Success Rate Of Implementation Research Articles

National Experience of Technology-based Eye Care Services (TECS): A Comprehensive Ophthalmology Telemedicine Initiative

Technology-Based Eye Care Services (TECS) is a tele-ophthalmology program operating in the Veterans' Administration since 2015. This study explores characteristics of the national TECS population, evaluates implementation and sustainability of TECS, and analyzes possible associations and effects of demographic characteristics and social determinants of health (SDOH) on being diagnosed with a vision threatening (VT) disease. Implementation and sustainability of TECS from 2015-2022 was examined along with the sociodemographic characteristics of Veterans served through TECS in 2021. Veteran patients seen in TECS nationwide. Characteristics, disease prevalence and diagnoses, implementation success rate, sustainability rate, preliminary analysis of outcomes and disparity. Per quarter from 2015-2022, TECS sites were classified as implementing, active, or sustained. Standard Query Language (SQL) was used to determine sociodemographic data and logistic regression models were used to identify risk factors associated with VT eye diagnosis. 21,712 Veterans, 52.1% rural or highly rural, were served by TECS in 2021. The average age was 64.7 years, with females comprising 10.9% of the population served. From 2015-2022, of the 67 TECS sites initiated, 6 were implementing with 51 of 61 initiated sites still operational in the first quarter (Q1) of 2022 (83.6% success rate).Macular degeneration (AMD) and cataracts were more prevalent in rural and highly rural populations (7.6% and 11.3%, and 48.8% and 55.0%, respectively) vs. urban populations; glaucoma and diabetic retinopathy (DR) had the opposite association. The prevalence of any type of VT eye disease was lowest in the Mountains/Central region (0.54%) and highest in the Southeast region (3.2%) of the US. Rural and highly rural residents were 1.3 and 2.5 times as likely, respectively, to be diagnosed with a VT eye disease than urban residents. Implementation and sustainability of TECS has been promising. The data provides key information that can be utilized to improve the deployment of TECS and similar programs, along with the possible future direction of TECS services. Moreover, experience from one national ocular telehealth program clearly illustrates that telemedicine can address eye care disparities in the Veteran population and may be utilized for other vulnerable groups as well.

A cognitive bias awareness matrix for enhancing ERP Decision-Making in entrepreneurial firms

Purpose The purpose of this study is to address a critical gap in enterprise resource planning (ERP) implementation process for small and medium-sized enterprises (SMEs) by acknowledging and countering cognitive biases through a cognitive bias awareness matrix model. Cognitive biases such as temporal discounting and optimism bias often skew decision-making, leading SMEs to prioritize short-term benefits over long-term sustainability or underestimate the challenges involved in ERP implementation. These biases can result in costly missteps, underutilizing ERP systems and project failure. This study enhances decision-making processes in ERP adoption by introducing a matrix that allows SMEs to self-assess their level of awareness and proactivity when addressing cognitive biases in decision-making. Design/methodology/approach The design and methodology of this research involves a structured approach using the problem-intervention-comparison-outcome-context (PICOC) framework to systematically explore the influence of cognitive biases on ERP decision-making in SMEs. The study integrates a comprehensive literature review, empirical data analysis and case studies to develop the Cognitive Bias Awareness Matrix. This matrix enables SMEs to self-assess their susceptibility to biases like temporal discounting and optimism bias, promoting proactive strategies for more informed ERP decision-making. The approach is designed to enhance SMEs’ awareness and management of cognitive biases, aiming to improve ERP implementation success rates and operational efficiency. Findings The findings underscore the profound impact of cognitive biases and information asymmetry on ERP system selection and implementation in SMEs. Temporal discounting often leads decision-makers to favor immediate cost-saving solutions, potentially resulting in higher long-term expenses due to the lack of scalability. Optimism bias tends to cause underestimating risks and overestimating benefits, leading to insufficient planning and resource allocation. Furthermore, information asymmetry between ERP vendors and SME decision-makers exacerbates these biases, steering choices toward options that may not fully align with the SME’s long-term interests. Research limitations/implications The study’s primary limitation is its concentrated focus on temporal discounting and optimism bias, potentially overlooking other cognitive biases that could impact ERP decision-making in SMEs. The PICOC framework, while structuring the research effectively, may restrict the exploration of broader organizational and technological factors influencing ERP success. Future research should expand the range of cognitive biases and explore additional variables within the ERP implementation process. Incorporating a broader array of behavioral economic principles and conducting longitudinal studies could provide a more comprehensive understanding of the challenges and dynamics in ERP adoption and utilization in SMEs. Practical implications The practical implications of this study are significant for SMEs implementing ERP systems. By adopting the Cognitive Bias Awareness Matrix, SMEs can identify and mitigate cognitive biases like temporal discounting and optimism bias, leading to more rational and effective decision-making. This tool enables SMEs to shift focus from short-term gains to long-term strategic benefits, improving ERP system selection, implementation and utilization. Regular use of the matrix can help prevent costly implementation errors and enhance operational efficiency. Additionally, training programs designed around the matrix can equip SME personnel with the skills to recognize and address biases, fostering a culture of informed decision-making. Social implications The study underscores significant social implications by enhancing decision-making within SMEs through cognitive bias awareness. By mitigating biases like temporal discounting and optimism bias, SMEs can make more socially responsible decisions, aligning their business practices with long-term sustainability and ethical standards. This shift improves operational outcomes and promotes a culture of accountability and transparency. The widespread adoption of the Cognitive Bias Awareness Matrix can lead to a more ethical business environment, where decisions are made with a deeper understanding of their long-term impacts on employees, customers and the broader community, fostering trust and sustainability in the business ecosystem. Originality/value This research introduces the original concept of the Cognitive Bias Awareness Matrix, a novel tool designed specifically for SMEs to evaluate and mitigate cognitive biases in ERP decision-making. This matrix fills a critical gap in the existing literature by providing a structured, actionable framework that effectively empowers SMEs to recognize and address biases such as temporal discounting and optimism bias. Its practical application promises to enhance decision-making processes and increase the success rates of ERP implementations. This contribution is valuable to behavioral economics and information systems, offering a unique approach to integrating cognitive insights into business technology strategies.

Investigation on wireless communication reliability planning in cloud computing mMTC scenarios

With the development of cloud computing technology, cloud computing has been applied in various fields, but there is a lack of research in the Massive Machine Type Communication (mMTC) scenario. This article analyzed wireless communication reliability solutions in cloud computing mMTC scenarios to address this issue. Using the method of cloud computing, this article analyzed the reliability of wireless communication schemes and verified the effectiveness of the algorithm through credibility judgment and algorithm convergence characteristics under the guidance of wireless communication schemes. By analyzing the application of cloud computing in wireless communication solutions, this article analyzed the effectiveness of wireless communication solutions in the experimental section by comparing the error rate, success rate, and convergence of various algorithms. Through experimental analysis, it was found that the implementation success rate of chaotic particle swarm optimization algorithm was 5% higher than that of adaptive particle swarm optimization. The results indicated that cloud computing was well applied in wireless communication networks, thus providing reference significance for the application of cloud computing in other communication fields.

Challenges of Ta Providers in Lac Implemention: Basis for Localized Lac Framework

Learning Action Cell (LAC) is a session conducted by group of teachers who engage in collaborative learning sessions to solve shared challenges encountered in school. Though LAC projects a promising result for teachers in improving Teaching and Learning Strategies, it is somehow, not being maximized in the school. This challenge of maximizing (LAC) brings life to Continuous Improvement CI Project BILLS, Boosting and Improving LAC Leaders and Strategies. And this, proposed research is anchored to the on going CI Project BILLS. This study in particular, tried to determine the challenges encountered by TA providers or LAC leaders in LAC implementation. This study aimed to analyze the experiences and challenges, most especially, of the TA providers, 8 Head Teachers, and 18 Master Teachers towards LAC implemantation. This action research was plainly qualitative in nature and made used of interview as the research instrument. Consequently, coding and theming were used for data analysis. This research revealed that TA providers 1. have difficulty in crafting the proposals and securing necessary attachments, 2. due to challenges encountered in LAC implementation by LAC leaders, the monitoring of teachers’ performance was taken for granted, 3. the absence of monitoring and evaluation team was found as another reason on the low success rate of LAC implementation. TA providers also observed that 4. teacher-participants demonstrated less motivation and participation in the LAC session, 5. through the TA’s initiative, they have found out that teachers’ schedule have conflict with the LAC activity and the LAC topics are no longer new to the teacher-participants. Meanwhile, the newly introduced LAC process through CI Project, was observed to have a more detailed, organized and systematic conduct of LAC. The most evident improvements are the following: 1. Presence of Monitoring and Evaluation (M&E) all throughout the process, 2. Intervention of Learning and Development (L&D) Coordinator, 3. Posting of QATAME flow chart, 4. Proper conduct of LAC, 5. Presentation of LAC outputs and outcomes.

‘GOING GREEN’ AT WORKPLACE: A COMPREHENSIVE ANALYSIS

Green HRM projects are those that include environmental management into HRM processes, which are becoming more and more important. Utilizing every employee interaction to support and maintain environmentally friendly business practices and increase awareness is known as "green HRM," which helps businesses run more sustainably. Thus, green HRM encompasses two main elements: knowledge capital preservation and eco-friendly HR procedures. The purpose of this study is to examine the state of and obstacles to green HRM practices in India, an area of very little research. Examining the present Green HRM methods used by Indian companies, their degrees of awareness and execution, and their rate of growth in the Indian context are the main goals. The study addresses the need to comprehend green human resource management in developing nations like India by evaluating the success rate of green HRM implementation.

Stakeholder Satisfaction in Long Segment Maintenance Contract: Application to a Hills-Road Network

Hills-road network has an essential role in maintaining the flow of transportation and logistics in mountainous areas. Implementing the Long Segment Maintenance Contract (LSMC) is one step in producing better road services and performance. The success rate of PMS implementation can be seen from the road performance and the level of satisfaction of stakeholders consisting of owners, implementers, supervision consultants, and users. This research was conducted to determine stakeholders' level of interest and satisfaction in the implementation of LSMC in the mountain road network. The methods used are Importance Performance Analysis and Customer Satisfaction Index. As a case study, the hills road network in Cirebon-Kuningan-Ciamis, West Java, Indonesia, was chosen along 103.08 km. Questionnaires were distributed to all stakeholders in the implementation of LSCM in these sections. Data analysis was carried out on questionnaires obtained from the owner as many as three respondents, contractors four respondents, supervised seven respondents, and road users as many as 100 respondents. The results showed that, in general, the level of stakeholder importance was relatively high, with an average of 4.22, an average performance level of 3.70, and a CSI value of 86.9.% or very satisfactory. In comparison, road users' on-road performance is relatively high, with an average of 4.44 with, an average level of performance of 4.41, and a CSI value of 86.83%, or very satisfactory. Furthermore, the importance of road users' on-road response time is relatively high, with an average of 4.42, an average performance level of 4.41, and a CSI value of 86.09%, or very satisfactory. Attributes that greatly influence the opinion of road users and stakeholders on LSCM in the Hill Road Network are related to the control of runoff water and routine road maintenance.

Machine learning clinical prediction models for acute kidney injury: the impact of baseline creatinine on prediction efficacy

BackgroundThere are many Machine Learning (ML) models which predict acute kidney injury (AKI) for hospitalised patients. While a primary goal of these models is to support clinical decision-making, the adoption of inconsistent methods of estimating baseline serum creatinine (sCr) may result in a poor understanding of these models’ effectiveness in clinical practice. Until now, the performance of such models with different baselines has not been compared on a single dataset. Additionally, AKI prediction models are known to have a high rate of false positive (FP) events regardless of baseline methods. This warrants further exploration of FP events to provide insight into potential underlying reasons.ObjectiveThe first aim of this study was to assess the variance in performance of ML models using three methods of baseline sCr on a retrospective dataset. The second aim was to conduct an error analysis to gain insight into the underlying factors contributing to FP events.Materials and methodsThe Intensive Care Unit (ICU) patients of the Medical Information Mart for Intensive Care (MIMIC)-IV dataset was used with the KDIGO (Kidney Disease Improving Global Outcome) definition to identify AKI episodes. Three different methods of estimating baseline sCr were defined as (1) the minimum sCr, (2) the Modification of Diet in Renal Disease (MDRD) equation and the minimum sCr and (3) the MDRD equation and the mean of preadmission sCr. For the first aim of this study, a suite of ML models was developed for each baseline and the performance of the models was assessed. An analysis of variance was performed to assess the significant difference between eXtreme Gradient Boosting (XGB) models across all baselines. To address the second aim, Explainable AI (XAI) methods were used to analyse the XGB errors with Baseline 3.ResultsRegarding the first aim, we observed variances in discriminative metrics and calibration errors of ML models when different baseline methods were adopted. Using Baseline 1 resulted in a 14% reduction in the f1 score for both Baseline 2 and Baseline 3. There was no significant difference observed in the results between Baseline 2 and Baseline 3. For the second aim, the FP cohort was analysed using the XAI methods which led to relabelling data with the mean of sCr in 180 to 0 days pre-ICU as the preferred sCr baseline method. The XGB model using this relabelled data achieved an AUC of 0.85, recall of 0.63, precision of 0.54 and f1 score of 0.58. The cohort size was 31,586 admissions, of which 5,473 (17.32%) had AKI.ConclusionIn the absence of a widely accepted method of baseline sCr, AKI prediction studies need to consider the impact of different baseline methods on the effectiveness of ML models and their potential implications in real-world implementations. The utilisation of XAI methods can be effective in providing insight into the occurrence of prediction errors. This can potentially augment the success rate of ML implementation in routine care.

Dynamics Implementation of De-Radicalism Policy to Prevent Terrorism in Indonesia: A Systematic Literature Review

Objective: This study aims to evaluate and describe the dynamics of deradicalization policies in preventing terrorism. Terrorism has caused security disturbances, and damage in many countries. Various theories and perspectives regarding de-radicalization policies have been developed in many countries to avoid acts of radicalism and terrorism. Case studies regarding de-radicalization policy initiatives in various nations must be researched in greater depth in order to find the optimal synthesis model. Theoretical framework: Radicalism and terrorism are two types of international crimes that are extremely damaging to society and the Nations (Nashir & Si, 2019). Radicalism is not the same as terrorism, But both of them are closely connected (Nashir & Si, 2019). This crime has a substantial and catastrophic impact on individuals, communities, and the state (Taskarina et al., 2022) The United Nations Session in Vienna, Austria in 2000, concluded that acts of extremism and terrorism are serious crimes that must be dealt with swiftly via international collaboration (Phelps, 2021). In different nations, the De-radicalization policy program has shown to be a successful method of reducing radical activities and terrorism. De-radicalization is accomplished by increasing understanding among perpetrators of radicals, terrorists, through socialization and education (Petrus Reinhard Golose, 2009; Safii, 2019; Sembiring, 2019) Method: This study uses a systematic literature review technique, in the field of de-radicalization policies to prevent acts of radicalism and terrorism. Our research strategy is based on the idea that a full understanding of research findings requires comparison with other research findings. The author searches the database with Scopus; PubMed (Medline); Google Scholarship; JSTOR; CONTENT Web of Science for papers. And using the following inclusion criteria: (1)articles in Indonesian and English with a full text published in open access journals, peer-reviewed, and in the last 5 (five) years of publication in 2019-2023; (2)related articles with titles and abstracts; (3)keywords: Deradicalisation; Radicalism, Terrorism; Policy Implementation; National Counter Terrorism Agency; and (4) research methods. Titles and abstracts were checked to see if the inclusion criteria were one, two, three, and four. The results are obtained based on the integration of evidence from previous studies that have been identified and analyzed through patterns, trends, or conclusions that can help strengthen understanding in the field of De-radicalization policy research. Results and Conclusions: The synthesis research show that the success rate of De-radicalization policy implementation, will depend on the design of the program on the variable content of the policy. De-radicalization must be interpreted as work that emerges after the basics of radicalism have been identified. Because every perpetrator of radicalism is different and varied, further studies are needed to produce a more comprehensive and adaptive De-radicalization module. The combination of hard tactics and soft approaches adopted by the government in dealing with radicalism and terrorism has advantages and disadvantages. In the context of the fight against terrorism and radicalism, the concept of De-radicalization must be used for the fight against "the ideology", for "counter-radicalism and/or counter-terrorism". Implications of the research: The De-radicalization policy strategy is oriented towards persuasive, proactive, and adaptive actions, as well as protecting human rights. It is carried out using the "ideological awareness" approach through education and outreach. The concept of De-radicalization must be strengthened by the government's commitment to eliminating social and economic inequality. The De-radicalization program is carried out holistically and inclusively, by involving all levels of society and cross-sectoral collaboration. Originality/value: The novelty of this research is the establishment of a theoretical model for De-radicalization programs based on a synthesis of case studies with various complexities and variables originating from different countries with different origins and different challenges. In order to provide suggestions for decision-makers that are more comprehensive, adaptable, and representative.

An examination of large-scale electronic health records implementation in Primary Healthcare Centers in Saudi Arabia: a qualitative study.

Digital transformation has become a buzzword in almost every industry in the twenti first century. Healthcare is not an exception. In the healthcare industry, digital transformation includes the utilization of electronic health records (EHRs), telemedicine, health information exchange, mobile health, and other interactive platforms. The importance of digital transformation in healthcare cannot be overemphasized as it has proven to be critical in improving patient outcomes, making healthcare delivery more efficient, and reducing costs. The positive impact of electronic health records was noticed almost immediately in the field of primary healthcare. It has been suggested that implementing electronic health records will enhance the accessibility and the process of distribution of health records between authorized users. As part of Saudi vision 2030, all healthcare organizations in Saudi Arabia are going to shift to digital transformation. This study follows a qualitative, semi-structure, face-to-face interview approach. The collected data were analyzed using NVivo V10 software. Inductive thematic analysis approach was used to analyse the collected data from the interviews. Seventeen project team members, from different positions and backgrounds were purposively chosen to be interviewed. Three main themes and 38 codes were generated from the analysis of transcripts. The informants describe the implementation of electronic health records in the PHCs based on two different experiences. The participants reported that a previous attempt failed due to inappropriate infrastructure, lack of technical support, and low level of user acceptance. Therefore, the policymakers adopted several steps to increase the level of success and avoid failure causes. They initially established well-defined requests for proposals followed by continuous commendation among the project team and conducted a consultation on multiple levels (country level; organizational level and individual level). This study concluded that the main causes that lead to the failure of the large-scale project were lack of connectivity, lack of technical support, and staff changes, particularly those who occupied high-level positions in the Saudi ministry of Health. The success rate of EHRs implementation can be directly impacted by the size of the project. Large-scale projects are complicated and may be subject to numerous challenges compared with small projects. Significant factors such as training, support, legal issues, and organizational workflow and redesign were a concern of the project team during the pre-implementation phase. In addition, other factors related to technology and end-users were included in the EHRs implementation plan.

LM Initiative Success at the Institutional Level Through the RE-AIM Approach: 12 Tips and Implementation Science Strategies

Transforming research into practice via implementation science may improve institution-wide implementation success rates for lifestyle medicine (LM). Implementation science (IS) is the study of methods that facilitate the uptake of evidence-based practice and research into regular use by practitioners and policymakers. Multiple IS frameworks, such as the Reach, Effectiveness, Adoption, Implementation, Maintenance/Practical Robust Implementation Strategy Model (RE-AIM/PRISM) model, Exploration, Preparation, Implementation, Sustainment (EPIS) model, and Consolidated Framework for Implementation Research (CFIR) model, have been developed. IS frameworks provide a strong yet adaptable foundation for launching initiatives, minimizing barriers by challenging implementers to identify and address problems that impede implementation, and promoting long-term sustainability and positive outcomes. The trouble-shooting tips provided in this article are strategically aligned with the RE-AIM/PRISM model of IS to maximize the likelihood of implementation success within the LM space. These tips provide guidance on how to effectively implement interventions, sustain their delivery, and avoid or overcome barriers to implementation. This article presents 12 tips intended as a list of options to facilitate the implementation phases of an initiative, as opposed to offering an all-or-nothing approach to implementation strategy. Current IS priorities emphasize system change and sustainability, which are essential components of successful implementation of LM initiatives.

Kesıapan Madrasah Mengımplementasıkan Kurıkulum Merdeka di MIN 2 Bantul

Curriculum changes that are happening at this time are the implementation of the independent curriculum in several education units with a pilot project system, one of which is MIN 2 Bantul. With this the school as the spearhead in carrying out the implementation curriculum must be able to understand and apply it to the fullest because the quality of the implementation of the educational process is one of them by looking at the success rate of implementation. The purpose of this study is to describe the readiness of madrasa teachers in implementing the independent curriculum at MIN 2 Bantul. The research method is descriptive qualitative. The research samples were class I and IV teachers at MIN 2 Bantul, data collection was carried out through interviews, observation and documentation. The results of the study showed that the readiness of madrasa teachers in DIY in implementing the independent curriculum was quite ready. What the teacher did in preparing for implementation was understanding the characteristics of changes in the independent curriculum, reviewing and comparing learning outcomes and teacher and student books, analyzing learning abilities by setting goals. learning and the flow of learning objectives, developing new tools, and understanding the independent curriculum assessment. In this case the school facilitates teachers to carry out technical guidance held by religious decrees or from external services and teachers carry out independent learning related to the independent curriculum through several platforms that have been provided

LADA methodologies to localize embedded memory failure

Bitmap tool is commonly used by semiconductor design house to debug embedded memory failure as it is able to localize down to bit cell resolution with faster turnaround time as compared to hardware fault isolation methods. However, bitmap enablement requires tedious effort and high cost as it requires accurate logical-to-physical address scrambling information from memory IP provider to be successful. In this work, usage of hardware-based LADA fault isolation technique to debug system-on-chip (SOC) memory failure is discussed in term of implementation difficulty and success rate.

Conflict Resolution between Multi-Level Government and Farmers in Land Expropriation Based on Institutional Credibility Theory: Empirical Evidence from Shandong Province, China

Land expropriation has always been a hot spot of social conflicts. The land expropriation policy of Merging Villages and Living Together (MVLT) in rural areas has intensified conflicts due to insufficient financial compensation and “demolishing old houses before building new ones”. The current research most simply assesses the degree of conflict and the influencing factors but rarely includes farmers, governments at all levels, the strength of policy tools, and policy perceptions in a unified quantitative research framework, which is not conducive to conflict resolution and policy improvement. This paper adopts the institutional credibility theory, incorporates the policy instruments of higher-level governments, administrative instruments of lower-level governments, and farmers’ credibility of policies into a unified accounting framework, constructs a conflict stress index, evaluates the role of each subject’s characteristics, policy perceptions, and policy instruments in the process of conflict generation and resolution, and analyzes the methods of conflict resolution from the perspective of different stakeholder conflicts. The theoretical analysis framework and the quantitative analysis of the indicators are verified by using a case study of MVLT policy in Shandong Province, China. The results show that the credibility of the policy of “village integration” is influenced by individual characteristics and varies significantly. The administrative means and different combinations of lower-level government are significantly related to an increase in farmers’ credibility, which can significantly improve the success rate of policy implementation. The effect of administrative means of higher-level government on the credibility of farmers is limited. The highest value of the conflict index was observed when the administrative instruments reached the maximum value without a marginal increase in farmers’ credibility. Based on the quantitative evaluation of conflict generation and resolution mechanisms, recommendations for policy implementation and improvement were made.

Truth of Colorectal Enhanced Recovery Programs: Process Measure Compliance in 151 Hospitals.

Commonly cited studies have reported substantial improvements (defined as >20%) in process measure compliance after implementation of colorectal enhanced recovery programs (ERPs). However, hospitals have anecdotally reported difficulties in achieving similar improvement gains. This study evaluates improvement uniformity among 151 hospitals exposed to an 18-month implementation protocol for 6 colorectal ERP process measures (oral antibiotics, mechanical bowel preparation, multimodal pain control, early mobilization, early liquid intake, and early solid intake). One hundred fifty-one hospitals implemented a colorectal ERP with pathway, educational and supporting materials, and data capture protocols; 906 opportunities existed for process compliance improvement across the cohort (151 hospitals × 6 process measures). However, 240 opportunities were excluded due to high starting compliance rates (ie compliance >80%) and 3 opportunities were excluded because compliance rates were recorded for fewer than 2 cases. Thus, 663 opportunities for improvement across 151 hospitals were studied. Of 663 opportunities, minimal improvement (0% to 20% increase in compliance) occurred in 52% of opportunities, substantial improvement (>20% increase in compliance) in 20%, and worsening compliance occurred in 28%. Of the 6 processes, multimodal pain control and use of oral antibiotics improved the most. Contrary to published ERP literature, the majority of study hospitals had difficulty improving process compliance with 80% of the opportunities not achieving substantial improvement. This discordance between ERP implementation success rates reported in the literature and what is observed in a large sample could reflect differences in hospitals' culture or characteristics, or a publication bias. Attention needs to be directed toward improving ERP adoption across the spectrum of hospital types.

Relationship between TPM practices and operational performance in soft drinks manufacturing industry

PurposeThe purpose of this paper is to investigate the relationship between total productive maintenance (TPM) practices and operational performance (OP) in soft drinks manufacturing industry, Ethiopia.Design/methodology/approachIn this study acceptability and implementation of five TPM practices (i.e., dependent factors: autonomous maintenance (AUT); safety, health and environment (SHE); education and training (EDT); focused improvement; and planned maintenance (PLM)) in soft drinks manufacturing industry have been elaborated to ascertain the benefits accrued as a result of successful TPM practices (i.e., independent variables) on OP (i.e., dependent variables). A self-administered survey seven-point Likert scale questionnaire was used for primary data collection. By using simple random sampling technique a total of 100 useable responses resulted in a 66.66 per cent response rate. Descriptive (mean, standard deviation) and inferential statistics (factor analysis, correlation, simple and multiple regression analysis) analysis were performed using Statistical Package for Social Sciences (SPSS) software (version-28) to identify the relationship and effect of TPM practices on OP. Five hypotheses were developed and tested.FindingsResults show that four of the TPM practices were positively and significantly correlated with OP. Aggregate TPM shows positive and significant correlation with OP. Four hypotheses results revealed that the AUT; SHE; EDT and PLM practices have positive and significant relationship with OP and significantly improve OP. The results also show that the TPM practices have positive and significant relationship with OP and significantly improve cost effectiveness, product quality, on-time delivery and volume flexibility.Practical implicationsThe benefits gained by TPM practices in selected soft drinks manufacturing industry have been highlighted, that could be genuine source of motivation to other companies to go in for TPM program. This research contributes to the literature by examining the contingency of various TPM enabling factors in the context of the Ethiopian soft drinks manufacturing sector, and it, therefore, provides direction to increase the success rate of TPM implementation. Study offers academics and practitioners a better understanding of the relationship and effect of the TPM practices on the OPs. Thus, practitioners will be able to make better and more effective decisions about the implementation of TPM practices for better OP results.Originality/valueThe relationship between the five factors TPM practices and OP has not yet been studied or reported in the case of soft drink manufacturing industry. The questionnaire manner and items developed, factor considered in this study, sampling method, deeply statistical data analysis techniques used, soft drink manufacturing industry, developing country like Ethiopia make this study unique and revealed the gap identification in this area. The study has contributed to the TPM literature with a better understanding of the five TPM practices and their association with a soft drink manufacturing industry OP that will provide valuable knowledge to top-management of manufacturing companies, to refine their current TPM practices and subsequently improve OP.

Stakeholder perceptions of sustainability reporting on the websites of technical universities in Ghana

PurposeThis paper explores stakeholder perceptions on the nature and extent of sustainability reporting on the websites of technical universities (TUs) in Ghana.Design/methodology/approachThe authors collected data from the websites of the 10 TUs in Ghana and interviewed the stakeholders of the TUs. In analyzing the data, the authors used thematic analysis for the interview responses. The authors also adopted the global reporting initiative (GRI) guidelines and campus sustainability assessment tools for the presentation and analysis of the sustainability disclosures on the websites of the TUs.FindingsThe authors found that due to weak institutional coercions, there were limited disclosures on the websites of the TUs, which aimed at gaining stakeholders' legitimacy; the disclosures were more focused on organizational profile, governance and educational aspects of sustainability. To a large extent, while some external stakeholders such as parents, regulators and alumni appear to be less interested in the disclosures on the TU's websites, internal stakeholders such as employees (teaching and non-teaching staff) and students who frequently visited the TU's websites perceived limited reporting and were not impressed with the extent of sustainability disclosures on these websites.Practical implicationsThe findings of this study are intended to assist policy-makers in the educational sector to appreciate the importance of sustainability reporting on their websites. The results of this study will assist higher educational institutions (HEIs) in increasing the success rate of sustainability implementation by overcoming the lack of sustainability disclosures on their websites. Thus, the results of this study have implications for sustainability implementations, particularly those in emerging economies and policy-makers of universities worldwide.Originality/valueThis study could provide two significant values. First, to the best of the authors’ knowledge, no other study has explored stakeholder perceptions of sustainability reporting in implementing sustainability within the education sector. Second, the results were arrived at by combining stakeholder consultations with content analyses, which could be a good guideline for sustainability implementation in the educational sector of developing countries.

Penerapan Sistem Manajemen Keselamatan dan Kesehatan Kerja Untuk Peningkatan Pelayanan Terminal Purabaya Berdasarkan PP No. 50 Tahun 2012

The situation in the field shows that there is still a high number of work accidents that occur in transportation facilities. It is very unfortunate if the Purabaya Terminal has not fully implemented the Occupational Safety and Health Management System (SMK3) which will have a positive impact on service quality, operations and performance by making efficient and effective efforts to prevent the risk of work-related accidents and diseases. If this happens, it can improve customer and community relations which aim to increase community satisfaction. This is in line with PP No. 50 of 2012. The purpose of this study was to describe the success rate of OSHM implementation at Purabaya Terminal based on PP no. 50 of 2012 and analyze the inhibiting factors. This research method uses a qualitative method by collecting survey data using a checklist questionnaire instrument and interviewing the entire study population, namely all employees at the Purabaya Terminal. After data collection, an analysis of the achievement level of OSHM implementation at the Purabaya terminal was carried out with a result of 27% of 166 criteria. This figure indicates a low rating of the application. Factors that influence this include the lack of staff in the OSH control section, lack of funds, lack of OSH awareness, and inadequate and uneven facilities. So that by implementing these results, it can be used to continue K3 pre-implementation activities in the form of training, outreach and providing OSH awareness to all employees at Purabaya Terminal.

Implementasi Sistem Informasi Pembangunan Daerah (SIPD) dalam Perencanaan Pembangunan di Bappeda Kabupaten Kutai Timur

The purpose of this study is to find out how the implementation of SIPD policies in regional development planning in Bappeda, East Kutai Regency. This study uses George C. Edward III's theory of policy implementation which aims to determine the success rate of SIPD policy implementation in the Bappeda of East Kutai Regency. The research method used is qualitative with a descriptive approach. The data collection needed is based on primary and secondary data from interviews, observations, documentation, which are analyzed to draw conclusions from the research problem. The findings of this study are that the implementation of SIPD has not been fully successful, because it only fulfills two indicators out of a total of four indicators of success. However, as a new policy, of course, Bappeda is already quite optimal in its implementation and will continue to be improved over time.

WHAT ARE THE BARRIERS TO THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS? A REVIEW OF RECENT STUDIES

Information technology utilization in the health sector is increasingly widespread. One aspect that cannot be separated from the intervention of information technology is medical records management through electronic medical records implementation. The number of healthcare facilities that implement electronic medical records is increasing. However, it is important to understand the various barriers that may be encountered in the electronic medical records implementation so that the success rate of implementation will be higher. This study aims to identify the current state of knowledge about electronic medical records implementation barriers. A literature review was conducted using three databases, PubMed, Science Direct, and Google Scholar using "electronic medical records'' and "implementation barriers" as keywords. There were 13 articles used in this study. There are 8 categories of barriers to the implementation of electronic medical records which consist of technical concerns, initial and maintenance costs, security concerns, lack of technical support, user resistance, system interoperability capability, lack of infrastructures, and productivity concerns.

Observing Mollusca Benthic Diversity to Measure the Success of the Implementation of Mulung Culture as an Effort to Conserve Aquatics in the Waters of Lapang-Batang Island, Alor Regency, East Nusa Tenggara.

Mulung culture from an ecological perspective is to allows the environment to recover, traditionally. Mulung is a customary process, related to the closure of water areas for the extraction of aquatic resources. The impact of the implementation of the Mulung cultural tradition, the population of resources increases. This study aims to determine the benthic mollusk community in the Mulung area to measure the success rate of Mulung implementation. This information is needed as a starting point for sustainable fisheries development. This research uses the quadratic transect method and free collection. Then, the community structure was calculated using the diversity index, species evenness, species richness, and species density value, then continued by observing the quantitative similarity between locations calculated by the similarity index. The results showed that the species composition of benthic mollusks found in the Mulung area was 32 species, with a total of 261 individuals. The benthic mollusks that lived in the Mulung area had a Diversity Index (H’) value of 3.12 high category, Richness Index Value (R) of 5.75 is classified as high, the value of the evenness index of species (E) is 0.90, the evenness level of benthic mollusks is high and stable, the value of the dominance index (C) is 0.1, in the category no species dominates. The highest relative abundance of benthic Mollusca species overall with a value of 46.15% was owned by Ornopsis glanni species and the lowest relative abundance was Cypraea moneta, 6.90% value, the highest species density value with a value of 2.53 ind/m2, namely Ornopsis glanni and the lowest species density value is Diodora mississipppiensis, the value is 0.12 ind/m2. Meanwhile, the overall density of benthic Mollusca species obtained during the study was 17.40 ind/m2.