{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:46:56Z","timestamp":1777682816889,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T00:00:00Z","timestamp":1658102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-21-CE39-0013-01"],"award-info":[{"award-number":["ANR-21-CE39-0013-01"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"name":"ISITE CY","award":["2019 Emergent Project"],"award-info":[{"award-number":["2019 Emergent Project"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Serv Manage Res"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>The COVID crisis has put hospitals under great stress over the past 2\u00a0years 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\u2019 flow; it has defined medical criteria to select the patients eligible for transfer; it has organized one hundred patients transfers to other hospitals\u2019 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.<\/jats:p>","DOI":"10.1177\/09514848221115243","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T05:04:42Z","timestamp":1658120682000},"page":"137-144","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Organizational innovation under constraints: The case of covid patients\u2019 flow management in Parisian hospitals"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9125-9514","authenticated-orcid":false,"given":"Marie-L\u00e9andre","family":"Gomez","sequence":"first","affiliation":[{"name":"ESSEC Business School, Cergy-Pontoise, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Kerveillant","sequence":"additional","affiliation":[{"name":"ESSEC Business School, Cergy-Pontoise, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthieu","family":"Langlois","sequence":"additional","affiliation":[{"name":"ESSEC Business School, Cergy-Pontoise, France"},{"name":"D\u00e9partement d'Anesth\u00e9sie R\u00e9animation, AP-HP, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Lot","sequence":"additional","affiliation":[{"name":"R&D Lab, Saclay, Palaiseau, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Raux","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, UMRS1158 Neurophysiologie Respiratoire Exp\u00e9rimentale et Clinique; AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Universit\u00e9, site Piti\u00e9-Salp\u00eatri\u00e8re, D\u00e9partement d'Anesth\u00e9sie R\u00e9animation, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,18]]},"reference":[{"key":"bibr1-09514848221115243","volume-title":"Managing Innovation in Healthcare","author":"Barlow J","year":"2016"},{"key":"bibr2-09514848221115243","volume-title":"Mobilizing Knowledge in Healthcare: Challenges for Management and Organization","author":"Swan J","year":"2015"},{"key":"bibr3-09514848221115243","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-5973.2007.00507.x"},{"key":"bibr4-09514848221115243","doi-asserted-by":"publisher","DOI":"10.1177\/0170840617717095"},{"key":"bibr5-09514848221115243","doi-asserted-by":"publisher","DOI":"10.2307\/2393339"},{"key":"bibr6-09514848221115243","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-32353-4_30"},{"key":"bibr7-09514848221115243","doi-asserted-by":"publisher","DOI":"10.1002\/9781119175834"},{"key":"bibr8-09514848221115243","volume-title":"Le Systeme Hospitalier francais Dans la Crise Covid-19. 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