Internal communication problems case study

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Internal communication problems case study

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Advanced Search Abstract Background Effective clinical communication is critical to providing high-quality patient care. Hospitals have used different types of interventions to improve communication between care teams, but there have been few studies of their effectiveness. Objectives To describe the effects of different communication interventions and their problems.

Design Prospective observational case study using a mixed methods approach of quantitative and qualitative methods. Setting General internal medicine GIM inpatient wards at five tertiary care academic teaching hospitals.

Participants Clinicians consisting of residents, attending physicians, nurses, and allied health AH staff working on the GIM wards. Methods Ethnographic methods and interviews with clinical staff doctors, nurses, medical students, and AH professionals were conducted over a month period from to Results We identified four categories that described the intended and unintended consequences of communication interventions: The use of alphanumeric pagers, smartphones, and web-based communication systems had positive effects for senders and receivers, but unintended consequences were seen with all interventions in all four categories.

Conclusions Interventions that aimed to improve clinical communications solved some but not all problems, and unintended effects were seen with all systems.

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Hospital communicationEvaluationIntended and unintended consequencesKnowledge transfersmartphones Background In hospitals, effective communication between clinicians is a critical component in the provision of high-quality patient care. These interventions include alphanumeric pagers, 7 smartphones, 8—11 and a web-based interdisciplinary communication tool.

To describe the benefits and drawbacks of different communication technologies in inpatient settings, we conducted an ethnographic study to assess different systems used in five hospitals.

Each site had clinical teaching units with typically four medical teams, each consisting of an attending physician, a senior resident, junior residents, and medical students. Communication practices Communication practices that were common to all the hospitals included the use of hospital operators, online and overhead paging systems, and daily interprofessional care rounds.

Each site, however, had adopted different communication systems and processes that allowed clinicians to communicate about patients by sending or receiving different types of information in the form of numeric digits, text messages, or phone calls.

At site 1, clinicians relied on traditional numeric pagers.

Internal communication problems case study

Site 2 had used a mix of alphanumeric pagers and smartphones since Previously, numeric pagers were used. On their GIM floors, text messages were primarily sent via an intranet-based messaging system to clinicians' alphanumeric pagers while other non-GIM clinicians would send numeric pages.

Clinicians would respond to these pages by either making call backs to the extensions using hospital phones or look for the caller on the wards. Smartphones were carried by the senior residents who used them at their own discretion. Residents would respond by emailing back or picking up the phone calls on these institutional smartphones.

Sinceclinicians at site 4 had used an intranet-based task-management messaging system that queued non-urgent messages. For urgent issues, nurses and AH sent numeric or stat pages directly to the residents' pagers.

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Residents responded to messages by logging into the messaging system using computers on the wards to review the messages or calling the numbers reflected on their numeric pager using the ward phones. Table 1 highlights the different communication devices and methods adopted at these hospitals.

Table 1 Communication devices and methods across the five hospitals.INTERNAL COMMUNICATION CHALLENGES AND ISSUES: A CASE STUDY OF TRANSNET FREIGHT RAIL BUSINESS UNIT COAL, VRYHEID (KWAZULU NATAL PROVINCE, SOUTH AFRICA) on the job with regards to internal communication.

This study will also provide recommendations to management of TFR, BU Coal Vryheid. ZARA Case Study Solution 1. Introduction Zara, a well known reputed fashion designing and manufacturing company has been declared most efficient and market responding enterprise in .


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Also discussed the case of HPCL, the use of digital technology to improve employee communication, and their leaders’ emphasis on direct, “one-to-one” relationships with employees and some of the consequences (internal and external) of this more conversational model of organizational communication.

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Internal communication problems case study

The aim of this paper is to focus on demonstrating faults of internal communication in privatization. A case study approach is employed in this paper wherein a qualitative data collection was.

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