Following Guidelines During a Crisis

The guidance states, "These preventative measures can include steps to prepare personnel such as: * "Educating employees on topics such as, in the case of a pandemic, personal hygiene (hand washing and coughing and sneezing etiquette), social distancing, and appropriate use of sick leave * "Encouraging employees to get immunized as appropriate by providing information on local vaccination services or by offering on-site vaccination services, if reasonable * "Providing information for and encouraging employees to develop family emergency preparedness plans * "Reviewing CGMP [current good manufacturing practice] regulations regarding appropriate sanitation practices and restriction of ill or sick employees from production areas (see 21 CFR [Code of Federal Regulations] 211.28)" (2). Examples include: * "Production equipment routine maintenance * "Utility system performance checks and maintenance (e.g., air temperature, lighting, compressed air) * "Environmental monitoring of facilities such as cell culture, harvesting, and purification rooms during production * "Stability testing for certain drug products and components * "Periodic examinations of data and of reserve samples" (2). EMA, Guidance on the Format of the Risk Management Plan (RMP) in the EU-in Integrated Format, EMA/164014/2018 Rev.2.0.1 accompanying GVP Module V Rev.2 Human Medicines Evaluation (EMA, 31 October 2018).

Supplier change, market competition and enterprise innovation

PurposeThe purpose of this paper is to study enterprise innovation in the perspective of external supplier relationship. On this purpose, this paper examines the impact of supplier change on enterprise innovation with the moderating role of market competition.Design/methodology/approachUsing 2012–2020 empirical data of Chinese listed manufacturing enterprises, this paper investigates the relationship among supplier change, market competition and enterprise innovation through a two-way interaction model.FindingsThe results show that supplier change has a negative impact on enterprise innovation. And market competition intensifies the negative relationship between supplier change and enterprise innovation. Additional analyses indicate that the main effect and the moderating effect are more significant when the enterprise is non-state-owned or has lower ownership concentration.Originality/valueThis paper studies enterprise innovation from the perspective of external stakeholders. It focuses on supplier relationship in a dynamic variation view, instead of the traditional static ones. Moreover, this paper explores the contingency effect of market competition and gives practical implications for managers to adjust innovation strategy flexibly.

Market development strategy and process performance of knowledge-intensive SMEs in the epidemic era: a process-oriented perspective

PurposeThis study analyzes in-depth how knowledge-intensive small and medium-sized enterprises (SMEs) can achieve higher new product development (NPD) process performance in the epidemic era and examine the internal development mechanism of knowledge-intensive SMEs in the process of continuous digital transformation.Design/methodology/approachThis issue is tested with partial least squares on data collected via a survey conducted from November 2021 to February 2022. The sample comprises 487 knowledge-intensive SMEs operating in China.FindingsThe results indicate that one form of cross-functional ambidexterity, market development strategy (MDS), plays an important role in process performance from an inside-out financial perspective and an outside-in customer perspective. Simultaneously, product innovation efficiency (PIE) mediates the relationship between MDS and the above results. Big data analytics capabilities (BDACs) positively regulate the relationship between MDS and PIE.Research limitations/implicationsThe authors do not consider other contingency factors. Future research should introduce influential factors such as leadership and competitive intensity to further distinguish the effects of MDS on NPD process performance.Practical implicationsThe study findings offer suggestions to help knowledge-intensive SME managers better manage their NPD process by making better use of their limited resources in developing countries such as China.Originality/valueThis study is one of only a few to adopt a process-oriented perspective to specifically examine how one form of cross-functional ambidexterity, MDS, impacts knowledge-intensive SME process performance in the epidemic era. This study also extends the theoretical framework of cross-functional ambidexterity to BDAC research.

Managing systemic risk in emergency management, organizational resilience and climate change adaptation

PurposeThis paper applies the theory of cascading, interconnected and compound risk to the practice of preparing for, managing, and responding to threats and hazards. Our goal is to propose a consistent approach for managing major risk in urban systems by bringing together emergency management, organisational resilience, and climate change adaptation.Design/methodology/approachWe develop a theory-building process using an example from the work of the Greater London Authority in the United Kingdom. First, we explore how emergency management approaches systemic risk, including examples from of exercises, contingency plans and responses to complex incidents. Secondly, we analyse how systemic risk is integrated into strategies and practices of climate change adaptation. Thirdly, we consider organisational resilience as a cross cutting element between the approaches.FindingsLondon has long been a champion of resilience strategies for dealing with systemic risk. However, this paper highlights a potential for integrating better the understanding of common points of failure in society and organisations, especially where they relate to interconnected domains and where they are driven by climate change.Originality/valueThe paper suggests shifting toward the concept of operational continuity to address systemic risk and gaps between Emergency Management, Organizational Resilience and Climate Change Adaptation.

A strategic approach to safeguard global supply chains against COVID‐19 disruptions

The global system of supply chains has been dramatically disrupted over the last years due to the outbreak of the COVID‐19 pandemic. In these current challenging times, this paper proposes a methodological approach for managing dependence and uncertainty in dynamic industrial scenarios. A detailed study of epidemic effects is carried out according to an operational management‐based perspective. We proceed by analyzing connections among effects and risks potentially leading to significant supply chain disturbances through a multicriteria approach. Risks and effects are weighted by applying the Analytic Network Process (ANP). Weighted risks are then assumed as criteria for selecting the most suitable contingency strategy. To this aim, the Fuzzy Technique for Order of Preference by Similarity to Ideal Solution (FTOPSIS) is able to rank a set of strategies by addressing and quantifying uncertainty. A case study on the sector of the automotive industry is implemented to validate the proposed methodological approach. [ FROM AUTHOR] Copyright of Mathematical Methods in the Applied Sciences is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

The aleatory moment of finance and the structural production of class-based inequality

This article considers the conceptual role that contingency plays in class-based inequality, by examining financial insecurity in the UK following the 2008 financial crisis, austerity, and the COVID-19 pandemic. Drawing on Althusser's aleatory materialism, I counter postmodern and poststructuralist ideas of contingency as a universally disruptive challenge to power and stratification, showing instead how a pervasive sense of uncertainty drives working households into debt and diminishes savings, creating ongoing financial strain or poverty. Using Althusser's concept of the 'encounter', I note how the emergence of consumer finance is historically contingent, but has become normalized in the wage relation. Financial risk, with its potential to yield high rewards for institutional investors and financial firms trading stocks, securities, and assets, amplifies uncertainty that working households face in socially reproducing themselves, because it forces those who draw an income as their main source of wealth to manage the potential risk of loss on an untradeable commodity. The encounter between financial institutions and working households is thus unevenly weighted, with precarious households unable to offload risk in unpredictable times. I connect this aleatory reading of inequality with Althusser's earlier work on contradiction and overdetermination, to understand the implications of stratification on crisis and change.

The role of lean in healthcare during COVID-19 pandemic

PurposeThe impact of the COVID-19 pandemic on healthcare operations has raised questions about the applicability and capacity of the lean approach to respond to critical events. Thus, with a dearth of studies addressing this issue, this study aims to understand the role of lean in healthcare operations under the disruptive impact of the COVID-19 pandemic.Design/methodology/approachDrawing on a case study carried out in an emergency department in Brazil during the COVID-19 outbreak, the author presents results from semi-structured interviews and document analysis.FindingsThe results show three prominent themes that respond to this study's purpose: lean applicability during the pandemic, lean challenges during the pandemic and the pandemic impact on the lean processes. Furthermore, the study underscores that lean is not the panacea to operational problems caused by the pandemic in healthcare organisations, but it eases the impact on their operations. Finally, this study contributes to the discipline of operations management and highlights the need to rethink lean applications during disruptive events, focusing on flexibility, adaptability and patients' needs.Research limitations/implicationsThe literature addressing the pandemic impact on healthcare operations is still new and emerging;therefore, it is possible that some of the studies that are under review and could contribute to this study were not considered.Practical implicationsThe study provides a better understanding of the lessons learned from the real-world experiences gained during the pandemic, helping managers to make informed decisions when developing contingency plans to improve healthcare readiness and responsiveness under crisis conditions (e.g. untenable demand and constrained capacity).Originality/valueGiven the contemporary nature of this pandemic, only few emerging studies addressing the impact of the pandemic on lean healthcare operations are available and scholars are calling for more empirical studies. Furthermore, there is an increasing criticism and scepticism about the applicability of lean in healthcare during a pandemic. Thus, this research both provides original contributions by responding to scholars' calls for novel research in this area and further contributes towards filling the void in the literature.

Contingency Approach for Tourism Industry:The application of China model in crisis management during the outbreak and pandemic of COVID-19

Starting in late 2019, an unexpected crisis, the outbreak of COVID-19, began to affect China's economy. Among the businesses most severely impacted have been those in the service and tourism industries. Some firms have been strongly affected due to industry's characteristics, such as the mobility of tourists. In references to what has been accomplished in this battle, the term ‘China model' has been used to describe the nation's effectiveness in preventing industries from collapsing. In this paper, by illustrating the situation of the Chinese tourism industry, a predictive evaluation concerning the COVID-2019 outbreak's impact on the entire tourism industry is expected to obtain. This investigation identifies three key factors affecting the success of the China model in tourism crisis management (CMTCM). Finally, the paper also constitutes an evaluation of the possibility of replicating the CMTCM in conclusions to provide a reference for future relevant studies.

Academic Framing of Computational Representations in the Virtual Classroom during Covid-19

Keywords: Agenda;Framing;Social representations;Expectations;Computer Introduction The development of research projects often requires the competition of computers, software and data analysis techniques, but the acceptance, appropriation and intensive use of them presents limitations in terms of utility and risk expectations [1]. Some explanatory models of human capital formation suggest that the formation of talent or intellectual capital in intangible assets of organizations is due to habitus [3]. [...]the predictive models of the social representations of these determinants have not been observed in the explanation of the relations with the intensive use of technologies, devices and electronic networks. [...]the objective of the present work was to establish the academic link relative to the social representations of computer computers, considering the dimensions of the organizational, educational and cognitive models. Methodology A documentary, retrospective and exploratory study was carried out with a selection of sources indexed to international repositories Table 1, considering the indexing period from 2019 to 2021, as well as the search by allusive keywords for negative (stigma, risk, rejection) and positive (utility, acceptance, appropriation) (Table 1) Content analysis and opinion matrices were used, considering the inclusion of findings, ratings and comparisons of coded data such as;-1 for negative dimensions (stigma, risk and rejection) and +1 for positive dimensions (utility, acceptance and appropriation) The qualitative data analysis package was used, considering equation (1) in which the contingency relations and the proportions of probabilities of taking risks in permissible thresholds of human capital formation stand out The contrast of the null hypotheses was made from the estimation of these parameters.

Contingency management with stepped care for unhealthy alcohol use among individuals with HIV: Protocol for a randomized controlled trial.

BACKGROUND: Although unhealthy alcohol use is associated with increased morbidity and mortality among people with HIV (PWH), many are ambivalent about engaging in treatment and experience variable responses to treatment. We describe the rationale, aims, and study design for the Financial Incentives, Randomization, with Stepped Treatment (FIRST) Trial, a multi-site randomized controlled efficacy trial. METHODS: PWH in care recruited from clinics across the United States who reported unhealthy alcohol use, had a phosphatidylethanol (PEth) >20 ng/mL, and were not engaged in formal alcohol treatment were randomized to integrated contingency management with stepped care versus treatment as usual. The intervention involved two steps; Step 1: Contingency management (n = 5 sessions) with potential rewards based on 1) short-term abstinence; 2) longer-term abstinence; and 3) completion of healthy activities to promote progress in addressing alcohol consumption or conditions potentially impacted by alcohol; Step 2: Addiction physician management (n = 6 sessions) plus motivational enhancement therapy (n = 4 sessions). Participants' treatment was stepped up at week 12 if they lacked evidence of longer-term abstinence. Primary outcome was abstinence at week 24. Secondary outcomes included alcohol consumption (assessed by TLFB and PEth) and the Veterans Aging Cohort Study (VACS) Index 2.0 scores; exploratory outcomes included progress in addressing medical conditions potentially impacted by alcohol. Protocol adaptations due to the COVID-19 pandemic are described. CONCLUSIONS: The FIRST Trial is anticipated to yield insights on the feasibility and preliminary efficacy of integrated contingency management with stepped care to address unhealthy alcohol use among PWH. CLINICALTRIALS: gov identifier: NCT03089320.

How to derive ethically appropriate recommendations for action? A methodology for applied ethics.

Researchers in applied ethics, and some areas of bioethics particularly, aim to develop concrete and appropriate recommendations for action in morally relevant real-world situations. When proceeding from more abstract levels of ethical reasoning to such concrete recommendations, however, even with regard to the very same normative principle or norm, it seems possible to develop divergent or even contradictory recommendations for action regarding a certain situation. This may give the impression that such recommendations would be arbitrary and, hence, not well justified. Against this background, we, first, aim at showing that ethical recommendations for action, although being contingent in some sense, are not arbitrary if developed appropriately. For this purpose, we examine two types of contingencies arising in applied ethics reasoning based on recent examples of recommendations for action in the context of the COVID-19 pandemic. In doing so, we refer to a three-step model of ethical reasoning towards recommendations for actions. This, however, leaves open the question of how applied ethics may cope with contingent recommendations for action. Therefore, in a second step, we analyze the role of bridge principles for developing ethically appropriate recommendations for action, i.e., principles which connect normative claims with relevant empirical information to justify certain recommendations for action in a given morally relevant situation. Finally, we discuss some implications for reasoning and reporting in empirically informed ethics.

"You knew you had to be there, it had to be done": Experiences of health professionals who faced the COVID-19 pandemic in one public hospital in Spain.

Introduction: The COVID-19 pandemic highlighted the lack of a government contingency plan for an effective response to an unexpected health crisis. This study uses a phenomenological approach to explore the experience of healthcare professionals during the first three waves of the COVID-19 pandemic in a public health hospital in the Valencia region, Spain. It assesses the impact on their health, coping strategies, institutional support, organizational changes, quality of care, and lessons learned. Methods: We carried out a qualitative study with semi-structured interviews with doctors and nurses from the Preventive Medicine, Emergency, and Internal Medicine Services and the Intensive Care Unit, using the Colaizzi's 7-step data analysis method. Results: During the first wave, lack of information and leadership led to feelings of uncertainty, fear of infection, and transmission to family members. Continuous organizational changes and lack of material and human resources brought limited results. The lack of space to accommodate patients, along with insufficient training in treating critical patients, and the frequent moving around of healthcare workers, reduced the quality of care. Despite the high levels of emotional stress reported, no sick leave was taken; the high levels of commitment and professional vocation helped in adapting to the intense work rhythms. Healthcare professionals in the medical services and support units reported higher levels of stress, and a greater sense of neglect by their institution than their colleagues in managerial roles. Family, social support, and camaraderie at work were effective coping strategies. Health professionals showed a strong collective spirit and sense of solidarity. This helped them cope with the additional stress and workload that accompanied the pandemic. Conclusion: In the wake of this experience, they highlight the need for a contingency plan adapted to each organizational context. Such a plan should include psychological counseling and continuous training in critical patient care. Above all, it needs to take advantage of the hard-won knowledge born of the COVID-19 pandemic.

Consumers' Behavior in the Field of Organic Agriculture and Food Products during the COVID-19 Pandemic in the Czech Republic: Focus on a Comparison of Hyper-, Super- and Farmers' Markets and Direct Purchases from Producers

The aim of this paper is to assess Czech food consumers' behavior when buying organic products during the COVID-19 pandemic, with an emphasis on the place of purchase of organic agriculture and food products—especially those purchases with the shortest logistics value chain, i.e., purchase at farmers' markets, or directly from the producer—and a comparison with the current most common places of purchase of organic products in the Czech Republic, supermarkets and hypermarkets. Categorical data analysis methods were used to create a profile of the consumer according to the most frequent purchase locations. To create mathematical–statistical models and interpretations, the methods of logistic regression, correspondence analysis and contingency table analysis were chosen. According to the results of the survey, respondents under 25 years of age are the least likely to make purchases at farmers' markets or directly from the producer. Consumers aged 26–35 and with a university degree are the most likely to buy organic agriculture and food products at this location, followed closely by older respondents in the categories 36–45 and 46+ and with a secondary education. It is important for manufacturers to have an overview of where, in what quantities, and for what reasons consumers buy their products, especially for reasons of production optimization and planning, ecological concerns, rural development, and the impact on local areas and the value chain.

Design thinking as a methodological strategy for the economic reactivation of start-ups in Mexico under Covid-19

This chapter presents a methodological and strategic proposal for the application of the design thinking methodology to support the implementation of the work and action plan for the economic reactivation of start-ups in Mexico. The objective is to create a quick reference guide to accelerate start-up resilience. Documentary research is considered on the guidelines and implementation requirements, as well as the measures established by the Mexican Ministry of Health, to mitigate the epidemic caused by the SARS-CoV-2 virus that causes the COVID-19 disease and to carry out an orderly, gradual, and cautious reopening in order to continue caring for people's health in the working environment and at the same time reactivate the start-ups' economy. This chapter provides an alternative guide to direct and propose a structured option for the labour and economic reactivation of start-ups that were considered non-core and that require the completion of regulatory procedures and processes required to obtain the necessary Quick Response code, granted by the entities that regulate the guidelines for the safe reopening of companies. Based on the size of these economic entities, it is considered that they can have between 1 and 10 employees, or no hired personnel at all, which is not considered a priority in the current economic reactivation programmes. A methodological strategy is proposed and implemented to support companies of this size in their immediate process of labour and economic reactivation for a case study of a service company that applied the proposed methodology. © 2022 Emerald Publishing Limited. All rights reserved.

Role of the COVID-19 imposed lockdown in climate change

As the transmission of COVID-19 increases rapidly, the whole world adopted the lockdown activity with restriction of human mobility to prevent its spread. Everyone thinks of the COVID-19 negatively;however, it has some positive aspects too. Before COVID-19, the world was suffering by a high level of urban air pollution especially in the form of CO2, SO2, NO2 and particulate matter. During the COVID-19 pandemic, lockdown and limited human engagement with nature accompanied by social distance have proven to be beneficial for nature. As a result, significant reduction in environmental pollution and improvement in the quality of air, cleaner rivers, less noise pollution, undisturbed and calm wildlife was observed. Knowledge gained from the studies suggests that a substantial relationship exists between the contingency measures and environmental health. It is concluded that the COVID-19-induced lockdown has a positive impact on the global warming, a major issue of the 21st century.

Developing supply chain resilience through integration: An empirical study on an e‐commerce platform

The outbreak of the COVID‐19 pandemic has disrupted supply chains and increased the uncertainties faced by firms. While firms are struggling to survive and recover from the pandemic, Chinese e‐commerce platforms have demonstrated resilient supply chains. We develop a framework that investigates the impacts of integration between an e‐commerce platform and suppliers on supply chain resilience and the moderating effect of the suppliers' product flexibility. An analysis of data from a Chinese e‐commerce platform using operational indicators finds that integration between the e‐commerce platform and suppliers in terms of information sharing, joint planning and logistics cooperation has positive impacts on supply chain resilience, while procurement automation has the opposite effect. Furthermore, product flexibility positively moderates the impacts of information sharing, joint planning and logistics cooperation. The results enhance current understandings of the factors that contribute to the development of supply chain resilience and reveal that the relationship between integration and resilience should be examined within a contingency framework. The findings also provide guidelines for managers taking measures to mitigate the negative influences of supply chain disruptions.

E-Learning Quality Requirements for the Post COVID-19 Era in the Arab World

This study analyses the challenges that face the higher education sector in the Arab World in light of the overwhelming COVID-19 pandemic that struck the world in 2019 both on national and institutional levels. It takes into consideration the internal/on-campus challenges, which include the infrastructure, staff skills and attitudes, facilities, learning resources and applications, as well as smart solutions, in addition to off-campus challenges such as technology infrastructure, the culture of Arab families, students' attitudes, and the labor market and employers' appreciation of online learning. The study also investigates the different approaches and modes of e-learning that vary from complete distance to the blended and technology supported modes. A survey was conducted in a few Arab countries from the Gulf Council countries (GCC), North Africa and East Mediterranean countries, targeting faculty members at public and private universities, where 354 faculty members and administrative staff (including leadership) responded. Both quantitative and qualitative analysis were conducted. In addition, a review of 27 academic articles were on the students' voices regarding used tools and e-learning environment was carried out. This chapter then argues the quality of e-learning, including accreditation systems and their recognition by formal higher education sectors, as declared by the ministries of education and higher education in the selected countries. Then a proposed framework for the e-learning quality requirements in the Arab World is provided to help higher education institutions satisfy quality parameters towards reliable intended learning outcomes. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Newborn Screening in a Pandemic-Lessons Learned.

The COVID-19 pandemic affected many essential aspects of public health, including newborn screening programs (NBS). Centers reported missing cases of inherited metabolic disease as a consequence of decreased diagnostic process quality during the pandemic. A number of problems emerged at the start of the pandemic, but from the beginning, solutions began to be proposed and implemented. Contingency plans were arranged, and these are reviewed and described in this article. Staff shortage emerged as an important issue, and as a result, new work schedules had to be implemented. The importance of personal protective equipment and social distancing also helped avoid disruption. Staff became stressed, and this needed to be addressed. The timeframe for collecting bloodspot samples was adapted in some cases, requiring reference ranges to be modified. A shortage of essential supplies and protective equipment was evident, and laboratories described sharing resources in some situations. The courier system had to be adapted to make timely and safe transport possible. Telemedicine became an essential tool to enable communication with patients, parents, and medical staff. Despite these difficulties, with adaptations and modifications, some centers evaluated candidate conditions, continued developments, or began new NBS. The pandemic can be regarded as a stress test of the NBS under real-world conditions, highlighting critical aspects of this multidisciplinary system and the need for establishing local, national, and global strategies to improve its robustness and reliability in times of shortage and overloaded national healthcare systems.

Transforming resilience in the context of a pandemic: results from a cross-industry case study exploring supply chain viability

Lately, there has been increased interest among researchers in studying the resilience of manufacturing supply chains. However, the Covid-19 pandemic has caused severe disruptions in global supply chains, which have led to calls for greater resilience in these supply chains. This study provides insights into the impact of the Covid-19 pandemic on supply chain resilience by conducting a multiple case study in three intertwined industries based on the dynamic capability view and the relational capability view as a theoretical underpinning. Data were collected during the pandemic in a two-stage interview process with 18 supply chain and production experts directly involved in crisis management. Internal and external documents supplemented the interviews. The results revealed seven higher-level capability groups for building resilience in intertwined supply chains during a pandemic outbreak: agility, collaboration, digital preparedness, flexible redundancy, human resource management, contingency planning, and transparency and visibility. Each capability group is supported by associated capabilities extracted from the data analysis. The findings obtained based on the results of the multiple case study are discussed, and implications for management and future research directions are presented.

Quality assurance in supply chains during the COVID-19 pandemic: empirical evidence on organisational resilience of conformity assessment bodies

Global supply chains rely on the compliance and safety of their products, processes, and facilities. These vital services (often referred to as ‘quality assurance' or ‘conformity assessment' services) are provided by Conformity Assessment Bodies (CABs). This empirical study explores the impact of the COVID-19 pandemic on CABs as well as their response to the resulting challenges. Data was gathered through an online survey among all accredited CABs in Germany, which resulted in 555 valid responses. Taking a resilience perspective, we reveal that CABs were hit hard by the disruptions caused by the pandemic, albeit to different degrees, in part due to their type of services, size, and sectors served. Furthermore, we find that contingency plans do not directly cushion order declines (as the main indicator of the economic impact of the pandemic) but rather indirectly through helping CABs respond more quickly, which in turn mitigates their order declines. However, our results show that contingency plans can also have adverse effects if they hinder flexible reaction to the crisis. The findings of our study help managers and policymakers learn from the COVID-19 pandemic and improve the resilience of the conformity assessment sector and quality assurance in the event of future crises.