BACKGROUND: The goal of this study was to measure an adverse event rate and determine the potential usefulness of the Institute for Healthcare Improvement's Global Trigger Tool (GTT). Besides using the GTT to measure the adverse event rate, a comparison was also made with the internal Voluntary Reporting Notification System (VRNS) to identify and compare the strengths and weaknesses of the two approaches. METHOD: Retrospective data were collected from reported patient safety incidents covering a one-year period at Duzce University Hospital, Turkey. Using a range of selection criteria, a total of 219 patient records were selected and then reviewed by a trained GTT team, to investigate the positive triggers in the content of the patient records. RESULTS: It was determined that adverse events per 1000 patient days totalled 80.72. Adverse events per 100 admissions were 29.39, and the rate of admissions with adverse events was 16.67%. The comparison between the GTT and the VRNS showed that the GTT is 19 times more sensitive than the VRNS in the adverse event evaluation process. CONCLUSION: This is the first published study of the rate of adverse events in a Turkish healthcare setting using the GTT. It was found that the GTT was applicable in this setting, yielding more accurate measurement of the adverse event rate. However, the content of the GTT should be adjusted regarding the standards and documentations used in the Turkish healthcare system to be more useful.

PURPOSE: The new situation arising from the COVID-19 pandemic has brought many difficulties for companies worldwide. To combat the pandemic, governments have enforced lockdown and closure of businesses, and in response, companies have developed various reactive strategies to ensure their survival. The purpose of this study is twofold: to examine the impact of COVID-19 on firms and examine firm reactions towards the COVID-19 crisis. The study analyses the impact of COVID-19 on firm size, ownership type, and industry characteristics. Secondly, to analyze firm reactions based on four components: technological preferences, strategic behavior, management practices, and social networks. METHODOLOGY: This study employs a quantitative method, using a survey of 320 firm owners and managers conducted in Kosovo by the Institute of Entrepreneurship and Small Business. FINDINGS: Findings suggest that income dropped significantly for SMEs based on the firm size. Based on industry characteristics, findings show that all industries have been influenced negatively. Regarding the ownership type, findings suggest that family firms are more affected by COVID-19 than non-family firms. Factor analysis suggests that the technological preferences, managerial practices and strategic behavior, and social networks effectively responded to the crisis derived from COVID-19. Findings also suggest that firms did not employ a single reaction (e.g., technological change) but combined several reactions where one reaction led to another reaction that proved effective and led to firm survival during the crisis. IMPLICATIONS: The implications of this study are as follows: firstly, this study examines the impact of COVID-19 and, at the same time, firm reactions to the crisis; secondly, contrary to previous studies, this study shows that all industries have been influenced negatively, including all SMEs; thirdly, this study shows that ownership type was an important factor concerning the impact of COVID-19, where family firms were influenced more than non-family firms; this is due to the distinct characteristic of organizational structure that family firms have, including the involvement of members of family firms. Last, this study shows that a single reaction of firms does not lead to survival, but the chain of reactions combined with dimensions shown above. ORIGINALITY/VALUE: Despite growing theoretical and empirical literature about COVID-19 and firms, this study shows the impact and firm responses towards the crisis of COVID-19. Furthermore, focusing on the context of Kosovo, the study contributes to the challenges that firms face in different cultural and institutional settings.

The enforced lockdown and closure of businesses in response to the Covid-19 pandemic has resulted in economic crises across the globe, bringing the attention to entrepreneurship and its importance to economic recovery. The aim of this study is to evaluate the effects of the coronavirus pandemic on SME’s and the entrepreneurs’ policy preferences based on firm size and industry type. To achieve this, evidence from a Business Support Centre Kosovo’s (BSCK) survey involving 236 SME owners interviewed online is reported. Findings from SME survey suggest the problems with cash flow and reduction of customer demand, among others, are major problems faced by SME’s across all firm size groups and industry types. Findings from factor analysis clustered SME policy preferences into three groups: policy preferences related to financing and liquidity constraints, market related and tax preferences. This study discusses some policy and managerial implications urging the need for more nuanced and variegated understanding of the effect of coronavirus pandemic on SMEs.

Purpose This paper aims to determine the antecedents that affect higher education students' entrepreneurial intention and awareness in two developing economies (Turkey and Poland) and one transition economy (Kosovo). Design/methodology/approach This study uses a quantitative research approach based on a sample of 342 questionnaires. Using SPSS 23, AMOS and Process Hayes, this study tests research hypotheses using explanatory and confirmatory factor analysis, correlation analysis, regression analysis and mediation analysis. Findings The findings show that personal attitudes (PA), perceived behavioural control (PBC) and need for achievement (NFA) variables affect students' entrepreneurial intentions and alertness (EIA) in Turkey, Poland, and Kosovo. PA and PBC mediate the impact of NFA on EIA. In addition, analyses show that the country variable does not have a moderator effect on EIA, PA, NFA and PBC variables. The findings reveal that students' perceptions of EIA differ by country. Research limitations/implications The sample comes from a university in three countries; therefore, these results cannot be generalised to the entire population. In addition, the study was carried out with a cross-sectional study urging the need for a longitudinal analysis of the data, which may provide better results. Practical implications Results can benefit policymakers and higher education administrators for resource planning, organising educational curricula and strategic policy plans for building the entrepreneurial ecosystem. Originality/value The originality of this article is that it presents a model to reveal the effect of PA, PBC and NFA variables on EIA in three different countries.

Aim: At the context of the chest and infectious diseases, the main goal of this study is to make a bibliometric analysis of publications on coronavirus disease 2019 . Visualizing it with visible and scientific mapping techniques is the secondary goal. Material and Methods: Raw data for 2020 have been downloaded from the Web of Science Core Collection database. A total of 787 articles were reviewed. Raw data were analyzed with Bibliometrix and VOSviewer. The articles about COVID-19, related with the respiratory system and infectious diseases were included. The perspectives of other disciplines were excluded with the analysis. Results: A total of 787 articles were published in 108 different journals. The average number of citations per article is 10.17. There are four studies with over 300 citations. The top three authors with the highest H index are Raoult D, Colson P and Rolasin JM. The h, g and m indices of the authors were calculated and the core authors were determined according to Lotka's law. The top three countries that publish the most articles are China, America and Italy. Finally, according to the word mining analysis, it was determined that the studies can be classified under three clusters. Conclusion:One of the tools that will accelerate the basic reading process in the face of the numerical increase rate of publications on COVID-19 is the bibliometric analysis results. The most up-to-date and basic information on treatment options can be found collectively in bibliometric studies.