A Dynamic Theory of Organizational Knowledge Creation

Nonaka, Ikujiro

doi:10.1287/orsc.5.1.14

Cited by 13,230 publications

(12,345 citation statements)

References 44 publications

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“…28,29 Our findings reinforce the importance of this shared meaning, as higher discussion of Bintent,^the Bwhy we are doing this,^was associated with lower complication rates and LOS. While concern and calibrate were not in themselves associated with outcomes, we do not believe that this reflects a lack of importance.…”

Section: Discussionsupporting

confidence: 69%

The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients’ Outcomes

et al. 2015

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BACKGROUND: Sensemaking is the social act of assigning meaning to ambiguous events. It is recognized as a means to achieve high reliability. We sought to assess sensemaking in daily patient care through examining how inpatient teams round and discuss patients. OBJECTIVE: Our purpose was to assess the association between inpatient physician team sensemaking and hospitalized patients' outcomes, including length of stay (LOS), unnecessary length of stay (ULOS), and complication rates. DESIGN: Eleven inpatient medicine teams' daily rounds were observed for 2 to 4 weeks. Rounds were audiotaped, and field notes taken. Four patient discussions per team were assessed using a standardized Situation, Task, Intent, Concern, Calibrate (STICC) framework. PARTICIPANTS: Inpatient physician teams at the teaching hospitals affiliated with the University of Texas Health Science Center at San Antonio participated in the study. Outcomes of patients admitted to the teams were included. MAIN MEASURES: Sensemaking was assessed based on the order in which patients were seen, purposeful rounding, patient-driven rounding, and individual patient discussions. We assigned teams a score based on the number of STICC elements used in the four patient discussions sampled. The association between sensemaking and outcomes was assessed using Kruskal-Wallis sum rank and Dunn's tests. KEY RESULTS: Teams rounded in several different ways. Five teams rounded purposefully, and four based rounds on patient-driven needs. Purposeful and patient-driven rounds were significantly associated with lower complication rates. Varying the order in which patients were seen and purposefully rounding were significantly associated with lower LOS, and purposeful and patient-driven rounds associated with lower ULOS. Use of a greater number of STICC elements was associated with significantly lower LOS (4.6 vs. 5.7, p=0.01), ULOS (0.3 vs. 0.6, p=0.02), and complications (0.2 vs. 0.5, p=0.0001).CONCLUSIONS: Improving sensemaking may be a strategy for improving patient outcomes, fostering a shared understanding of a patient's clinical trajectory, and enabling high reliability.

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Section: Discussionsupporting

confidence: 69%

The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients’ Outcomes

et al. 2015

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“…An emerging perspective on the knowledge-based theory of the firm has argued that problemsolving effectiveness is key to superior organizational performance (Nickerson and Zenger 2004;Nonaka 1994;Nonaka and von Krogh, 2009). Managers inside firms have to both select high value problems to be solved, and, depending on the decomposability of those problems, choose to have them solved through internal hierarchies or external markets (Nickerson and Zenger 2004).…”

Section: Section 1 Introductionmentioning

confidence: 99%

Marginality and Problem-Solving Effectiveness in Broadcast Search

Jeppesen

Lakhani²

2010

Organization Science

954

754

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We examine who the winners are in science problem solving contests characterized by open broadcast of problem information, self-selection of external solvers to discrete problems from the laboratories of large R&D intensive companies and blind review of solution submissions. Analyzing a unique dataset of 166 science challenges involving over 12,000 scientists revealed that technical and social marginality, being a source of different perspectives and heuristics, plays an important role in explaining individual success in problem solving. The provision of a winning solution was positively related to increasing distance between the solver's field of technical expertise and the focal field of the problem. Female solvers -known to be in the "outer circle" of the scientific establishment -performed significantly better than men in developing successful solutions. Our findings contribute to the emerging literature on open and distributed innovation by demonstrating the value of openness, at least narrowly defined by disclosing problems, in removing barriers to entry to non-obvious individuals. We also contribute to the knowledge-based theory of the firm by showing the effectiveness of a market-mechanism to draw out knowledge from diverse external sources to solve internal problems

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“…The analysis itself has been done based on the Nonaka's SECI model from [15], where SECI stays for Socialization-Externalization-Combination-Internalization. The SECI model describes how knowledge is transformed between tacit and explicit forms in the process of knowledge generation in organizations.…”

Section: Agile Business Process Developmentmentioning

confidence: 99%

Towards a Business Process Modeling Technique for Agile Development of Case Management Systems

Bider

Perjons

2017

CSIMQ

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Abstract.A modern organization needs to adapt its behavior to changes in the business environment by changing its Business Processes (BP) and corresponding Business Process Support (BPS) systems. One way of achieving such adaptability is via separation of the system code from the process description/model by applying the concept of executable process models. Furthermore, to ease introduction of changes, such process model should separate different perspectives, for example, control-flow, human resources, and data perspectives, from each other. In addition, for developing a completely new process, it should be possible to start with a reduced process model to get a BPS system quickly running, and then continue to develop it in an agile manner. This article consists of two parts, the first sets requirements on modeling techniques that could be used in the tools that supports agile development of BPs and BPS systems. The second part suggests a business process modeling technique that allows to start modeling with the data/information perspective which would be appropriate for processes supported by Case or Adaptive Case Management (CM/ACM) systems. In a model produced by this technique, called data-centric business process model, a process instance/case is defined as sequence of states in a specially designed instance database, while the process model is defined as a set of rules that set restrictions on allowed states and transitions between them. The article details the background for the project of developing the datacentric process modeling technique, presents the outline of the structure of the model, and gives formal definitions for a substantial part of the model.

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A Dynamic Theory of Organizational Knowledge Creation

Cited by 13,230 publications

References 44 publications

The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients’ Outcomes

The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients’ Outcomes

Marginality and Problem-Solving Effectiveness in Broadcast Search

Towards a Business Process Modeling Technique for Agile Development of Case Management Systems

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