bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characteristics of cannabis cultivation in New Zealand and Israel
Authors: Wilkins Chris , Sznitman Sharon , Decorte Tom , Hakkarainen Pekka , Lenton Simon 
Published: May 2018

Purpose
The purpose of this paper is to explore the characteristics of small-scale cannabis cultivation in New Zealand and Israel.

Design/methodology/approach
An online survey of predominantly small-scale cannabis cultivators had previously been conducted in 11 countries in 2012/2013. The same core online survey was subsequently conducted in New Zealand and Israel in 2016/2017, and comparisons made with the original 11 countries.

Findings
Only around one third of the New Zealand and Israeli cannabis growers had sold cannabis, and the majority of these did so only to cover the costs of cultivation. The median number of cannabis plants cultivated per crop by the New Zealand and Israeli growers was five and two, respectively. The leading reasons provided for growing cannabis by both the New Zealand and Israeli growers were to provide cannabis for personal use and to share with others. A higher proportion of New Zealand than Israeli growers reported growing cannabis for medicinal reasons. A total of 16 per cent of the New Zealand and 17 per cent of Israeli growers had come into contact with the police due to their cannabis cultivation. The findings suggest small-scale cannabis cultivation in New Zealand and Israel is largely a means of “social supply” of cannabis, and this is consistent with the findings from the original 11 countries. The higher incidence of growing cannabis for medicinal purposes in New Zealand may reflect the limited official access to medical cannabis. Significant minorities of small-scale cannabis growers in both countries had contact with police, putting them at risk of the negative consequences of a criminal conviction.

Originality/value
To date, the research into cannabis cultivation has largely consisted of studies of individual countries. However, given the global popularity of cannabis use, and the recent spread of cannabis cultivation to countries that traditionally have not produced cannabis, via utilisation of indoor growing techniques, there is now a strong case for international comparative research. Following the success of the surveys in the original 11 countries, New Zealand and Israeli members of the Global Cannabis Cultivation Research Consortium international collaboration chose to undertake surveys in their own countries in 2016/2017.
Event performance index: a holistic valuation tool
Authors: Bandi Tanner Monika , Künzi Adrian , Lehmann Friedli Therese , Müller Hansruedi 
Published: May 2018

Purpose
The subsidization of events by public authorities at different administrative levels has become increasingly important in recent years. Event portfolios are an important supply component of tourism destinations. The development of a valuation tool with an event performance index (EPI) as the key output should enable public authorities to develop transparent, systematic and fair subsidization practices in the future. The paper aims discuss these issues.

Design/methodology/approach
Using a theoretical impact model and event evaluation practices, this work develops a new holistic valuation tool for events with key indicators along the dimensions of sustainable development. Basic cost-benefit analysis ideas enrich the approach conceptually. Indicator development was based on a process of elaboration that considered the scientific literature, event stakeholders and municipal representatives.

Findings
The EPI consists of seven core indicators: size, economic value, touristic value and image, innovative strength, value of networking, value of participation and social exchange and relative ecological burden. The application of this tool to a case study revealed that it generates comprehensive and robust indicators of multifaceted and destination-unspecific event values and supports the process of allocating event subsidies using different remuneration schemes. Straightforward and destination-unspecific indicators assure the transferability and adaptability of the valuation tool to different complex and multifaceted contexts of event subsidization.

Originality/value
The EPI seeks to reduce complexity and incentivize event organizers to meet future sustainable development goals. Additionally, this work contributes to future discussions of both the form and process of event subsidization.
Doctors attitudes towards medication errors at 2002 & 2015
Authors: Burns Naomi , Alkaisy Zina , Sharp Elaine 
Published: May 2018

Purpose
The purpose of this paper is to explore the attitudes and beliefs of doctors towards medication error reporting following 15 years of a national patient safety agenda.

Design/methodology/approach
This is a qualitative descriptive study utilising semi-structured interviews. A group of ten doctors of different disciplines shared their attitudes and beliefs about medication error reporting. Using thematic content analysis, findings were reflected upon those collected by the same author of a similar study 13 years before (2002).

Findings
Five key themes were identified: lack of incident feedback, non-user-friendly incident reporting systems, supportive cultures, electronic prescribing and time pressures. Despite more positive responses to the benefits of medication error reporting in 2015 compared to 2002, doctors at both times expressed a reluctance to use the hospital’s incident reporting system, labelling it time consuming and non-user-friendly. A more supportive environment, however, where error had been made was thought to exist compared to 2002. The role of the pharmacist was highlighted as critical in reducing medication error with the introduction of electronic prescribing being pivotal in 2015.

Originality/value
To the authors’ knowledge, this is the first study to compare doctors’ attitudes on medication errors following a period of time of increased patient safety awareness. The results suggest that error reporting today is largely more positive and organisations are more supportive than in 2002. Despite a change from paper to electronic methods, there is a continuing need to improve the efficacy of incident reporting systems and ensure an open, supportive environment for clinicians.
Workplace violence prevention standardization using lean principles across a healthcare network
Authors: Hutton Scott A. , Vance Kelly , Burgard Jesse , Grace Susan , Van Male Lynn 
Published: May 2018

Purpose
The purpose of this paper is to describe the process used to standardize a Workplace Violence Prevention Program (WVPP) within a five-hospital healthcare system in Veterans Health Administration (VHA).

Design/methodology/approach
A description of the lean process improvement principles, used to bring the WVPP into compliance with Occupational Safety and Health Administration (OSHA) and other agencies through streamlining/standardizing processes.

Findings
There was significant standardization in both the threat assessment and education arms of the WVPP. Compliance with all major US Department of Labor OSHA requirements, as well as substantial time savings, were realized as part of this process improvement.

Originality/value
VHA is leading the way in inter/multidisciplinary assessment and mitigation of workplace violence, however, there are significant competing demands on staff time. This first ever use of lean principles to streamline processes around workplace violence prevention freed up clinician time for care while improving internal and external customer satisfaction, representing a major step forward in workplace violence risk mitigation.
Supply chain partnership assessment of a diabetes clinic
Authors: Mishra Vinaytosh , Samuel Cherian , Sharma S.K. 
Published: May 2018

Purpose
Diabetes is one of the major healthcare challenges in India. The chronic nature of the disease makes the lifetime cost of the treatment exorbitantly high. The medicine cost contributes a major size of expense in diabetes management. To make healthcare available to poorest of the poor, it is imperative to control the rising cost of diabetes treatment. The earlier research works done in this area focuses more on inventory management techniques to control the cost of healthcare. Less interest is shown in the role of better supply chain partnership (SCP) in reducing the cost of procurement of medicine. The purpose of this paper is to develop and use the SCP assessment framework for a diabetes clinic. The approach is generalized enough to be adopted for other similar organization.

Design/methodology/approach
This paper adopts self-assessment criteria of the European Foundation for Quality Management (EFQM) business excellence model for analysis of SCP in the supply chain of a private diabetes clinic in Varanasi. The paper uses analytic hierarchy process (AHP) method for calculation of weights of criteria.

Findings
The EFQM-based framework can be adopted as easy-to-use tool to make an objective assessment of the SCP. The proposed model in the study is a balanced model between enablers and results, which includes multiple assessment dimensions. The supply chain performance score of the diabetes clinic under study was found as the Tool Pusher, which means the effort in direction of SCP is not too good. The organization needs to clearly define the SCP goal and analyze the results to identify the gap areas.

Originality/value
The study is first of its kind and contributes to the literature by providing non-prescriptive and easy-to-use SCP assessment framework, for chronic disease care. The case study approach provides a procedure for the healthcare organization willing to adopt this approach.
Factors affecting sentinel events in hospital emergency department: a qualitative study
Authors: Zaboli Rouhollah , Malmoon Zainab , Soltani-Zarandi Mohammad Reza , Hassani Mohammad 
Published: May 2018

Purpose
A sentinel event is an unexpected occurrence resulting in death or serious physical or psychological injury or the risk thereof. The purpose of this paper is to investigate the influencing factors of sentinel events in the emergency department of a military hospital in Tehran to find out some of the effective solutions.

Design/methodology/approach
In this qualitative study with content analysis approach, 20 hospital healthcare personnel participated as participants from the fields of medicine and nursing. Purposive random sampling and semi-structured interviews were used for data collection. Atlas.ti software version 5.2 was used for data analysis.

Findings
Four themes and 32 subthemes were identified by numerous revisions and combining the codes. The four main themes of sentinel events were: causes, incidence barriers, cause prevention solutions, and barriers’ improvement solutions. Moreover, these main factors were related to these issues: staff and patients’ education, communication, assessment, patients and their companions, employee rights, leadership, care continuum, human factors, physical environment, information management and medication use. Some solutions were also suggested according to these factors and a policy was recommended.

Practical implications
Hospital managers and authorities should try to find the main causes of sentinel events by periodical analysis to find ways to prevent them in the future, using logical and reasonable solutions.

Originality/value
This study confirms that strategies to reduce the sentinel events in emergency departments should focus on empowerment of all staff.
Service quality and satisfaction in healthcare sector of Pakistan— the patients’ expectations
Authors: Javed Saad Ahmed , Ilyas Fatima 
Published: May 2018

Purpose
The purpose of this paper is to assess the influence of patients’ expectations from healthcare service quality on their satisfaction with nursing in public and private hospitals of Pakistan.

Design/methodology/approach
Data (n=456) were collected from three public sector hospitals and three private sector hospitals of Lahore, the capital of Pakistan’s most populous province. Male and female patients who have experience of both sectors were surveyed using a self-administered questionnaire developed using the original SERVQUAL approach. Data were analyzed using the statistical techniques and the Laplace criterion.

Findings
This paper attempts to explain degree of influences of five service quality constructs (empathy, responsiveness, tangibility, reliability and assurance) on Pakistani patients’ expectations from the private and public sector hospitals and thus patient satisfaction. Further, this work can offer several intuitions into the effect of five constructs of service quality on patients’ expectations of healthcare service quality and patient satisfaction with the service providers/nursing. The results reveal that the patient satisfaction is most strongly related to empathy in public sector and to responsiveness in private sector.

Research limitations/implications
In light of the previous studies and the current research findings, the study anticipates no apparently significant improvement in healthcare sector of Pakistan in near future considering various factors discussed in the study. The study will also help the service providers and the policy makers in understanding the deteriorating situation of the Pakistani healthcare sector and will guide them in identifying the areas by improving which not only the healthcare service quality in the country can be improved but also the image of healthcare sector among the masses and competitiveness of the healthcare sector can be enhanced.

Originality/value
The value of the study rests in its critical analysis of the current status of the healthcare sector of Pakistan with a view to suggest the areas that need to be worked on by the service providers and policy makers. Also, the study tries to settle a controversy within Pakistani healthcare literature concerning the question that who is producing more satisfied patients: private hospitals or their public counterparts?
Ensuring quality immediate discharge letters from mental health
Authors: Watson-Fargie Taylor , Cheape Ross 
Published: May 2018

Purpose
Immediate discharge letters (IDLs) from the mental health unit at Forth Valley Royal Hospital are vital in ensuring safe patient transfer to primary care. The purpose of this paper is to develop a standardised list of information that should be included in all IDLs, and to assess its use in practice.

Design/methodology/approach
Three audit cycles analysed IDLs over two-week periods for their inclusion of the standardised list. The data were assessed qualitatively.

Findings
Baseline measurement showed 48.7 per cent of discharges had a brief reason for admission, 15.4 per cent included a description of the patient’s progress during inpatient admission, 35.9 per cent had medication alterations included and 23.1 per cent included follow-up arrangements. Following a series of interventions, analysis of subsequent IDLs demonstrated that 76.2 per cent of discharges had a brief reason for admission, 76.2 per cent included a description of the patient’s progress during inpatient admission, 76.2 per cent had medication alterations included and 71.4 per cent included follow-up arrangements.

Originality/value
The standardised list developed will ensure quality communication and safe patient transfer to primary care; the application of this list was effective and cost neutral.
The success of strategic planning in health care organizations of Iran
Authors: Esfahani Parvaneh , Mosadeghrad Ali Mohammad , Akbarisari Ali 
Published: May 2018

Purpose
Although strategic planning promised to boost organizational performance, many health care managers found it difficult to implement it successfully. The purpose of this paper is to investigate the success of strategic planning in health care organizations of Iran.

Design/methodology/approach
This descriptive and cross-sectional study was conducted in 2016 using a valid and reliable questionnaire completed by 99 health care managers in Tehran province, Iran.

Findings
Strategic planning was positively related to organizational performance including employees’ and patients’ satisfaction and organizational productivity. However, strategic planning was moderately successful in enhancing organizational performance of Iranian health care organizations (score of 2.84 out of 5). The most and least success was observed in the planning and employee management constructs of organizational performance. Process management, organizational culture and customer management constructs had the most effect on the success of strategic plans in health care organizations.

Practical implications
Strategic planning is effective and provides a clear focused direction for health care organizations. Understanding the success factors of strategic planning would enable managers to develop more effective methods for developing, implementing and evaluating strategic plans in health care organizations.

Originality/value
This paper highlights the relationship between strategic planning and organizational performance and offers suggestions on how to develop and implement strategic plans to achieve higher organizational performance.
Quality assurance in segmental neck of femur fractures
Authors: Harshavardhana Nanjundappa S. , Rathnayake Kalana , Tanagho Andy , Cree Calum 
Published: May 2018

Purpose
The purpose of this paper is to report a rare case of segmental neck of femur fracture (SNoFF) and highlight its quality assurance and governance implications with respect to national guidelines, care pathways and best practice tariff.

Design/methodology/approach
Case report of an SNoFF in a 67-year-old woman treated at a district general hospital (DGH) was used in this study.

Findings
SNoFF required additional implants that delayed the surgery by five days. The authors were unable to adhere to the British Orthopaedic Association standards for trauma and Scottish Inter-Collegiate Guidelines Network recommendations which indicate that all neck of femur fractures (NoFFs) be fixed within 48 h. Though the patient was discharged without any untoward event and had an uneventful recovery, this case led us to introspect and learn how best to avoid such an incident from repeating again.

Research limitations/implications
This case led to an overhaul of NoFF and trauma services. The local logistics was restructured to procure “Trochanteric grip plates” within 24 h to provide mandated quality of care in an effort towards improving patient experience/outcomes.

Originality/value
SNoFF are rare injuries and its diagnosis is either delayed or missed in at least 20 per cent of the cases on initial evaluation. The non-availability of additional implants readily on the shelf coupled with lack of a trauma bed at the tertiary centre resulted in an unacceptable delay from admission to definitive surgery. The authors recommend that all DGHs have a mechanism/emergency procurement procedure system in place to obtain the required instrumentation kits rapidly through a sharing scheme with regional hospitals or through implant vendor to avoid unacceptable delays to surgery.
Factors influencing home-purchase decision of buyers of different types of apartments in India
Authors: Sundrani Deepak Murlidhar 
Published: May 2018

Purpose
The purpose of this paper is to present partial results of a survey conducted in Pune, India. Its aim is to determine the importance of factors, other than the buyer-related factors, that influence the purchase of a flat/apartment, of buyers of different types of flats/apartments.

Design/methodology/approach
The author follows three hypotheses for recent buyers of three different types of flats/apartments, namely, 1 BHK, 2 BHK and 3 BHK (where 1, 2 and 3 indicate the number of bedrooms, H stands for hall and K stands for kitchen. Thus 1 BHK designates a flat/apartment with one bedroom, a hall and a kitchen). A total of 284 respondents from buildings located on the outskirts of Pune city participated in the questionnaire survey for this study. Ten factors have been considered.

Findings
From this study, it is concluded that price is significantly the most important factor for buyers of 1 BHK, followed by product, and then followed by location. For 2 BHK buyers, there is no single significantly most important factor. For 3 BHK buyers, there is no single significantly most important factor and the two most important factors are product and location.

Research limitations/implications
The results of this study show that buyers of different types of flats/apartments give different types of importance to the influencing factors. This study of buyer behavior will be helpful for the marketers of real estate companies, as they can identify the most important factors for various categories of buyers and implement those accordingly.

Originality/value
This study is the first to analyze the importance of the influencing factors for buyers of different types of flats/apartments. Also, it is the first to analyze the home-buying behavior for flats/apartments constructed in the outskirts, where most of the new constructions are taking place. This study will be useful to all the stakeholders of the housing industry.
The innovative grant of university–industry–research cooperation
Authors: Wong Jehn-yih , Wan Tung-hsuan , Chen Hung-chih 
Published: May 2018

Purpose
This study aims to make government usage of technology research grants more efficient and to evaluate how to use university–industry–research cooperation to promote industrial innovation in Taiwan.

Design/methodology/approach
This case study aims to use the triple helix model and other references to develop indicators which can estimate the performance of university–industry–research cooperation in Taiwan. The study selects three facets: “(prior) mechanisms,” “(in-progress) regulations” and “(post-hoc) operations” to find out the critical indicators contributing the final outcome. The study found that a successful university–industry–research cooperation requires the following factors: strengthening review methods for the mechanisms; its relationships of rights and obligations; policy needs in regulations; and plan incentives in operations.

Findings
It is recommended that, to promote university–industry–research cooperation in Taiwan, resource distributors and program management units should not only continue program application incentives and strengthen interdepartmental resource integration, they should also consider the establishment of a fair, just and open review mechanisms, and they should enhance the relationship between the rights and obligations of university–industry–research cooperation.

Originality/value
The study of this program includes application review before, during and after the program, management examination and performance evaluation to formulate recommendations as reference points for resource distributors and grant recipients. And because of industry–university cooperation being the main way of research and technology development, the findings and suggestions of this study may also be helpful for other grant systems in the world.