An Exemplary Exploration Story: Nansen's Expedition to the North Pole

Lièvre, Pascal

doi:10.1002/9781119663041.ch1

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…An extreme situation is highly exceptional, evolving, uncertain, and risky. 10 Major crises can be part of it. However, some organizations evolve permanently in extreme situations, such as polar expeditions, air force aerobatic teams, or police intervention teams.…”

Section: Innovation In Crisis Times and Extreme Situationsmentioning

confidence: 99%

Organizational innovation under constraints: The case of covid patients’ flow management in Parisian hospitals

Gomez

Kerveillant

Langlois

et al. 2022

Health Serv Manage Res

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The COVID crisis has put hospitals under great stress over the past 2 years and some institutions came close to their breaking points. This has often forced decision makers and the entire institutions to change their practices and the organization of the hospitals in order to continue operating despite limited resources. It has also led some hospitals to develop and implement organizational innovations. This article is based on a qualitative case study analyzing the case of a crisis unit that has implemented various innovative medical and organizational actions in order to manage the flow of resuscitation Covid patients in a large group of hospitals in Paris. This team has implemented a new evaluation scale of resuscitation needs in order to better manage quantitatively and qualitatively the patients’ flow; it has defined medical criteria to select the patients eligible for transfer; it has organized one hundred patients transfers to other hospitals’ intensive care units, in and out of the region, involving private hospitals and private ambulances for a new collaboration. The case allows us to understand innovation in the midst of an extreme situation, when material and human resources are highly constrained, and with very strong time pressure. We highlight the importance of implementing flexible organizational processes and staffing the crisis team with physicians and nurses with specific and complementary skills and experience in flow management and crisis situations.

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Section: Innovation In Crisis Times and Extreme Situationsmentioning

confidence: 99%