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Öğe Application of the IHI Global Trigger Tool in measuring the adverse event rate in a Turkish healthcare setting(IOS Press, 2015) Kurutkan, Mehmet Nurullah; Usta, Esra; Orhan, Fatih; Şimşekler, Mecit Can EmreBACKGROUND: 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. © 2015 - IOS Press and the authors. All rights reserved.Öğe Bibliometric analysis of acute respiratory distress syndrome (ARDS) studies published between 1980 and 2020(Wroclaw Medical Univ, 2022) Yıldırım, Fatma; Gülhan, Pınar Yıldız; Karaman, İrem; Kurutkan, Mehmet NurullahBackground. Acute respiratory distress syndrome (ARDS), an acute respiratory failure caused by noncardio-genic pulmonary edema, was first defined by Ashbaugh et al. in 1967. The number of publications increased enormously after the Berlin definition of ARDS was first described in 2012. Objectives. This article intends to provide the physicians and the scientists with a reference guide to assess the most influential publications written about ARDS. Materials and methods. We performed an exhaustive bibliometric analysis to identify publication trends by year, and the most influential research articles, authors, co-authors, journals, and countries. Articles on ARDS published in Science Citation Index (SCI) and Emerging Sources Citation Index (ESCI) journals between 1980 and 2020 were examined. On December 20, 2020, the keywords ARDS and acute respiratory distress syndrome were searched using the Web of Science Core Collection (WoSCC) database, and data including titles, author information, abstracts, journals, and references were analyzed. Results. A total of 4564 articles related to ARDS published between 1980 and 2020 were identified. After excluding 192 proceedings papers, 19 early access papers, 1 book chapter, 1 research paper, and 1 re-tracted article, 4350 articles published in SCI and ESCI journals were analyzed. The largest number of articles (n = 557, 12.8%) appeared in 2020. The average citations per article was 38.21, and 4350 articles were cited 166,885 times altogether. The USA was at the top of the list of the most productive countries with 5025 articles. Harvard University was the most contributing institution with 244 articles. M.A. Matthay ranked as the most productive author in ARDS research with 87 published publications. Conclusions. The present study provided a comprehensive, illustrative analysis of ARDS articles published in SCI and ESCI journals over the past 40 years.Öğe Bibliometric Analysis of COVID-19 Publications in the Field of Chest and Infectious Diseases(2021) Gülhan, Pınar Yıldız; Kurutkan, Mehmet NurullahAim: At the context of the chest and infectious diseases, the main goal of this study is to makea bibliometric analysis of publications on coronavirus disease 2019 (COVID-19). Visualizingit with visible and scientific mapping techniques is the secondary goal.Material and Methods: Raw data for 2020 have been downloaded from the Web of ScienceCore Collection database. A total of 787 articles were reviewed. Raw data were analyzed withBibliometrix and VOSviewer. The articles about COVID-19, related with the respiratorysystem and infectious diseases were included. The perspectives of other disciplines wereexcluded with the analysis.Results: A total of 787 articles were published in 108 different journals. The average numberof citations per article is 10.17. There are four studies with over 300 citations. The top threeauthors with the highest H index are Raoult D, Colson P and Rolasin JM. The h, g and mindices of the authors were calculated and the core authors were determined according toLotka'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 beclassified under three clusters.Conclusion: One of the tools that will accelerate the basic reading process in the face of thenumerical increase rate of publications on COVID-19 is the bibliometric analysis results. Themost up-to-date and basic information on treatment options can be found collectively inbibliometric studies.Öğe Bibliometric Analysis of The Last 40 Years of Chest Journal(2021) Kurutkan, Mehmet Nurullah; Gülhan, Pınar YıldızChest Journal, which began to be scanned in the Web of Science in 1980, is one of the leading journals in the field of Critical Care Medicine and Respiratory System (quartile 1). In this study, the research trends of the publications in the Chest Journal were examined using three different bibliometric analysis programs (Bibliometrix, VOSviewer, and CiteSpace) in the period between 1980-2019. Along with the main statistics, keyword co-occurrence network map, density document co-citation, time map, and burst (references) analysis were performed. According to the results of the analysis, the research trends of Chest Journal were subject to discussion. The countries with the most publications are America, Canada, the United Kingdom, France, and Japan. According to the Co-Occurrence network map analysis, Chest journal's publications consist of clusters of cellular structures, thoracic oncology, chest infection, pulmonary and cardiovascular, sleep and pulmonary function test, and obstructive lung diseases. The studies in the "COPD / Formoterol Metered Dose inhaler" and "Patients / VTE disease chest guideline" clusters were found to be the most recent studies. This article has the potential to provide a valuable reference for scientists to understand Chest Journal's research trends and to grasp current issues in the field.Öğe BİLİM HARİTALAMA TEKNİKLERİNE GÖRE 5S MODELİNİN BİBLİYOMETRİK ANALİZİ(2021) Sağlam, Şuheda; Kurutkan, Mehmet NurullahBu çalışmanın amacı, kalite iyileştirme tekniklerinden biri olan 5S’i bibliyometrik analiz tekniklerine göre incelemektir. Çalışma kapsamında, Scopus veri tabanında 5S konulu makalelerin bibliyometrik analizi yapılmıştır. Scopus veri tabanında ilk olarak arama kısmına "5S" yazılmış ve "title" olarak aratılmıştır. Daha sonra arama stratejimizi sadeleştirmek adına 5S yalın yönetim uygulamalarından biri olduğu için "lean" yazılarak tekrar aratılmıştır. Araştırmamız 1988-2020 yılları arasındaki İngilizce makaleleri kapsamaktadır. Arama stratejisine uyan 295 makale bulunmuştur. Ham veriler, VOSviewer yazılımı ile analiz edilmiştir. Kelime Madenciliği (text Mining), Ortak yazarlık (Co-authorship), Kelimelerin ortak bulunabilirliği (Co- occurance) ve Ortak atıf (Cocitation) analizleri yapılmıştır. 5S tekniği hakkında scopus veri tabanında 295 makale bulunmuştur. Bu 295 makaleden 145 tanesi “İşletme, Yönetim ve Muhasebe” alanında yazılan dokümanlardan oluşmaktadır. Bu bağlamda alana en çok katkı sağlayan alanın da “İşletme, Yönetim ve Muhasebe” olduğunu anlaşılmaktadır. En çok makalesi olan yazarın Ahuja olduğu tespit edilmiştir. Alana en çok katkı sağlayan yayının "Implementing the lean sigma framework in an Indian SME: A case study" adlı makalenin olduğu görülmüştür. Yine 5S kavramı konusunda en çok makale yayınlayan ülke Hindistan, makale yayınlayan üniversite ise Punjabi Üniversitesidir. Ayrıca bu alanda yayınlanan dokümanların gün geçtikçe daha çok arttığı ve en çok verilen yayının ise 2019 yılında verildiği tespit edilmiştir. Yapılan bibliyometrik analiz neticesinde 5S kavramı; yalın üretim, altı sigma, toplam kalite yönetimi kavramlarıyla birlikte kullanıldığı tespit edilmiştir. Ayrıca kalite iyileştirmeye odaklanan 5S modeli hakkında yapılan araştırmaların gün geçtikçe arttığını bu konuda verilen eserlerinde aynı doğrultuda arttığı görülmektedir. Bu da rekabetin gittikçe arttığını bu doğrultuda işletmelerin kaliteyi ön plana sürerek farklılık ortaya koyma çabasını kanıtlar niteliktedir.Öğe Cognitive styles and dynamic managerial capabilities: implications for SMEs in a transition economy(Emerald Group Publishing Ltd, 2024) Kryeziu, Liridon; Kurutkan, Mehmet Nurullah; Krasniqi, Besnik A.; Ramadani, Veland; Hajrullahu, Vjose; Haziri, ArtanPurposeThe dynamism of competition in international markets requires managers to react accordingly and ensure the firm's survival and competitiveness. This study examines the impact of cognitive styles and dynamic managerial capabilities (DMC) on a firm's international performance and the mediating role of these capabilities in the relationship between cognitive styles and international performance.Design/methodology/approachThis study adopts a quantitative cross-sectional research design, employing a sample of 306 firm owner-managers from exporting companies in Kosovo.FindingsThe findings suggest that managers' cognitive styles positively influence firm international performance, including their impact on DMC. Results also indicate that only managerial cognition mediates cognitive styles' effects on a firm's international performance, compared to managers' social capital.Originality/valueIn this study, the authors contribute to the literature by integrating cognitive styles with DMC in a transition country. Moreover, the authors demonstrate that DMC mediate the impact of cognitive styles on the firm international performance.Öğe Cost of Inpatient Pediatric Type 1 Diabetes Care in Turkey: Single Center Experience(Duzce Univ, 2021) Cam, Eren; Kurutkan, Mehmet Nurullah; Arslanoglu, Iknur; Butuner, OkanObjective: To explore the financial cost of type 1 diabetic (T1D) children and adolescents during inpatient management for various reasons. Methods: Ten years of electronic hospital records (2009-2018) of the pediatric ward were screened retrospectively and hospitalizations with a confirmed diagnose of T1D were analyzed. Costs are grouped as laboratory tests, clinical interventions, drugs, medical supplies, and total costs before being converted to US dollars according to the mid-year index published by the Central Bank of Turkey. Descriptive statistics and comparisons against patient-specific characteristics are presented. Results: There were 400 eligible cases. Cost per case for the hospital and for the Social Security Institution (SSI) were $268 and $309 respectively. The clinical intervention was the largest (49.84 vs 55.33 %) and that of medical supplies was the smallest (0.43 vs 0.55 %) component of the cost. Blood pH, HbA1c, having a single parent, and the number of days in the ward were parameters influencing total cost significantly (p<0.1). Conclusions: With strict monitoring of social protection mechanisms for families with type I diabetic children with high social risks, cost increases stemming from social risks that can be reduced. Also, it is beneficial to closely monitor the medical risks affecting the pH and HbA1c levels. The study offers the first data about pediatric T1D hospital stays in Turkey which are expected to help to reasonable resource distribution and efficiency of care.Öğe COVID-19 AND SMEs IN KOSOVO: ASSESSING EFFECT AND POLICY PREFERENCES(World Scientific Publ Co Pte Ltd, 2021) Krasniqi, Besnik A.; Kryeziu, Liridon; Bagis, Mehmet; Kurutkan, Mehmet Nurullah; Idrizi, SaraThe 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.Öğe COVID-19 impact and firm reactions towards crisis: Evidence from a transition economy(Wyzsza Szkola Biznesu, Natl Louis Univ, 2022) Kryeziu, Liridon; Bağış, Mehmet; Kurutkan, Mehmet Nurullah; Krasniqi, Besnik A.; Haziri, ArtanPURPOSE: 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. 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.Öğe Dark triad personality, motivational dynamics and nascent entrepreneurs entrepreneurial intentions: cross-country comparison(Springer, 2024) Kryeziu, Liridon; Bagis, Mehmet; Kurutkan, Mehmet Nurullah; Ates, CagdasThis research explores the relationships between the dark triad, motivational dynamics, and entrepreneurial intentions, as well as the moderating effect of the country on these relationships. Using a cross-sectional design, the study utilizes a sample of 701 new entrepreneurs from Turkey (n = 368) and Kosovo (n = 333). The findings indicate that narcissism positively influences entrepreneurial intentions. Additionally, psychopathy and Machiavellianism negatively impact motivational dynamics, while narcissism has a positive effect. Furthermore, the positive effects of motivational dynamics on entrepreneurial intentions have been confirmed. Mediation analysis reveals that individual motivations partially mediate the relationship between the dark triad and entrepreneurial intentions. Finally, the research results show that the country plays a moderating role in the relationships between narcissism and entrepreneurial intentions, personal attitudes and entrepreneurial intentions, psychopathy, and perceived behavioral control, and the need for achievement and narcissism with personal attitudes. Our study provides theoretical contributions as well as policy and managerial implications in the emerging field of entrepreneurship.Öğe Deprem İlişkili Akciğer Hastalıkları; Yayınların Bibliyometrik Analizi(2024) Balbay, Ege Güleç; Kurutkan, Mehmet Nurullah; Gülhan, Pınar Yıldız; Balbay, ÖnerAmaç: Depreme bağlı akciğer hastalıkları (DİAH), afetin hem doğrudan hem de dolaylı sonucu olarak görülebilmektedir. Depremlerde yıkılan binalardan çıkan toz ve partiküllerin solunması, deprem sonrası oluşabilecek tsunami nedeniyle su ve patojenlerin aspirasyonu, pulmoner tromboembolizm, bulaşıcı solunum yolu hastalıkları ve göğüs travmaları gibi birçok DİAH gelişebilir. Bu bibliyometrik incelemenin amacı, DİAH yayınlarının entelektüel yapısını keşfetmektir. Gereç ve Yöntemler: DİAH alanıyla ilgili veri tabanları için bir arama stratejisi geliştirilmiştir. Web of Science veri tabanında 334 makaleye ulaşılmıştır. Tam metin okumaları sonucunda kalan 152 makale bibliyometrik yazılım ile atıf ve ortak atıf analizine tabi tutulmuştur. Bu araştırmaya ek olarak, alanın entelektüel yapısını incelemek için küme analizine dayalı metodolojiler kullanılmıştır. Bulgular: Yayınların yapıldığı zaman dilimine bakıldığında ilk yayının 1996 yılında yayınlandığı görülmektedir. İlk üç yazar incelendiğinde Yanai 6 yayın, Ueda 6 yayın ve Kobayashi 5 yayın ile sıralamayı paylaşıyor. Aynı zamanda bir deprem ülkesi olan Japonya 50 yayınla ilk sırada yer alıyor. Üç ana küme belirlenmiş olup, bu kümeler, “göğüs travmaları: tipleri, sıklıkları ve tıbbi müdahale stratejileri”, “depreme hazırlıklı olma ve depreme müdahale kapasitesi” ve “solunum yolu enfeksiyonları ve depremdir”. Sonuç: Bu araştırma, DİAH alanındaki depremler konusunda en etkili dergileri, yazarları ve ülkeleri belirlemenin yanı sıra, bu alandaki baskın araştırma temalarını da belirlemiştir. Araştırmamız DİAH alanını özetlemekte, gelecekteki araştırmalar için bir gündem sağlamakta ve deprem ile akciğer hastalıkları arasındaki ilişkinin daha derinlemesine çalışılmasına katkıda bulunmaktadır.Öğe The effect of entrepreneurship education on nascent entrepreneurs' entrepreneurial intentions: The mediating effect of individual motivations(Ios Press, 2023) Kryeziu, Liridon; Bagis, Mehmet; Kurutkan, Mehmet Nurullah; Haziri, Artan; Krasniqi, Besnik A.; Harris, Linda UkimerajBACKGROUND: This study examines the effect of entrepreneurship education on entrepreneurial intentions and individual motivations and the mediation of individual motivations in the relationship between entrepreneurship education and entrepreneurial intentions. METHODS: We tested 374 questionnaire samples using quantitative research methods. We used PLS-SEM and mediation analyses to analyze the data. RESULTS/CONCLUSIONS: First, the findings show that entrepreneurship education positively affects individual motivations of entrepreneurial intentions, personal attitude, subjective norm, perceived behavioral control, and need for achievement. Second, subjective norms and the need for achievement did not impact entrepreneurial intentions compared to personal attitudes and perceived behavior. Finally, we found that while personal attitudes and perceived behavioral control mediated the relationship between entrepreneurship education and entrepreneurial intentions, subjective norms and the need for achievement had no effect. The study contributes to the literature and provides policy and managerial implications for macro and micro factors affecting entrepreneurial intentions in transition economies.Öğe Evaluation of the effect of the COVID-19 pandemic on mucormycosis studies with bibliometric analysis(Lippincott Williams & Wilkins, 2022) Gülen, Tuğba Arslan; Turunç, Tuba; Sahin, Ahmet Riza; Oruç, Ebru; Kurutkan, Mehmet NurullahBackground:Coronavirus disease 2019 (COVID-19)-associated mucormycosis (CAM) is a relatively new concept in the literature that emerged during the pandemic. Bibliometric analysis is a type of analysis that uses mathematical and statistical methods to study the formal properties of knowledge areas. This study aimed to reveal the main themes, conceptual structures, and trends of bibliometric studies on mucormycosis in 2 different periods, pre-and during the pandemic. Methods:This study consisted of 2 periods: pre-COVID-19 and COVID-19. Articles were collected from the Web of Science (WOS) Core Collection database. We provided AND and OR connectors for the keyword query and selected studies based on relevant keywords. Collected data were classified based on their publication date and examined using the R programming language (Version 4.0.3) package Bibliometrix and SciMAT Software. Results:A total of 1261 articles were investigated, and performance and information structure analyses were conducted. Based on Bradford's law, the Journal of Fungi was the top-ranked journal in both periods. Cureus and mycoses were placed 2nd and 3rd in the second period. India is the largest contributor. In performance analysis, conceptual structures such as Rhizopus oryzae, epidemiology, diagnosis, management, treatment, and outcomes were at the forefront of mucormycosis publications during the COVID-19 period. Conclusions:Research trends have shifted to the clinical treatment and management of COVID-19. Therefore, pathogenesis, diagnosis, follow-up, and treatment strategies for CAM should be developed in the future.Öğe Factors Affecting the Demand for Family Medicine: Evidence for Behavioral Model from Turkey Data(2021) Şahin, Dilek; Terzi, Melek; Yıldız, Hasan Hüseyin; Kurutkan, Mehmet Nurullah; Arslan, TubaThis study aims to investigate the effects of chronic diseases and socio-economic factors on the demand for family medicine. The basic approach used is Andersen's behavioral health model. The variables used in the analysis were obtained from the “TurkStat Health Survey” micro data set for 2016. Three models were established to determine the degree of chronic disease data and socio-economic variables affecting health demand. Binary Logit regression analysis was used in the analysis of models. The variables such as gender, age, employment status, learning difficulties, concentration problems, treatment costs covered by the Social Security Institution (SGK), having a reliable relative, receiving help from neighbors, delaying health care appointments, having chronic hypertension and diabetes are the variables that influence the condition of receiving service from the family medicine (pÖğe The h-index and the problem of measuring academic success: stressing to overcome deficiencies and limitations(Mehmet Akif Ersoy Univ, 2023) Firat, Serhat; Ogus Alramazanoglu, Buket; Genc, Guelsen; Karasin, Yusuf; Kurutkan, Mehmet NurullahThe aim of this study is to determine the deficiencies of the h-index, to produce solutions in this direction and to reveal the limits of the h-index. In this study, document analysis, which is included in secondary data analysis, was used. Except for the H-index, indices used in the scientific world are generally examined in 3 groups. In this direction, a total of 33 indexes were examined by 3 scientists, each index type being compared. The publications and citations of scientists are based on the October 2021 period via Google Scholar. Although the h-index, developed by Hirsch, in which n citations to n publications of a scientist is presented as output, is the most used criterion in the scientific world, it has been determined that there are missing aspects. In the study, it was seen that the scientist with a low h-index may have a higher value in other index types. It has been concluded that the other indexes examined in the study are alternatives to the h-index and that a new type of index should be developed that exceeds all limitations..Öğe Hastanelerde kalibrasyon maliyetlerinin analizi: Düzce Üniversitesi araştırma uygulama hastanesi uygulaması(2014) Kurutkan, Mehmet Nurullah; Akaytay, Ali; Mete, MehmetHastanelerde ölçüm yapılan tüm cihazların belirli dönemlerde kalibre edilmesi gerekmektedir. Kalibrasyon hizmetleri dışarıdan satın alma yolu ile gerçekleştirilebileceği gibi hastanenin gerekli cihazları satın alması suretiyle kendi bünyesinde, kendi elemanları ile de gerçekleştirebileceği bir faaliyettir. Bu çalışmanın temel amacı hastanelerin kalibrasyon maliyetlerini hangi durumda minimize edeceğini ortaya koymaktır. Bu amaçla, örnek olay yöntemi esas alınarak, Düzce Üniversitesi Araştırma ve Uygulama Hastanesinde gerçekleştirilen uygulama çerçevesinde elde edilen bulgular kullanılarak, kalibrasyon hizmetlerinin dışarıdan satın alınması ve hastanenin kendi bünyesinde bu faaliyeti yürütmesi alternatifleri ile ilgili maliyetler sırasıyla hesaplanacaktır. Böylece bu konuda yapılacak çalışmalarda uygulayıcılara örnek bir uygulama ortaya koymak hedeflenmektedir.Öğe An implementation on the social cost of hospital acquired infections(E-Century Publishing Corp, 2015) Kurutkan, Mehmet Nurullah; Kara, Oğuz; Eraslan, İsmail HakkiHospital Acquired Infections (HAIs) are defined as infections developing in relation to health services at inpatient treatment facilities in general. Although health services improve, HAIs continue to be seen both in underdeveloped and developed countries. HAIs result in a range of negative externalities. Negative externalities include factors such as an increase in morbidity and mortality, extension of the hospitalization duration, impaired quality of life, loss of working power and performance. HAIs pose a big burden regarding population and community health care. This study aims to calculate the financial burden of HAIs by evaluating it within the scope of negative externality. The communal costs of HAIs patients were calculated by using a genuine approach with reference to samples obtained from the Duzce University Research and Application Hospital. This approach includes 4 stages and the results of each stage is sorted according to the data of 2013 as follows: (i) HAIs expenditure undertaken by the Social Security Institution is 5,832,167 TL, (ii) the monetary value of the work power loss of the HAIs patients who are at a working age is 126,154 TL, (iii) the relative cost of HAIs patients compared to a group of normal patients is 21,507 TL and (iv) HAIs patients' communal cost is 6,013,101 TL. Based on the received results, the annual communal cost of the estimated HAIs patients in Turkey is predicted to be 3,640,442,057 TL. In addition to these findings, HAIs patients experience 14 times longer in-patient stay at the hospitals as compared to normal patients, and their treatment expenditures are 23 times higher than the normal patients. In the conclusion part of the study, regarding the preventability (internalization) of HAIs, which was evaluated as part of negative externality, alternative applicable political suggestions are presented for the use of policymakers.Öğe Institutions and macroeconomic indicators: entrepreneurial activities across the world(Emerald Group Publishing Ltd, 2024) Kara, Oguz; Altinay, Levent; Bagis, Mehmet; Kurutkan, Mehmet Nurullah; Vatankhah, SanazPurposeEntrepreneurial activity is a phenomenon that increases the economic growth of countries and improves their social welfare. The economic development levels of countries have significant effects on these entrepreneurial activities. This research examines which institutional and macroeconomic variables explain early-stage entrepreneurship activities in developed and developing economies.Design/methodology/approachThe authors conducted panel data analysis on the data from the Global Entrepreneurship Monitor (GEM) and International Monetary Fund (IMF) surveys covering the years 2009-2018.FindingsFirst, the authors' results reveal that cognitive, normative and regulatory institutions and macroeconomic factors affect early-stage entrepreneurial activity in developed and developing countries differently. Second, the authors' findings indicate that cognitive, normative and regulatory institutions affect early-stage entrepreneurship more positively in developed than developing countries. Finally, the authors' results report that macroeconomic factors are more effective in early-stage entrepreneurial activity in developing countries than in developed countries.Originality/valueThis study provides a better understanding of the components that help explain the differences in entrepreneurship between developed and developing countries regarding institutions and macroeconomic factors. In this way, it contributes to developing entrepreneurship literature with the theoretical achievements of combining institutional theory and macroeconomic indicators with entrepreneurship literature.Öğe An Investigation on Decision Making Process of Managers: A Research in The Framework of Attention Based View of Strategic Management(2020) Bağış, Mehmet; Şimşir, İsmail; Kurutkan, Mehmet Nurullah; Kırılmaz, HarunThe aim of this study is to examine the components that direct the attention ofthe managers in the decision making process. In the study, attention based view (ABV) which isone of the views of strategic management was used. In the research conducted with the method ofmultiple case studies, the data were collected with the help of interviews, observations andsecondary data resources. Data analyzed by guided directed qualitative content analysis. Accordingto findings reveal the formal / informal action and interaction rules, players, structural positions,and resources as components that affect executive attention. In separating state, university andprivate hospitals managers, in public hospitals emphasize the inadequacy of institutions thatregulate formal / informal actions and interactions. Private hospitals, on the other hand, complainthat the restrictions on publicity and advertising are not loosened within certain rules. Anotherfinding shows the presence of context-specific actors such as politicians, bureaucrats, neighbors,compatriots, acquaintances and family members, which affect the executive attention, except forthe actors mentioned in the components of ABV. Another finding reveals the effects of structuralpositions on executive attention. These effects are manifested in the forms of cooperation,competition, conflict and coalition relations. Finally, it is seen that human resources, physicalresources, technological resources and financial resources affects positively or negatively theattention of managers of both state, university and private hospitals.Öğe Klinik Kalite Performans Ölçümü: Bir Üniversite Hastanesi Örneği(2014) Kurutkan, Mehmet Nurullah; Usta, Esra; Orhan, Fatih; Altınel, ÖzcanAMAÇ: Çalışmamızda, klinik kalite ölçüm yaklaşımları açısından, 9 adet performans ölçüm seti kullanılarak, hastaların aldığı sağlık hizmeti ile almaları gereken sağlık hizmeti arasında belirgin bir farklılığın olup olmadığı karşılaştırmalı olarak araştırıldı. YÖNTEM: Çalışma, 01 Ocak-30 Ağustos 2012 tarihleri arasında, retrospektif, tek merkezli bir araştırma olarak gerçekleştirildi. Hasta kayıtları rastgele örnekleme yöntemi ile belirlendi. Çalışmamızda, The Joint Commission (TJC) tarafından geliştirilen Cerrahi Bakım, Kalp Krizi Bakımı, Çocuk Astım Bakımı, Pnönomi Bakımı, Kalp Yetmezliği Bakımı, Venöz Tromboembolizm (VTE) Bakımı, Felç Bakımı, Yatan Hasta Psikiyatrik Bakımı ve Perinatal Bakım olmak üzere 9 adet performans ölçüm seti kullanıldı. Elde edilen bulgular ile TJC bulguları karşılaştırmalı olarak analiz edildi. BULGULAR: Kullanılan tüm performans ölçüm setlerinin karma uyum oranı % 55,33 olarak tespit edilmiş olup, cerrahi bakım paketi ortalaması % 43,5 olarak bulundu. Bununla birlikte, pnömoni takip paketinin Türkiye için uygun bir ölçüm seti olmadığı belirlendi. Kalp krizi paketinin TJC ortalamasına çok yakın olduğu gözlendi. En az uyumun olduğu paket ise Felç paketi % 20,08 olarak gerçekleşti. Perinatal bakım ortalaması (% 48.6) açısından Türkiye Ortalaması TJC'nin 0.5 puan üzerinde gerçekleşirken, % 90 barajını ise sadece kalp krizi paketi (%97,9) geçti. SONUÇ: Çalışmamızın sonucunda, TJC'nin "Accountability Measures-Hesap Verebilirlik Ölçütleri" yaklaşımının Türkiye Şartlarına uygun olduğu ve kullanılabileceği değerlendirilmiştir. Özellikle başlangıç için ideal paketlerin, Cerrahi bakım paketi, Kalp krizi, perinatal ve Venöz tromboembolizm paketleri olduğu; Pnomoni paketi için ise Türkiye'de uygulanabilirliği açısında yeni bileşenlere ihtiyacı duyulduğu değerlendirilmiştir. Ölçüm setlerinin Türkiye'de yaygın olarak kullanılmasının sağlık sektöründe kaliteyi arttırmada önemli bir rol oynayabileceği kanısına varılmıştır.