Why do Women Sue?

Statistics published by the National Health Service Litigation Authority relating to ten years of maternity claims provoke a sharp intake of breath. The total value of these claims over the first decade of the 21st century was £3,117,649,888 (NHS Litigation Authority 2012). The United Kingdom is not the only country to witness an astronomical increase in the level of litigation relating to maternity services. As far afield as Saudi Arabia (Henary et al 2012) and the United States (Berkowitz 2011), reports are being published of the demands on maternity budgets as a result of dissatisfaction with care received during pregnancy, labour and birth. The papers referenced above attribute adverse outcomes to negligence, misdiagnosis, surgical blunders and inefficient administration. Berkowitz(2011:7) suggests that what is needed is wholesale and whole-hearted adoption of ‘…electronic fetal monitoring [EFM] certification for all staff working on their Labor and Delivery floor, protocols for managing common clinical scenarios, simulation drills for dealing with uncommon dangerous events, and pre-procedure checklists’. The NHS Litigation Authority (2012:5) recommends that Trusts ‘…engage with the risk management process at all levels; provide suitable learning and training; ensure appropriate supervision and support; have in place up-to-date protocols and guidance with which staff are familiar; learn lessons from claims’. It is relatively easy to ensure that staff are sent on fetal heart rate (FHR) training days (although whether use of EFM produces better outcomes has, of course, never been clearly demonstrated (Alfirevic et al 2013) and that protocols for managing events during labour and birth are drawn up and even put into practice. It’s uncertain, however, whether doing so will make the problem of maternity litigation go away. There is something ‘rotten in the state of Denmark’ that is fuelling women’s dissatisfaction and which ‘the system’ has not been able to get its head round.

Gestão da informação: um estudo de caso em um instituto de pesquisa tecnológica

Each two years the amount of available information in the world double. This is the Information Age, where the success depends on what one knows, not on what one has. A new economy appears with the capacity to generate, to store, to process and to apply effectively the knowledge, based on information, determining the companies productivity and competitiveness.The objective of this work is to understand the information management model of a technological research institute - CTGÁS (Gas Technology Center). The research has been done focused on the 5 main processes and the 15 support processes of the organization value chain , aiming to understand the information management in the organization based on Davenport´s Information Management model (1998). Therefore, it was necessary to identify how the necessary information for the organizational processes accomplishment are determined, obtained, distributed and used by the organization. The research can be classified as descriptive, regarding to its aims, and as a case study, related to the research ways. Interviews with the managers of the organization value chain processes have been carried through, with the objective to identify how they perceive the Information Management process that circulates in the organizational processes. Complementarily, a documentary research has been carried through, associated to the direct observation and procedures and actions follow up, involving the Information Management. The data treatment and analysis have been done from the authors theoretical support and from the managers interviews analysis, documents and processes observed by the researcher in the organization. It was noticed that the organization has raised its level of information needs that are not difficult to be determined and are satisfactorily obtained and distributed, although the majority of them are not structuralized, automatized or even classified regarding to its confidence. These peaces of information have good quality and are important, however they reflect a medium dependence on external and informal information, besides being used only in its great majority for people to know what and how to do something

Aspectos do gerenciamento de riscos de tecnologia da informação nas empresas: um estudo de caso múltiplos

The information technology - IT- benefits have been more perceived during the last decades. Both IT and business managers are dealing with subjects like governance, IT-Business alignment, information security and others on their top priorities. Talking about governance, specifically, managers are facing it with a technical approach, that gives emphasis on protection against invasions, antivirus systems, access controls and others technical issues. The IT risk management, commonly, is faced under this approach, that means, has its importance reduced and delegated to IT Departments. On the last two decades, a new IT risk management perspective raised, bringing an holistic view of IT risk to the organization. According to this new perspective, the strategies formulation process should take into account the IT risks. With the growing of IT dependence on most of organizations, the necessity of a better comprehension about the subject becomes more clear. This work shows a study in three public organizations of the Pernambuco State that investigates how those organizations manage their IT risks. Structured interviews were made with IT managers, and later, analyzed and compared with conceptual categories found in the literature. The results shows that the IT risks culture and IT governance are weakly understood and implemented on those organizations, where there are not such an IT risk methodology formally defined, neither executed. In addition, most of practices suggested in the literature were found, even without an alignment with an IT risks management process

Processo de planejamento estratégico em universidade pública: o caso da Universidade Federal do Pará

The goal of this research is to check if the strategic planning developed between 2001 and 2009 into the State University of Para (Universidade Federal do Pará - UFPA) was consolidated into its Academic Centers as a management practice. To this end, we identified the planning formalization degree of the Academic Centers, the conceived tools for the planning, the conception and the methodological process used in the tools elaboration, as also its implementation. The research used a qualitative approach: it is descriptive and it uses the case study technique. The data were gathered from primary and secondary sources, through bibliography, documents, and field researches through semi-structure interviews. The analysis and data interpretation were done by each investigated Academic Center from the analytics categories guided by the specifics goals. We used theoretic fundamental based principles and the university as a study empiric reference based on its structure analysis, organizational processes and institutional strategic plan. We inspected how the strategic planning process was developed throughout the fixed period and how the investigated Academic Centers are from the collected documents and interviews. The theoretical foundation was built from three axis: the Brazilian undergraduate and posgraduate education system; the university itself including its singularity and complexity as an organization; and the planning as a strategic management process. The main results show us that the UFPA has updated regulatory milestones, presenting organizational structure, laws, instructions, manuals and deployed management model that give the strategic planning development conditions beyond its administration, i. e., into its Academic Centers. The centers also present those established milestones and develop the basic planning processes of the institution. Those processes are conceived based on the institutional strategic planning and the managers mainly use the procedural orientation defined by the university management, from where the conceptual foundation is originated and propagated. According to the literature and to the research done in this work, we can conclude that the Academic Centers from the UFPA developed the strategic planning practice. This planning is organized and founded and guided the plans and decisions which avoided the disordered management and, according to the managers, allowed the advances and performance improvement. We can conclude that the UFPA built an important foundation with respect to the management professionalization. On the other hand, we can not conclude that the management practice is consolidated since there are weaknesses into the structuring of the technical teams and there is not any management tool for the implementation of the elaborated plans

Toimintolaskennan hyödyntäminen prosessijohtamisen tukena julkisen sektorin terveydenhuolto-organisaatiossa

Tämän tutkielman tavoitteena on tutkia toimintolaskennan ja toimintojohtamisen käyttöä sekä hyödyntämistä prosessijohtamisen tukena. Työssä keskitytään tarkastelemaan ilmiötä julkisen sektorin terveydenhuoltoalalla. Tutkielmassa sovelletaan kvalitatiivista eli laadullista tutkimusmenetelmää. Tutkielma koostuu kahdesta osasta. Teoriaosassa käsitellään alan kirjallisuutta tieteellisten artikkelien valossa. Empiriaosassa selvitettiin tutkittavan organisaation kustannus- ja toimintolaskennan hyödyntämisestä prosessijohtamisen tukena. Aineistonkeruu empiirisen osion osalta toteutettiin avoimina ja strukturoimattomina haastatteluina. Tutkielman tuloksina muodostui ymmärrys organisaation kustannuslaskennan nykytilanteesta ja hyödyntämismahdollisuuksista prosessienkehittämisessä. Kustannus- ja toimintolaskentaa hyödynnetään nykyisin pääasiassa hinnoittelupäätöksiin. Kustannustietoja ei systemaattisesti hyödynnetä prosessienkehittämisessä eikä arvioitaessa potentiaalisia kehitys- ja parannuskohteita. Toimintolaskennan erityispiirteet tukevat kuitenkin sitä, että toimintolaskenta sopii terveydenhuolto-organisaatioon kustannuslaskentamalliksi. Voidaan todeta kustannuslaskennan tukevan Lean- kehitystyön kohdentamista ja tuloksien arviointia.

O Processo de Planejamento Estratégico em Pequenas Empresas

O planejamento estratégico é o processo através do qual as empresas identificam recursos potenciais, reconhecem fraquezas, avaliam oportunidades e ameaças no ambiente que atuam e formulam as estratégias para obter vantagens competitivas sobre a concorrência, assegurando o sucesso dos resultados planejados. Esse trabalho desenvolveu-se com o objetivo de aprofundar os conhecimentos sobre o processo de planejamento estratégico e adaptá-lo à realidade das empresas de pequeno porte, através de um caso prático, com a elaboração do plano de negócios de uma pequena empresa de prestação de serviços no segmento de educação especial, o caso “Mundo Novo Educação Especial”. Com relação à metodologia adotada, podemos descrevê-la como uma abordagem qualitativa, com design exploratório através de pesquisa bibliográfica para a fundamentação teórica sobre o processo de planejamento estratégico, seguida de estudo de caso aplicado ao planejamento estratégico da empresa Mundo Novo Educação Especial, com levantamento de dados secundários internos e externos, e dados primários qualitativos. Dentre as conclusões do estudo foi possível identificar a existência de uma grande lacuna de conhecimento sobre os processos de gestão empresarial no ambiente da empresa pesquisada, e que esse despreparo e a falta de planejamento podem torna-la mais vulnerável aos riscos do mercado e contribuir para o seu insucesso. Isso reforça a importância do processo de planejamento estratégico como uma ferramenta de apoio que amplia o conhecimento sobre o ambiente de negócios, desenvolve habilidades de gestão e que pode ser adequado a todos os tipos de empresas, inclusive às empresas de pequeno porte, como no caso estudado.

Gestão da inovação nas organizações desportivas

Esta tese de mestrado explora a gestão da inovação nas organizações desportivas. Pretende-se determinar como se inova nos clubes desportivos e determinar os processos, métodos e modelos aplicados e a forma de fomentação da inovação nas organizações desportivas. A avaliação da reação do meio desportivo à inovação é também analisada. Num primeiro momento procura-se as definições de gestão de desporto e de inovação e é realizado um enquadramento da gestão da inovação nas organizações desportivas e na gestão de desporto, através de pesquisas bibliográficas (enquadramento teórico). Na segunda etapa da tese, são realizadas entrevistas a seis coordenadores de formação de clubes de futebol com o objetivo de determinar que processos utilizam para inovar e como é feita a promoção da inovação nessas organizações. Após a análise das entrevistas são apresentadas as conclusões tendo em conta as características das organizações e compara-se as ideias apresentadas no enquadramento teórico com a prática apresentada nas entrevistas.

Modelo de gestión del cambio por fases para organizaciones con el involucramiento de las personas

En este trabajo se busca, que los líderes tengan herramientas adecuadas que le permitan implementar los cambios en los diferentes procesos que se dan en las empresas, para lograr este objetivo, se abordarán problemas como: la resistencia al cambio, el poco sentido de urgencia y el desconocimiento que tienen los empresarios que, en ciertos casos, es necesario gestionarlos. Este proyecto se realizará entre el segundo semestre de 2014 y el primer semestre de 2015, en este tiempo el proyecto se enfocará en un objetivo general que es: Diseñar una guía acorde a la naturaleza de la gestión del cambio, con el propósito de que las organizaciones cuenten con las herramientas para hacer la adecuada gestión que implica el cambio y para lograr ésto se trabajará en los siguientes objetivos específicos: Identificar a través de la revisión de literatura, las barreras que pueden anteponerse para la adopción de un proceso de cambio en las organizaciones. Definir la forma, cómo funciona el proceso de gestión del cambio, identificando los elementos del proceso para llevarlo a cabo. Para el cumplimiento de los objetivos: se buscará, recolectará y analizará la información en libros, artículos de revistas especializadas y documentos de la Internet para realizar una comprensión más detallada que dé a entender todos los aspectos determinantes de la gestión del cambio en las organizaciones. Esto se realizará por medio de un mapa semántico que permita mostrar los elementos determinantes y las herramientas recomendadas dándole la importancia de la gestión del cambio.

Identiteetin- ja käyttöoikeuksien hallinnan kustannus- ja tulosvaikutukset

Tämän tutkimuksen päätavoitteena oli luoda laskentamalli identiteetin- ja käyttöoikeuksien hallintajärjestelmien kustannus- ja tulosvaikutuksista. Mallin tarkoitus oli toimia järjestelmätoimittajien apuvälineenä, jolla mahdolliset asiakkaat voidaan paremmin vakuuttaa järjestelmän kustannushyödyistä myyntitilanteessa. Vastaavia kustannusvaikutuksia mittaavia malleja on rakennettu hyvin vähän, ja tässä tutkimuksessa rakennettu malli eroaa niistä sekä järjestelmätoimittajan työkustannusten että tietoturvariskien huomioimisen osalta. Laskentamallin toimivuuden todentamiseksi syntynyttä laskentamallia testattiin kahdessa yrityksessä, joiden käytössä on keskitetty identiteetinhallintajärjestelmä. Testaus suoritettiin syöttämällä yrityksen tiedot laskentamalliin ja vertaamalla mallin antamia tuloksia yrityksen havaitsemiin kustannusvaikutuksiin. Sekä kirjallisuuskatsauksen että laskentamallin testaamisen perusteella voidaan todeta, että identiteetinhallintaprosessin merkittävimmät kustannustekijät ovat identiteettien luomiseen ja muutoksiin kuluva työaika sekä näiden toimintojen aiheuttama työntekijän tehokkuuden laskeminen prosessin aikana. Tutkimuksen perusteella keskitettyjen identiteetinhallintajärjestelmien avulla on mahdollista saavuttaa merkittäviä kustannussäästöjä identiteetinhallintaprosessin toiminnoista, lisenssikustannuksista sekä IT-palvelukustannuksista. Kaikki kustannussäästöt eivät kuitenkaan ole konkreettisia, vaan liittyvät esimerkiksi työtehokkuuden nousemiseen järjestelmän ansiosta. Kustannusvaikutusten lisäksi identiteetinhallintajärjestelmät tarjoavat muita hyötyjä, joiden rahallisen arvon laskeminen on erittäin haastavaa. Laskentamallin käytön haasteina ovatkin konkreettisten ja epäsuorien kustannussäästöjen tunnistaminen ja arvottaminen sekä investoinnin kokonaishyötyjen arvioinnin vaikeus.

As inovações organizacionais do PROCANA

Nos países ocidentais, a pesquisa científica financiada com recursos públicos vem sofrendo reformas dramáticas nas últimas duas décadas (Simpson, 2003). Considerando os resultados dessas reformas, este artigo investiga como as mesmas aconteceram no Brasil, como os programas de pesquisa foram afetados e qual estilo de organização emergiu das reformas. Pretende-se analisar essas questões empiricamente, usando um estudo de caso. Então, o objetivo específico desse artigo é analisar as inovações organizacionais criadas dentro de um programa de pesquisa público brasileiro – o Programa de melhoraento genético da cana-de-açúcar do IAC (PROCANA) – para enfrentar as reformas nos modelos de atuação do Estado na área de C&T, superar os limites geográficos da pesquisa agrícola, dar mais eficiência à P&D e gerar produtos adaptados às necessidades dos usuários.

Bases para la gobernanza del distrito de ciencia, tecnología e innovación en Medellín, Colombia

El objetivo de este trabajo es analizar las bases de gobernanza del Distrito de ciencia, tecnología e innovación de Medellín en Colombia, mediante una revisión de literatura e integración de trabajos inéditos de los autores para ilustrar aspectos claves de la administración de este nuevo arreglo institucional. Los resultados muestran que la gobernanza del Distrito se basa en la lectura de las dinámicas y tendencias territoriales, la integración de intereses entre los agentes y la gestión de la ciencia, la tecnología y la innovación. 

Human motivation and professional practice: of knights, knaves and social workers

Efforts to improve the efficiency and responsiveness of public services by harnessing the self-interest of professionals in state agencies have been widely debated in the recent literature on welfare state reform. In the context of social services, one way in which British policy-makers have sought to effect such changes has been through the "new community care" of the 1990 NHS and Community Care Act. Key to this is the concept of care management, in which the identification of needs and the provision of services are separated, purportedly with a view to improving advocacy, choice and quality for service users. This paper uses data from a wide-ranging qualitative study of access to social care for older people to examine the success of the policy in these terms, with specific reference to its attempts to harness the rational self-interest of professionals. While care management removes one potential conflict of interests by separating commissioning and provision, the responsibility of social care professionals to comply with organizational priorities conflicts with their role of advocacy for their clients, a tension rendered all the more problematic by the perceived inadequacy of funding. Moreover, the bureaucracy of the care management process itself further negates the approach's supposedly client-centred ethos. The definitive version is available at www.blackwell-synergy.com

GESTIÓN DE LA INFORMACIÓN EN LAS ORGANIZACIONES

Las grandes tendencias que marcan la gestión de empresas u organizaciones llevan implícito un aspecto fundamental, que en muchas ocasiones no se considera o se deja de lado, como lo es la información, sus sistemas y proceso de gestión.Este artículo busca presentar el modelo de gestión de información en las organizaciones, su interacción con los distintos recursos empresariales, los entes que se involucran en esta gestión y sus responsables, para finalmente presentar cuál debe ser el rol de los profesionales en gestión de información en los procesos que se mencionan.Con ello no se pretende profundizar o delimitar cada una de las funciones que conllevan ese proceso de gestión, como tampoco definir los tópicos que deben ser incorporados, pero sí se pretende propiciar una rica discusión en fundamentos y teorías en lo que respecta a la gestión de la información en las organizaciones, considerando la evolución histórica de este tema.