bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is a High Medication Risk Score Associated With Increased Risk of 30-Day Readmission? A Population-Based Cohort Study From CROSS-TRACKS
Authors: Thoegersen Trine Worm , Saedder Eva Aggerholm , Lisby Marianne 
Published: December 2021

Objectives
The primary aim of this study was to evaluate whether a high Medication Risk Score (MERIS) upon admission to an emergency department is associated with increased risk of 30-day readmission in patients discharged directly home. Mortality, visit to general practitioner, and drug changes within 30 days were included as secondary outcomes.

Methods
This is a historical cohort study with data from the Danish population-based open-cohort CROSS-TRACKS. Cox regression analyses were used to determine whether a high MERIS score was associated with increased risk of 30-day readmission and mortality. Visit to general practitioner and drug changes were tested with χ2 test and Wilcoxon rank sum test.

Results
A total of 2106 patients were eligible: 2017 had a MERIS score lower than 14 (low-risk group), and 89 had a score of 14 or higher (high-risk group). The proportion of patients in the high-risk group who were readmitted was 21.3% compared with 16.3% in the low-risk group, resulting in a hazard ratio for readmission of 1.43 (95% confidence interval, 0.9–1.3). The hazard ratio for mortality was 8.3 (95% confidence interval, 3.0–22.8). No statistical significant difference was found in general practitioner visits; however, significantly more drug changes were observed in the high-risk group.

Conclusions
A high MERIS score was associated with increased risk of readmissions and can potentially assist healthcare professionals in the prioritizing of patients who may benefit from further exam, for example, additional medication review in acute care setting. Further investigation of MERIS and exploration of causal inferences between medication-related harm and medication-related readmissions are warranted.
Free-Text Computerized Provider Order Entry Orders Used as Workaround for Communicating Medication Information
Authors: Kandaswamy Swaminathan , Grimes Joanna , Hoffman Daniel , Marquard Jenna , Ratwani Raj M. , Hettinger Aaron Z. 
Published: December 2021

Objectives
Medication information is frequently communicated via free-text computerized provider order entry (CPOE) orders in electronic health records. When such information is transmitted separately from a structured CPOE medication order, there is a significant risk of medication error. Although prior studies have described the frequency of using free-text CPOE orders for communicating medication information, there is a gap in understanding the nature of the medication information contained in the free-text CPOE orders. The aims of this study are to (1) identify the most common medication names communicated in free-text CPOE orders and their risk levels and (2) identify what actions physicians expect that nurses will complete when they place free-text CPOE orders, and (3) describe differences in these patterns across hospitals.

Methods
This study was a retrospective analysis of a sample of 26,524 free-text CPOE orders from 6 hospitals in the mid-Atlantic U.S. region.

Results
Free-text CPOE orders contained in the sample mentioned 193 medication names. Free-text CPOE orders were used frequently to communicate information about naloxone, heparin, flumazenil, and dextrose. Twenty-two percent of the free-text CPOE orders related to discontinuing medication(s), whereas 7% of the free-text CPOE orders relate to giving medication(s). There was high variation across hospitals both in the percentage of free-text CPOE orders mentioning medication information and in the proportion of those that referred to high-risk medications.

Conclusions
The prevalence of medication information in free-text CPOE orders may suggest specific communication challenges in respect to urgency, uncertainty, planning, and other aspects of communication and clinical needs. Understanding and addressing communication challenges around commonly mentioned medication names and actions, especially those that are high risk, can help reduce the risk of medication errors.
Feelings of Trust and of Safety Are Related Facets of the Patient’s Experience in Surgery: A Descriptive Qualitative Study in 80 Patients
Authors: Occelli Pauline , Mougeot Frédéric , Robelet Magali , Buchet-Poyau Karine , Touzet Sandrine , Michel Philippe 
Published: December 2021

Objective
Few studies to date have explored the question of the safety of a hospital stay from the patient’s point of view. The aim of this study was to describe patients’ own perspectives on the safety of the surgical care they received. A qualitative study was conducted based on interviews.

Methods
Semidirected interviews were conducted by a sociologist with adult patients admitted for hospitalization in 2 orthopedic and in 2 digestive surgery wards in 4 hospitals.

Results
Eighty interviews were transcribed and analyzed. The patients surveyed averaged 61.7 years old (SD, 16.0 y). Forty-eight percent were men (n = 38). The issue of the safety of care, as defined by professionals, is little apprehended by patients. In their view, sense of safety was related to the trust in the surgeon, which is a requisite condition for a sense of security and is based on interactions with the surgeon and on their communication style. Sense of safety was also related to the preoperative consultation, in which the procedure is explained and illustrated and to a postoperative encounter with a person who participated in the operation.

Conclusions
Patients’ sense of safety is linked to the amount of trust they have in their surgeons. New strategies to improve language practices and surgeon-patient interaction should be developed, along with organizational improvement guaranteeing that participants of the surgery debrief with the patient.
The study has been registered at ClinicalTrials.gov (identifier: NCT02820545).
Development and Adjustment of an Algorithm for Identifying Drug-Related Hospital Admissions in Pediatrics
Authors: Schulze Christopher , Toni Irmgard , Moritz Katrin , Eberl Sonja , Rascher Wolfgang , Neubert Antje 
Published: December 2021

Objective
Adverse drug events (ADEs) in the outpatient pediatric pharmacotherapy can be serious and lead to inpatient admissions. Recent research only focused on ADE identification during hospitalization. The aim of the present study was to develop an algorithm to identify drug-related hospital admissions in pediatrics.

Methods
A systematic literature research was performed, and a pediatric trigger tool for identifying drug-related inpatient admissions was built. The initial version was tested in a sample of 292 patients admitted to a German university children’s hospital. Subsequently, the tool was further improved by combining different modules as a novel approach.

Results
The obtained algorithm with 39 triggers in 5 modules identified drug-related inpatient admissions at a sensitivity of 95.5% (95% confidence interval [CI], 89.3%–100%) and a specificity of 16.5% (95% CI, 11.9%–21.2%), respectively. After modifications including trigger activation requiring a combination of different modules, specificity increased to 56.9% (95% CI, 50.7%–63.0%). Identifying 36 of 44 ADEs leading to admission, sensitivity remained high (81.8% [95% CI, 70.4%–93.2%]). The overall positive predictive value was 25.2% (95% CI, 18.1%–32.3%).

Conclusions
The algorithm is the first trigger tool to identify ambulant acquired ADEs leading to hospital admission in pediatrics. However, the underlying patient sample is small.
Using a larger population for refinement will allow further specifications and reduction in the total amount of triggers and thus signals.
Evaluating Potentially Inappropriate Medications in Older Kidney Transplant Recipients
Authors: Cohen Elizabeth A. , DeVietro Lena M. , Richardson Brock A. , Odinet Johlee S. , Toledo Alexander H. , Marin Ethan P. , Szempruch Kristen R. 
Published: December 2021

Objectives
Beers Criteria and the Screening Tool of Older Persons’ Prescriptions (STOPP) Criteria/Screening Tool to Alert to Right Treatment Criteria are used to assess potentially inappropriate prescribing and medications, which could pose a harm to those of older age. The purpose of this study was to assess and compare the use of Beers and STOPP Criteria in older kidney transplant recipients.

Methods
This was a dual-center, retrospective chart review from May 1, 2014, to March 1, 2018, including kidney transplant recipients 65 years and older. Those who underwent a dual transplant or had incomplete medical records were excluded. Outcomes included number of potentially inappropriate medications (PIMs) comparing Beers and STOPP Criteria on transplant admission, number of PIMs on admission compared with discharge, and readmissions within 3 months related to these medications.

Results
A total of 121 recipients were evaluated. On admission, 60 medications were listed on the STOPP Criteria compared with 106 medications on the Beers Criteria. When comparing PIMs on admission to discharge, there was a 38% decrease in the number of medications on discharge using the STOPP Criteria, whereas there was a 9% increase using the Beers Criteria.

Conclusions
Older recipients were more likely to be on a medication listed in the Beers Criteria on admission and have a new medication listed in the Beers Criteria upon discharge compared with the STOPP Criteria.
Psychological Impact and Risk of Suicide in Hospitalized COVID-19 Patients, During the Initial Stage of the Pandemic: A Cross-Sectional Study
Authors: Benavente-Fernández Alberto , Gutiérrez-Rojas Luis , Torres-Parejo Úrsula , Parejo Morón Ana Isabel , Fernández Ontiveros Sergio , Vinuesa García David , González-Domenech Pablo , Laínez Ramos-Bossini Antonio Jesús 
Published: December 2021

Objectives
This study aimed to assess the psychological impact and risk of suicide in patients hospitalized for COVID-19.

Methods
A cross-sectional study was conducted on a representative sample of patients hospitalized for COVID-19 at the “San Cecilio” University Hospital (Granada, Spain) between March and May 2020. Sociodemographic and clinical variables were collected. All participants were evaluated using the Gijon’s Social-Familial Evaluation Scale to assess social problems, the Impact of Event Scale-6 and the Hospital Anxiety-Depression Scale to assess psychological impact, the Columbia Suicide Severity and Beck Hopelessness scales to assess risk of suicide, and the List of Threatening Experiences questionnaire to control for confounding bias.

Results
Thirty-six COVID-19 patients were evaluated. Of them, 33.3% had a significant psychological impact; 13.9% showed symptoms of anxiety, 13.9% showed symptoms of depression, and 47.2% showed symptoms of anxiety-depression. Moderate and severe risk of suicide were found in 75% and 2.8% of the patients, respectively. Suicidal ideation was observed in 16.7% and suicide behaviors in 5.6% of the patients. Psychological impact was associated with previous psychological treatment, a greater degree of functional dependency, and increased social-familial risk. In addition, the risk of suicide was mainly associated with active treatment of a psychiatric illness and active smoking. No significant correlation was found between psychological impact and risk of suicide.

Conclusions
Psychological impact and risk of suicide were significant in patients admitted for COVID-19. Although the risk of suicide was not associated with increased psychological impact, both should be assessed, especially in patients at higher risk based on significantly associated factors.
“Seeking meaning in self: the dialogical process of storytelling and educating the professional practitioner”
Authors: Higgins David 
Published: December 2021

PurposeThe paper seeks to illustrate the impact, a narrative based approach to learning in practice could have in relation to management education, where reflexive critiques may provide a platform for integrating more closely the appreciation/analysis of the nature of management development with the experiences of practice.Design/methodology/approachCollaborative ethnography seeks to connect the self with others and the social with context; it is a method which embraces the opportunity to understand/appreciate lived experience in moments of learning.FindingsThe use of storytelling as a method to aid reflexive dialogue forces the student to move away from their pre-existing assumptions and practices and provide them with the power and conviction to seek out and recognise new meaning and differing alternatives of practice. The implication of this position in terms of an educational agenda involves challenging the “self-conceptions” of what it means to be a “practitioner” (Alvesson and Willmott, 1992; Martin, 1992; Zubizarreta, 2004).Practical implicationsThe authors argue that focus must be placed on methods through which learning resides in action. Recognising action in learning allows for the development of management education which re-directs thinking and conceptualising towards understanding the social tensions, complex relations and connections in the co-construction of knowing.Social implicationsThe article has sought to exemplify how storytelling can contribute to professional and personal development in new and more enriched ways. This reflexive-style paper presented a perspective from which the writers' values and beliefs are informed, as opposed to making a claim for authenticity and authority in regards to the subject area.Originality/valueThe paper highlights the need to explore imaginative modes of management education practices (Hjorthet al., 2018). Teaching students to simply tell stories is not the goal; rather, it is about sensitising students to the aesthetics of organising and the potential of approaching learning from sensuous and experimental perspectives.
Voluntary part-time and mandatory full-time telecommuting: a comparative longitudinal analysis of the impact of managerial, work and individual characteristics on job performance
Authors: Jamal Mohd Tariq , Anwar Imran , Khan Nawab Ali 
Published: December 2021

PurposeBased on self-determination theory (SDT), the present study aims to assess the effect of managerial (manager trust and support), work (job autonomy) and individual (intrinsic motivation) characteristics on job performance of telecommuters in a pre- and post-coronavirus disease 2019 (COVID-19) outbreak period and is further studied longitudinally after six months of continued mandatory telecommuting.Design/methodology/approachData were collected from information technology (IT) sector employees in three phases and model fitness, reliability and validity of the data for all three phases were assessed through CFA models, while the hypotheses were tested through path analysis.FindingsPerceived manager trust and support increases job performance and the effect strengthens with an increase in telecommuting extent. Job autonomy had similar effects with the exception that employees did not enjoy autonomy when mandatory telecommuting arrangement was initially introduced. Lastly, intrinsic motivation fades away as employees continue to work permanently from their homes.Practical implicationsPermanent full-time telecommuting is expected to continue for the unforeseeable future; the present study suggests that while ensuring increased trust, support and job autonomy to employees, managers must also ensure that employees do not feel professionally isolated and attempt to keep individuals intrinsically motivated.Originality/valueThe authors assess the effect of managerial (manager trust and support), work (job autonomy) and individual (intrinsic motivation) characteristics on job performance under three different types of telecommuting arrangements (voluntary part-time, mandatory full-time and continued mandatory full-time) by collecting data in three different time frames from the same individuals.
Meaning making of mentorship for the tuition-free student
Authors: Parnther Ceceilia , Collier Daniel 
Published: December 2021

PurposeThe study aimed to explore how student recipients of a full-tuition scholarship envision, define and experience mentorship and the types of relationships they have and expect from mentors. The study adds to the growing body of literature on mentorship as supplemental support for college student success.Design/methodology/approachSemi-structured interviews of 20 first-year college students in the Mid-West United States were collected as a part of a more extensive mixed-methods study. The authors used a four-phase process to refine, derive meaning and develop themes. Kegan's orders of consciousness explain how students make meaning of mentorship.FindingsStudents described mentoring as a service that could provide specific transactional features. Ten participants were unable to acknowledge a mentoring relationship at all, despite describing mentoring experiences and opportunities. Students often align with Kegan's second order, which focuses on self and valuing transactional, short-term relationships. Adjusting approaches to explaining mentorship and the value of building relationships appear to be an opportunity for research and practice.Originality/valueThis study illustrates an apparent disconnect between the intent of mentorship and the experiences of mentees. The students' experiences add a valuable perspective that supports the need to further refine mentoring practices in meaningful ways to impact student success, persistence and retention.
Exploring blockchain adoption intentions in the supply chain: perspectives from innovation diffusion and institutional theory
Authors: Hartley Janet L. , Sawaya William , Dobrzykowski David 
Published: December 2021

PurposeDespite blockchain's potential supply chain benefits, few organizations have moved beyond pilot projects. The paper aims to explore blockchain adoption intentions for supply chain applications using two theoretical perspectives: innovation diffusion theory (IDT) and institutional theory (IT).Design/methodology/approachBased on theory, five propositions were developed addressing the intention to adopt blockchain. The propositions were tested using scenario-based experiments with supply chain professionals. To provide additional insights, interviews with 21 supply chain professionals in 15 organizations representing 8 industries were content analyzed.FindingsExperiments suggest that the intention to adopt blockchain is higher when there are government regulations regarding product origin, organizations are using updated cloud-based information systems and organizations are working with third-party consultants. The content analysis suggests that organizations that face normative pressures to adopt blockchain supply chain applications and recognize blockchain's relative advantage, compatibility and complexity are more likely to be actively seeking information about and adopting blockchain supply chain applications. The authors synthesize findings and provide new propositions to guide future research.Originality/valueUsing a multi-method approach, the study provides an important window into supply chain managers' perceptions of the necessary conditions to support organization-level blockchain adoption. The findings also indicate key characteristics present in supply chain networks poised for blockchain adoption.
Monopoly in the container shipping market: an econometric approach
Authors: Matsuda Takuma , Hirata Enna , Kawasaki Tomoya 
Published: December 2021

PurposeSince the 2010s, market conditions for container shipping companies have been deteriorating owing to decreasing container cargo trade and increasing supply capacity. This study aims to contribute to the empirical literature on the container shipping industry market structure. Specifically, this study aims to investigate the extent of market competition.Design/methodology/approachThis study analyzes the market structure and evaluates the market power of shipping companies through a non-structural test.FindingsThe H-statistic for the entire period of 2004–2018 was 0.37, which is significantly different from zero. This indicates the absence of monopoly pricing throughout the entire period. For the time-phased estimates, the H-statistic between 2004 and 2008 is 0.15, which is not significantly different from zero. On the other hand, the H-statistic from 2009 to 2018 was 0.40, which differs significantly from zero.Originality/valueAs the Far East Freight Conference had released tariffs and charge rates by item for container shipping routes, monopolistic pricing is said to have appeared until the European Union abolished the European Economic Community (No. 4056/86) in 2008, before the economic crisis. However, this study indicates that pricing in the container shipping industry has been distinctly non-monopolistic; further, competition seems to have intensified since 2008. Industry competitiveness is of interest not only to academics but also to practitioners, including policymakers, especially when considering competition policies.
Consumers’ food control risk perception and preference for food safety certification in emerging food markets
Authors: Akinwehinmi Oluwagbenga , Ogundari Kolawole , Amos Taye Timothy 
Published: December 2021

AbstractFood safety as a credence food attribute potentially leaves room for adverse selection arising from information asymmetry between consumers and suppliers. To mitigate this market inefficiency, certification works effectively when a credible control system is in place. However, in a situation where control is weak and uncoordinated, introducing certification may encounter consumer‐related behavioural barriers. The case of weak food control in an emerging market in sub‐Saharan Africa (SSA) gives us a unique opportunity to stochastically link consumers’ perception of the food control system to preference for different food safety certification options. We test the hypothesis that this perception induces consumers to depend on subjective cue food safety attributes. Using choice experiment data, we estimate a hybrid choice model that includes consumers’ perceptions of food control, accounting for measurement errors and endogeneity bias. Our results show that a strong preference for food safety may not translate into a positive valuation of any of the certification schemes when we control for consumer perception of food control. Consumers are likely to rely more on subjective cue attributes if they have negative perceptions of food control. When such cue attributes are susceptible to market manipulation, consumers become more vulnerable to the risk of adverse selection in the food market. We recommend combining market mechanisms with strengthened food control systems and boosting consumers’ confidence in food control to address asymmetric information problems in emerging food markets.