ability to increase compliance with the assessment process of patients with a medical emergency. This study was unable to demonstrate any effects of OST.
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| 5. |
- Melby, V, et al.
(författare)
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Patient comfort in pre-hospital emergency care : A challenge to clinicians.
- 2012
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Ingår i: Journal of Paramedic Practice. - : M A Healthcare Ltd.. - 1759-1376. ; 4:7, s. 389-399
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this paper is to report on a study that compared ambulance clinicians' views of two different types of patient coverings, focusing on core caring concepts such as comfort, dignity, and safety. Design: Ambulance clinicians' views were gathered in respect of two types of patient coverings, and 128 ambulance patients were randomly distributed into a control or experimental group receiving respectively either the traditional cotton blanket or a multi-layered TelesPro rescue covering. Views were gathered using a short questionnaire developed by the authors. Findings: Ambulance clinicians, in their own view, maintained the core caring concepts no matter which type of covering was used. Findings suggest strongly that the rescue covering provided for a superior patient experience in respect of all core concepts and one functional aspect. Conclusions: Ambulance clinicians undertake caring that encompasses the core caring concepts of comfort, safety, and dignity, while remaining vigilant to threats to these constituents of caring.
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| 6. |
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"...men ingen berättar om de fula sidorna..."Rapport från en FoU-cirkel för lokal mobilisering mot cannabis
- 2013
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Det finns många myter, fördomar och föreställningar kring cannabis, som är det mest använda narkotiska preparatet i Europa1. En av dem låter ungefär så här: – Cannabis, det växer ju i naturen, det kan väl inte vara farligt eller skadligt, det är ju naturligt, så då måste det väl vara ok. Men spice, det är ju konstgjord skit, det kan man inte ta, det är ju livsfarligt. Myten är, åtminstone när det gäller att avstå spice, dåligt förankrad i verkligheten, så som myter brukar vara. Tullens beslag av syntetiska droger ökar hela tiden och i topp ligger kemiskt framställd cannabis. I dagsläget finns 31 olika sorter spice, som alla är narkotikaklassade. Tillsammans med cannabis och hasch utgör de lejonparten av alla tullens beslag när det gäller droger som beställs via nätet och som kommer till sina beställare via posten. Till det kommer den mer traditionella smugglingen av drogerna med tillhörande gatulangning. Hemodlandet av cannabis både i form av enstaka plantor på fönsterbrädan eller i garderoben för eget bruk, och i form av ”yrkesmässig” odling för försäljning, verkar också öka. Enligt Tullverket ökar också shoppingturismen över Öresund, särskilt inför och under helger, när många åker över till Danmark för att fylla på sina egna lager av cannabis och cannabisharts2. Tillgången på såväl odlad cannabis som syntetiskt framställd sådan är med andra ord god, och cannabis är den vanligaste illegala drogen bland ungdomar i Sverige, och användningen ökar, hela tiden. Kunskapsläget kring cannabisanvändandet varierar från de riktigt insatta till dem som inte är riktigt lika insatta och som därför lätt förirrar sig in i myternas töcken. En del av den kunskap som finns har vi samlat i den här FoU-rapporten till stöd för en regional mobilisering mot cannabis i Västra Götaland.
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