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| 2. |
- Alsholm, Linda, et al.
(författare)
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Interrupted transport by the emergency medical service in stroke/transitory ischemic attack : A consequence of changed treatment routines in prehospital emergency care.
- 2019
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Ingår i: Brain and Behavior. - : Wiley. - 2162-3279 .- 2162-3279.
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The discovery that not all patients who call for the emergency medical service (EMS) require transport to hospital has changed the structure of prehospital emergency care. Today, the EMS clinician at the scene already distinguishes patients with a time-critical condition such as stroke/transitory ischemic attack (TIA) from patients without. This highlights the importance of the early identification of stroke/TIA.AIM: To describe patients with a final diagnosis of stroke/TIA whose transport to hospital was interrupted either due to a lack of suspicion of the disease by the EMS crew or due to refusal by the patient or a relative/friend.METHODS: Data were obtained from a register in Gothenburg, covering patients hospitalised due to a final diagnosis of stroke/TIA. The inclusion criterion was that patients were assessed by the EMS but were not directly transported to hospital by the EMS.RESULTS: Among all the patients who were assessed by the EMS nurse and subsequently diagnosed with stroke or TIA in 2015, the transport of 34 of 1,310 patients (2.6%) was interrupted. Twenty-five of these patients, of whom 20 had a stroke and five had a TIA, are described in terms of initial symptoms and outcome. The majority had residual symptoms at discharge from hospital. Initial symptoms were vertigo/disturbed balance in 11 of 25 cases. Another three had symptoms perceived as a change in personality and three had a headache.CONCLUSION: From this pilot study, we hypothesise that a fraction of patients with stroke/TIA who call for the EMS have their direct transport to hospital interrupted due to a lack of suspicion of the disease by the EMS nurse at the scene. These patients appear to have more vague symptoms including vertigo and disturbed balance. Instruments to identify these patients at the scene are warranted.
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| 3. |
- Andersson Hagiwara, Magnus, et al.
(författare)
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Adverse events in prehospital emergency care: A trigger tool study
- 2019
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Ingår i: BMC Emergency Medicine. - : Springer Science and Business Media LLC. - 1471-227X. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Prehospital emergency care has developed rapidly during the past decades. The care is given in a complex context which makes prehospital care a potential high-risk activity when it comes to patient safety. Patient safety in the prehospital setting has been only sparsely investigated. The aims of the present study were 1) To investigate the incidence of adverse events (AEs) in prehospital care and 2) To investigate the factors contributing to AEs in prehospital care. Methods: We used a retrospective study design where 30 randomly selected prehospital medical records were screened for AEs each month in three prehospital organizations in Sweden during a period of one year. A total of 1080 prehospital medical records were included. The record review was based on the use of 11 screening criteria. Results: The reviewers identified 46 AEs in 46 of 1080 (4.3%) prehospital medical records. Of the 46 AEs, 43 were classified as potential for harm (AE1) (4.0, 95% CI = 2.9-5.4) and three as harm identified (AE2) (0.3, 95% CI = 0.1-0.9). However, among patients with a life-threatening condition (priority 1), the risk of AE was higher (16.5%). The most common factors contributing to AEs were deviations from standard of care and missing, incomplete, or unclear documentation. The most common cause of AEs was the result of action(s) or inaction(s) by the emergency medical service (EMS) crew. Conclusions: There were 4.3 AEs per 100 ambulance missions in Swedish prehospital care. The majority of AEs originated from deviations from standard of care and incomplete documentation. There was an increase in the risk of AE among patients who the EMS team assessed as having a life-threatening condition. Most AEs were possible to avoid. © 2019 The Author(s).
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| 4. |
- Ask, Urban, 1956, et al.
(författare)
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Big Data Challenges for Performance Measurement and Management: A critical reflection
- 2015
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Ingår i: Proceedings in the 8th conference on performance measurement and management control. - 2295-1660.
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Konferensbidrag (refereegranskat)abstract
- Big Data is starting to permeate the field of performance measurement and management. With data being referred to as the “new oil of the 21st century” and organizations more and more striving for utilizing this to their advantage, the notion of Big Data has become a hallmark for the modern decision maker. We argue that albeit promising for performance measurement and management, there are several aspects that need to be addressed within research. This paper builds on a literature review of extant research, and, a case study, and raises issues that if left unchecked could have negative impacts on the field of performance measurement and management. Despite the many positive aspects associated with Big Data, there is a need for a sound, critical perspective. The findings are discussed in relation to the three Vs regarded as a the core definition of Big Data (volume, variety and velocity) and illustrated by a case study.
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| 5. |
- Ask, Urban, 1956, et al.
(författare)
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Big Data use in performance measurement and management : a call for action
- 2016
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Ingår i: Journal of Business and Economics. - : Academic Star Publishing Company. - 2155-7950. ; 7:3, s. 402-417
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Big Data is starting to permeate the field of performance measurement and management. With data being referred to as the “new oil of the 21st century” and organizations more and more striving for utilizing this to their advantage, the notion of Big Data has become a hallmark for the modern decision maker. We argue that albeit promising for performance measurement and management, there are several aspects that need to be addressed within research. This paper builds on a literature review of extant research, and, a case study, and raises issues that if left unchecked could have negative impacts on the field of performance measurement and management. Despite the many positive aspects associated with Big Data, there is a need for a sound, critical perspective. The findings are discussed in relation to the three Vs regarded as the core definition of Big Data (volume, variety and velocity) and illustrated by a case study.
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| 6. |
- Ask, Urban, 1956, et al.
(författare)
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System: Historik och utveckling
- 2018
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Ingår i: Digitalisering och styrning. - Lund : Studentlitteratur. - 9789144117447
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
- Bazarhanova, Anar, et al.
(författare)
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Blockchain-Based Electronic Identification: Cross-Country Comparison of Six Design Choices
- 2019
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Ingår i: Proceedings of the 27th European Conference on Information Systems (ECIS), Stockholm & Uppsala, Sweden, June 8-14, 2019. - : Association for Information Systems. - 9781733632508
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Konferensbidrag (refereegranskat)abstract
- Electronic identification (eID) solutions constitute a critical element in digitalised society. As such, eID has been studied from a variety of perspectives, yet most, if not all existing solutions that have been studied rely on a centralised approach. With the introduction of decentralised technologies such as blockchain, new avenues for designing eID solutions become feasible. In order to acceler-ate the creation of blockchain-based eID solutions and their study, this paper offers a comparison of two traditional eID initiatives in Finland and Sweden and one blockchain-based eID initiative in Taiwan. Based on this comparison, we derive insights in the form of design choices for a block-chain-based eID initiative. The findings show that the repertoire for design choices in eID solutions is expanded by the application of the blockchain. These findings are used as a foundation for discussing the design of blockchain-based eID solutions and the need for future research.
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| 8. |
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| 9. |
- Iveroth, Einar, 1976-, et al.
(författare)
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Introduktion
- 2018
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Ingår i: Digitalisering och styrning. - Lund : Studentlitteratur AB. - 9789144117447 ; , s. 17-35
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 10. |
- Iveroth, Einar, 1976-, et al.
(författare)
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Slutord
- 2018
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Ingår i: Digitalisering och styrning. - Lund : Studentlitteratur AB. - 9789144117447 ; , s. 411-418
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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