| 1. |
- Hussain, Tajammal, et al.
(author)
-
Knowledge-based intellectual structure of research in business excellence (1995-2015)
- 2020
-
In: Total Quality Management and Business Excellence. - : Informa UK Limited. - 1478-3363 .- 1478-3371. ; 31:11-12, s. 1171-1194
-
Journal article (peer-reviewed)abstract
- This quantitative study is meant to explore the intellectual structure paradigm of organisational business excellence (OBE) as an emerging field of research. Advanced bibliometric analysis of co-citations is performed through synchronising the relationships between the research articles published within the OBE domain. The primary objective was to develop an understanding of the field's fundamental composition, current inward integration, outward expansion, and future research directions. The Elsevier Scopus database of journal articles was retrieved for the 1995-2015 period. Initially, descriptive analysis explored interesting findings about OBE as a distinct research domain: (1) most influential authors both in terms of the number of publications and citations; (2) most productive years for publications; (3) most productive journals. Furthermore, principal component analysis and multidimensional scaling revealed 10 main research dimensions of OBE, for example, (1) the ways of achieving OBE; (2) adoption of OBE philosophy across the organisations; (3) measuring the implementation and performance of OBE, and so on. This research identified an emerging trend of applying OBE concepts across multidisciplinary fields. As the findings of this study suggest the vitality and future progression of the business excellence as a research field, therefore, this study could be of great utility and of interest for all concerned stakeholders of OBE research.
|
|
| 2. |
- Hussain, Tajammal, et al.
(author)
-
The intellectual structure of research in ISO 9000 standard series (1987-2015) : a Bibliometric analysis
- 2020
-
In: Total Quality Management and Business Excellence. - : Informa UK Limited. - 1478-3363 .- 1478-3371. ; 31:11-12, s. 1195-1224
-
Journal article (peer-reviewed)abstract
- Since its inception in 1987, the ISO 9000 standards series has received remarkable appreciation as a quality management system as well as a prolific field of research. The substantial amount of ISO standards scholarly research has contributed over the years to the accumulation of sound scientific knowledge. This article aims to develop a better view of ISO 9000 standards, as a field of research, by investigating the intellectual structures of summative knowledge, underlying dynamics, temporal progression, current development, and future evolution of research dimension. The Elsevier Scopus Bibliometric database searched for journal articles largely focused on ISO 9000 series, published during 1987-2015 period. The synchronised use of Bibliographic Coupling Technique and Factor Analysis yields eight prominent research streams. The study suggests that within the domain of ISO 9000 standards, some issues have been more frequently researched, such as organisational motives behind seeking ISO 9000 certification, perceived operational, marketing, business outcomes, and cultural transformation essential for successful adaption of ISO 9000 standards. Secondly, research is still inconclusive about some other well-researched issues: comprehended performance outcomes, challenges in acquiring, registering, and maintaining certification, lessons learned, and effectiveness of certification, internal and external challenges, and the trade-off between cost and benefits.
|
|
| 3. |
- Nüssler, Emil, et al.
(author)
-
Impact of surgeon experience on routine prolapse operations
- 2018
-
In: International Urogynecology Journal. - : Springer. - 0937-3462 .- 1433-3023. ; 29:2, s. 297-306
-
Journal article (peer-reviewed)abstract
- Introduction and hypothesis: Surgical work encompasses important aspects of personal and manual skills. In major surgery, there is a positive correlation between surgical experience and results. For pelvic organ prolapse (POP), this relationship has to our knowledge never been examined. In any clinical practice, there is always a certain proportion of inexperienced surgeons. In Sweden, most prolapse surgeons have little experience in performing prolapse operations, 74% conducting the procedure once a month or less. Simultaneously, surgery for POP globally has failure rates of 25-30%. In other words, for most surgeons, the operation is a low-frequency procedure, and outcomes are unsatisfactory. The aim of this study was to clarify the acceptability of having a high proportion of low-volume surgeons in the management of POP.Methods: A group of 14,676 exclusively primary anterior or posterior repair patients was assessed. Data were analyzed by logistic regression and as a group analysis.Results: Experienced surgeons had shorter operation times and hospital stays. Surgical experience did not affect surgical or patient-reported complication rates, organ damage, reoperation, rehospitalization, or patient satisfaction, nor did it improve patient-reported failure rates 1 year after surgery. Assistant experience, similarly, had no effect on the outcome of the operation.Conclusions: A management model for isolated anterior or posterior POP surgery that includes a high proportion of low-volume surgeons does not have a negative impact on the quality or outcome of anterior or posterior colporrhaphy. Consequently, the high recurrence rate was not due to insufficient experience of the surgeons performing the operation.
|
|
| 4. |
- Nüssler, Emil Karl, et al.
(author)
-
Decisions to use surgical mesh in operations for pelvic organ prolapse : a question of geography?
- 2019
-
In: International Urogynecology Journal. - : Springer London. - 0937-3462 .- 1433-3023. ; 30:9, s. 1533-1539
-
Journal article (peer-reviewed)abstract
- Introduction and hypothesis: Surgical mesh can reinforce damaged biological structures in operations for genital organ prolapse. When a method is new, scientific information is often contradictory. Individual surgeons may accept different observations as useful, resulting in conflicting treatment strategies. Additional scientific information should lead to increasing convergence.Methods: Based on data from the Swedish National Quality Register of Gynecological Surgery, all patients who underwent their first recurrent anterior compartment prolapse operation between 2006 and 2017 were included (2758 patients). Surgical mesh was used in 56.5%. We analyzed inter-county disparities in and patterns of mesh use over 12 years. To minimize confounding, we selected a group of highly comparable patients where similar decision patterns could be expected.Results: The use of mesh differed between counties by a factor of 11 (8.6-95.3%). Counties with low use of mesh continued with low use and counties with high use continued with high use.Conclusions: Decisions regarding how to interpret existing scientific information about mesh implants in the early years of mesh use have led to "communities of practice" highly influenced by geographical factors. For 12 years, these groups have made disparate decisions and upheld them without measurable change toward consensus. The scientific learning process has stopped-despite the abundance of new publications and the steady supply of new types of mesh. Ongoing disparity in surgeons' choices in comparable patients has an adverse effect on clinical care. For the patient, this represents 12 years of a geographical lottery concerning whether mesh is used or not.
|
|
| 5. |
- Nüssler, Emil K., et al.
(author)
-
The influence of geographical and clinical factors on decisions to use surgical mesh in operations for pelvic organ prolapse
- 2018
-
In: Total Quality Management and Business Excellence. - : Routledge. - 1478-3363 .- 1478-3371.
-
Journal article (peer-reviewed)abstract
- Background: Surgical mesh can reinforce damaged biological structures in operations for genital organ prolapse. The first mesh products were cleared by the U.S. Food and Drug Administration in 2002. In contrast to stringent requirements for the development of pharmaceuticals, there was never a systematic scientific evaluation of mesh products.Purpose: We examined whether Swedish gynecological surgeons have transformed increasing amounts of scientific information into common learning, resulting in a convergent and consistent pattern of mesh use.Methods: Based on data from the Swedish National Quality Register of Gynecological Surgery, registered from 2010 to 2016, we examined changes in decisions to use mesh in a largely uniform group of 2864 recurrence patients operated by 455 surgeons, where surgical mesh was used in 1435 patients (50.1%). By means of logistic regression, we explained decisions to use mesh by clinical risk factors, an FDA warning, year of surgery, type of hospital, and geographical factors.Results: The use of mesh in Sweden varied extensively, by a range from 7% to 93% on county level. These disparities were maintained between the entities over time. Different groups of decision makers had drawn different conclusions from the available information. Geography was the most important parameter in explaining decisions to use mesh.Conclusion: Mounting scientific information has had no measurable impact on decision-making, and has not led to a more consistent decision pattern. Early decisions have led to obvious ‘communities of practice’ at county and region levels. Swedish surgeons, unaltered through 7 years, have made mesh decisions in a clearly biased fashion, highly influenced by geographical factors, and with no measurable change towards national consensus.
|
|
