| 1. |
- Bäck, Torbjörn, et al.
(författare)
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Lifetime measurement of the first excited 2(+) state in (108)Te
- 2011
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Ingår i: Physical Review C. Nuclear Physics. - 0556-2813 .- 1089-490X. ; 84:4, s. 041306-
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Tidskriftsartikel (refereegranskat)abstract
- The lifetime of the first excited 2(+) state in the neutron deficient nuclide (108)Te has been measured for the first time, using a combined recoil decay tagging and recoil distance Doppler shift technique. The deduced reduced transition probability is B(E2;0(g.s.)(+) -> 2(+)) = 0.39(-0.04)(+0.05)e(2)b(2). Compared to previous experimental data on neutron deficient tellurium isotopes, the new data point constitutes a large step (six neutrons) toward the N = 50 shell closure. In contrast to what has earlier been reported for the light tin isotopes, our result for tellurium does not show any enhanced transition probability with respect to the theoretical predictions and the tellurium systematics including the new data is successfully reproduced by state-of-the-art shell model calculations.
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| 2. |
- Edvall Malm, Disa, 1965-
(författare)
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Det socio-polisiära handlingsnätet : om kopplingar mellan polis och socialtjänst kring ungdomars kriminalitet och missbuk
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Övergripande diskuterar avhandlingen olika aspekter av att samhällets system av stöd och kontroll för barn och unga knyts närmare samman. Det handlar om hur samverkan framställs och uppfattas på olika nivåer och hur den konkretiseras i polisens och socialtjänstens arbete kring unga som utvecklat eller bedöms riskera att utveckla kriminalitet och/eller missbruk. Studieobjektet inbegriper övergripande ideologisknivå, lokal/praktisknivå och individuell nivå. Syftet med avhandlingen är att identifiera, beskriva och analysera polisens och socialtjänstens samverkan kring barn och ungas kriminalitet och missbruk. Utgångspunkten är hur; samverkan mellan myndigheterna framställs i offentliga dokument, hur lokala aktörer uppfattar behovet av men också möjligheter, svårigheter och hinder kring samverkan, hur myndigheterna lokalt är organiserade för att aktualisera, handlägga, behandla och avsluta barn och unga, och slutligen vilka barn och unga som denna samverkan kan omfatta. Avsikten är att få en bild av vad denna samverkan på policynivå innebär och sätta detta i relation till hur polis och socialtjänst förstår och skapar sina respektive och gemensamma uppdrag i förhållande till varandra lokalt. I avhandlingen används tre olika empiriska material och olika metoder för analys: Analys av statliga offentliga dokument, kvalitativa intervjuer med poliser, socialarbetare och deras chefer i en kommun och en kvantitativ kartläggning av aktuella ungdomar i kommunen. Handlingsnät som teoretisk grund används för att studera kopplingar mellan de båda myndigheterna och de tre olika nivåerna av studien. Genom att använda handlingsnät blir det möjligt att se hur polisens och socialtjänstens olika uppdrag kopplas samman kring barn och ungas kriminalitet och missbruk.Resultaten av studien visar att det pågår en ettablering av ett socio-polisiärt handlingsnät på den övergripande ideologiska nivån och den lokala kommunala nivån. I policydokumenten förspråkas ett kontrollerande förhållningsätt gentemot ungas kriminalitet. På den lokala nivån handlade det om ett kontrollstödjande förhållningsätt för att motverka både ungas kriminalitet och missbruk. Resultaten av studien visar att socialtjänsten fått ta ett större ansvar för att utreda och verkställa påföljder för ungas kriminella handlingar, samtidigt som det inom socialtjänsten riskerar att utvecklas en logik mera baserad på straffvärdet av den brottsliga handlingen än den unges individuella behov av hjälp och stöd. Studien visar att i polisens och sociatjänstens arbete med enskilda barn och unga finns få möjligheter till samarbete. Dessutom var det få unga personer som samtidigt var aktuella för både polis och socialtjänst, vilket gör det svårt att uppnå något djupare längre samarbete kring enskilda ungdomar under längre tid. Det kan i bästa fall mera handla om en form av remissförfarande från polis till socialtjänst.
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| 3. |
- Iversen, Carina, et al.
(författare)
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Increasing Patient Accessibility to a Surgery Department Through Operations Management Principles
- 2014
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Ingår i: Proceedings of the sixth Swedish Production Symposium, 16-18 September 2014, Gothenburg, Sweden.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates how the application of operations management principles can be used to increase patients’ access to an inpatient care facility that supplies acute and non-acute care, in a Swedish University Hospital. This paper also identifies problems and solutions related to patient flow, as well as facilitators and barriers to implementation process. The study shows that patient accessibility can be increased by using operations management principles such as separated flows. The implementation was facilitated by short term gains, management support, and visible leadership. The barriers to implementation were identified as lack of operations management knowledge, deficiencies in improvement work and regulations.
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| 4. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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Factors that hinder the implementation of process flow solutions in healthcare - Empirical findings from four emergency departments
- 2010
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Ingår i: Proceedings of the 17th International Annual EurOMA Conference – Managing Operations in Service Economies, 6-9 June 2010, Catholic University, Porto, Portugal..
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Konferensbidrag (refereegranskat)abstract
- This paper investigates factors that hinder the implementation of process flow solutions in healthcare. Empirical findings are based on case studies from four emergency departments. A qualitative research method was used. The main factors can be categorized into following areas: management on strategic and operational level, professional hierarchies and traditions, existing knowledge paradigm. These areas are connected to a multifaceted customer conception with differing perceptions on what are value-creating activities which lead to insufficient patient focus in the implementation.
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| 5. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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Factors that hinder the implementation of process flow solutions related to the existing knowledge paradigm in healthcare
- 2010
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Ingår i: Proceedings of APMS 2010 - International Conference on Advances in Production Management Systems. - 9788864930077 ; , s. NS.5.1; id 195-
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Konferensbidrag (refereegranskat)abstract
- This paper investigates factors that hinder the implementation of process flow solutions related to the existing knowledge paradigm in healthcare. There is a prevailing view of the knowledge areas that healthcare should master. Medical science is, of course, in focus but in order to create efficiency in production of care, there is a need of widening the traditional approach and being open to knowledge from the operations management field.Physicians play a significant role when implementing process flow solutions and they have a severe impact on how knowledge in operations management is developed and established in healthcare organizations. There is a challenge in having both physicians and nurses involved in patient flow improvement projects that are not explicitly connected to their research or specialist areas.
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| 6. |
- Jacobsson, Torbjörn, 1971
(författare)
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Flow efficiency in the emergency department – solutions and implementation
- 2014
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Ingår i: Proceedings of the 21th International Annual EurOMA Conference – Operations Management in an Innovation Economy, 20-25 June 2014, Palermo, Italy.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates flow efficiency in the production of care in emergency departments, process flow solutions and the factors that hinder the implementation of these solutions. Qualitative research, similar to a clinical methodology, is used to analyze the cases. Various process flow solutions were identified based on standardization of work routines, focused factory, multi-disciplinary teamwork, capacity planning, and patient flow visualization. The factors found to play a significant role in the implementation of process flow solutions include top-management leadership, physicians’ autonomy, existing knowledge paradigm, barriers to continuous improvement work and a multifaceted conception of the customer.
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| 7. |
- Jacobsson, Torbjörn, 1971
(författare)
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Implementering av processlösningar i sjukvården
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Many healthcare organizations are increasingly confronting long waiting times and queues of patients. It is no longer feasible to add resources, due to increasing economic constraints. Implementing process flow solutions, derived from the operations management field, is a promising way of trying to meet these challenges.This dissertation investigates factors influencing the implementation of process flow solutions in healthcare. Findings are based on five empirical case studies, i.e. four emergency departments and one out-patient clinic.The term ‘process flow solutions’ is used as an umbrella term for all kinds of solutions that strive to establish a swift and even flow of patients before and after their meeting with physician or nurse. These process flow solutions can come from a number of different techniques and approaches such as Lean Production, Toyota Production System or Focused Operations.Although there has been theoretical work published regarding the benefits of using process flow solutions in healthcare, in reality the impact has often been limited. One explanation lies in the implementation difficulties of these solutions in an ambiguous healthcare context. There is a need of more research to draw conclusions regarding factors that influence the implementation. A qualitative research method was used, and data collection was based on interviews, conversations and participant observations.Several factors were identified which play a significant role when attempting to implement process flow solutions in the production of care. This dissertation shows that all key factors that hinder the implementation can be categorized into three main areas: Management on strategic and operational level, Professional hierarchies and traditions, and Existing knowledge paradigm. These areas are connected, implicitly or explicitly, to an experienced multifaceted customer conception which leads to insufficient patient focus in the implementation. This dissertation suggests that this patient focus, initiated in the production of care, can further help healthcare organizations to increase the required integrations of the present separate worlds of professions and functions.
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| 8. |
- Jacobsson, Torbjörn, 1971
(författare)
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Leadership and Barriers in the Implementation of Process Flow Solutions in the Emergency Department
- 2013
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Ingår i: Proceedings of the 20th International Annual EurOMA Conference – Operations Management: At the Heart of Recovery, 7-12 June 2013, Dublin, Ireland.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates leadership-related factors that influence the implementation of process flow solutions in healthcare. Qualitative research on four emergency departments identifies important factors related to the physicians´ traditional high level of autonomy and their management preferences, the lack of support from top hospital management, and the lack of communication between the head of the emergency department and head nurse. Top management commitment is crucial. Production of care requires an explicit patient focus with a throughput time perspective and leadership from top management to cope with the barriers to the implementation of a process flow solutions.
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| 9. |
- Jacobsson, Torbjörn, 1971
(författare)
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Operations Management in Healthcare – principles for creating swift even patient flow and increased accessibility
- 2012
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Ingår i: International Conference ARCH12 and Forum Vårdbyggnad Nordic Conference.
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Konferensbidrag (refereegranskat)abstract
- This paper investigates the operations management principles that potentially could be transferred to healthcare in order to improve care production processes, i.e. ensuring a swift even flow of patients through the healthcare unit. The discussion and the conclusion from this study are based on qualitative case studies in planned and unplanned healthcare operations, in a large university hospital in Sweden. Given how much we know about the ways in which healthcare could be improved, the efforts devoted trying out different approaches would seem to question why more has not been done to solve the many problems in this sector. Rather than concentrating debate and discussion on the differences with industry, we should concentrate on the similarities with healthcare and draw on the potential for mutual learning between contexts which might facilitate a creative process and identify solutions that would result in swift, even patient flows.
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| 10. |
- Jacobsson, Torbjörn, 1971, et al.
(författare)
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The role of physicians in the implementation of process flow solutions in healthcare
- 2011
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Ingår i: Proceedings of the 18th International Annual EurOMA Conference – Exploring Interfaces”, 3-6 July 2011, Cambridge, UK.
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Konferensbidrag (refereegranskat)abstract
- This paper identifies physician-related factors that influence the implementation of process flow solutions in healthcare. Based on qualitative research at four A&E departments, we identify three factors that negatively influenced the implementation. First, standardized process flow solutions are perceived to limit physician's traditionally high level of autonomy. Second, there were also perceived difficulties when combining the medical responsibility and process flow solutions. Finally, physicians were more interested in developing their medical skills, rather than skills in improving the process of care production.
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