A review of historical developments of quality assessment in industry and healthcare

Purpose: This study reviewed the literature on the historical development of quality assessment methods in industry and in healthcare. A comparative analysis of quality methods in industry and healthcare was conducted to examine the gap between methods in the two sectors. An attempt was then made to examine the latest approaches to quality assessment in healthcare and finally a proposal has been offered for a more effective approach to tackling the problem of quality in healthcare. Design/methodology/approach: Firstly, a review of the evolution of quality assessment in industry and healthcare was conducted. This was based on books written by prominent experts in the field of quality. secondly, a study of the current approaches in healthcare was undertaken. Publications from varied sources were selected and reviewed. The literature consulted includes worldwide operations research and healthcare sources including dissertations, the internet and reference lists of relevant articles. The journal papers and conference proceedings were selected according to the following criteria: Objective: the study must be aimed at measuring or improving quality both. It could also be aimed at developing new ways of measuring the quality of health care; Method: observational studies, experimental trials or systematic reviews; Setting: study should be in a hospital setting and not narrowed to quality of clinical cares. Findings: This study showed that the concept of quality management and its control in healthcare is not as advanced as it is in industry. Moreover, it seemed that most researchers, who set out to assess quality of care in one way or the other, have had differing views of quality and the factors that contribute to its assessment. It was also deduced that the way forward in healthcare quality is the development of systems that give staff ownership and pride in a way that is akin to the era of the craftsmen

Reuse of safety certification artefacts across standards and domains: A systematic approach

Reuse of systems and subsystem is a common practice in safety-critical systems engineering. Reuse can improve system development and assurance, and there are recommendations on reuse for some domains. Cross-domain reuse, in which a previously certified product typically needs to be assessed against different safety standards, has however received little attention. No guidance exists for this reuse scenario despite its relevance in industry, thus practitioners need new means to tackle it. This paper aims to fill this gap by presenting a systematic approach for reuse of safety certification artefacts across standards and domains. The approach is based on the analysis of the similarities and on the specification of maps between standards. These maps are used to determine the safety certification artefacts that can be reused from one domain to another and reuse consequences. The approach has been validated with practitioners in a case study on the reuse of an execution platform from railway to avionics. The results show that the approach can be effectively applied and that it can reduce the cost of safety certification across standards and domains. Therefore, the approach is a promising way of making cross-domain reuse more cost-effective in industry.European Commission's FP7 programm

The Transformation of Trust in China’s Alternative Food Networks: Disruption, Reconstruction, and Development

Food safety issues in China have received much scholarly attention, yet few studies systematically examined this matter through the lens of trust. More importantly, little is known about the transformation of different types of trust in the dynamic process of food production, provision, and consumption. We consider trust as an evolving interdependent relationship between different actors. We used the Beijing County Fair, a prominent ecological farmers’ market in China, as an example to examine the transformation of trust in China’s alternative food networks. We argue that although there has been a disruption of institutional trust among the general public since 2008 when the melamine-tainted milk scandal broke out, reconstruction of individual trust and development of organizational trust have been observed, along with the emergence and increasing popularity of alternative food networks. Based on more than six months of fieldwork on the emerging ecological agriculture sector in 13 provinces across China as well as monitoring of online discussions and posts, we analyze how various social factors—including but not limited to direct and indirect reciprocity, information, endogenous institutions, and altruism—have simultaneously contributed to the transformation of trust in China’s alternative food networks. The findings not only complement current social theories of trust, but also highlight an important yet understudied phenomenon whereby informal social mechanisms have been partially substituting for formal institutions and gradually have been building trust against the backdrop of the food safety crisis in China

Promoting competitiveness in South African agriculture and agribusiness: The role of institutions

This paper considers private and public institutions that will help promote the competitiveness of commercial farms and agribusiness firms, and enhance the productivity of communal farmers and the competitiveness of emerging farmers in South Africa. Commercial agriculture and agribusiness are creating institutions (such as food safety standards and strategic partnerships), adopting existing private and public institutions (e.g. TQM, ISO 9000 and HACCP) or restructuring to add value to products and services, reduce costs and gain access to export markets. Government should focus its relatively scarce resources on providing physical and legal infrastructure (such as secure property rights and contract enforcement) to reduce transaction costs, including risk, so that markets work efficiently. A major challenge for local agricultural economists is to provide information about institutions that will promote the productive use of land in communal areas, and the competitiveness of emerging farmers on redistributed commercial farmland.Agribusiness, International Relations/Trade,

Model-based specification of safety compliance needs for critical systems : A holistic generic metamodel

Abstract Context: Many critical systems must comply with safety standards as a way of providing assurance that they do not pose undue risks to people, property, or the environment. Safety compliance is a very demanding activity, as the standards can consist of hundreds of pages and practitioners typically have to show the fulfilment of thousands of safety-related criteria. Furthermore, the text of the standards can be ambiguous, inconsistent, and hard to understand, making it difficult to determine how to effectively structure and manage safety compliance information. These issues become even more challenging when a system is intended to be reused in another application domain with different applicable standards. Objective: This paper aims to resolve these issues by providing a metamodel for the specification of safety compliance needs for critical systems. Method: The metamodel is holistic and generic, and abstracts common concepts for demonstrating safety compliance from different standards and application domains. Its application results in the specification of “reference assurance frameworks” for safety-critical systems, which correspond to a model of the safety criteria of a given standard. For validating the metamodel with safety standards, parts of several standards have been modelled by both academic and industry personnel, and other standards have been analysed. We further augment this with feedback from practitioners, including feedback during a workshop. Results: The results from the validation show that the metamodel can be used to specify safety compliance needs for aerospace, automotive, avionics, defence, healthcare, machinery, maritime, oil and gas, process industry, railway, and robotics. Practitioners consider that the metamodel can meet their needs and find benefits in its use. Conclusion: The metamodel supports the specification of safety compliance needs for most critical computer-based and software-intensive systems. The resulting models can provide an effective means of structuring and managing safety compliance information

Architecture-driven, Multi-concern and Seamless Assurance and Certification of Cyber-Physical Systems.

Unlike practices in electrical and mechanical equipment engineering, Cyber-Physical Systems (CPS) do not have a set of standardized and harmonized practices for assurance and certification that ensures safe, secure and reliable operation with typical software and hardware architectures. This paper presents a recent initiative called AMASS (Architecture-driven, Multi-concern and Seamless Assurance and Certification of Cyber-Physical Systems) to promote harmonization, reuse and automation of labour-intensive certification-oriented activities via using model-based approaches and incremental techniques. AMASS will develop an integrated and holistic approach, a supporting tool ecosystem and a self-sustainable community for assurance and certification of CPS. The approach will be driven by architectural decisions (fully compatible with standards, e.g. AUTOSAR and IMA), including multiple assurance concerns such as safety, security and reliability. AMASS will support seamless interoperability between assurance/certification and engineering activities along with third-party activities (external assessments, supplier assurance). The ultimate aim is to lower certification costs in face of rapidly changing product features and market needs.This project has received funding from the Electronic Component Systems for European Leadership Joint Undertaking under grant agreement No 692474. This Joint Undertaking receives support from the European Union’s Horizon 2020 research and innovation programme and Spain, Czech Republic, Germany, Sweden, Austria, Italy, United Kingdom, Franc

Survey on Safety Evidence Change Impact Analysis in Practice: Detailed Description and Analysis

Critical systems must comply with safety standards in many application domains. This involves gathering safety evidence in the form of artefacts such as safety analyses, system specifications, and testing results. These artefacts can evolve during a system’s lifecycle, and impact analysis might be necessary to guarantee that system safety and compliance are not jeopardised. Although extensive research has been conducted on impact analysis and on safety evidence management, the knowledge about how safety evidence change impact analysis is addressed in practice is limited. This technical report presents a survey targeted at filling this gap by analysing the circumstances under which safety evidence change impact analysis is addressed, the tool support used, and the challenges faced. We obtained 97 valid responses representing 16 application domains, 28 countries, and 47 safety standards. The results suggest that most projects deal with safety evidence change impact analysis during system development and mainly from system specifications, the level of automation in the process is low, and insufficient tool support is the most frequent challenge. Other notable findings are that safety case evolution should probably be better managed, no commercial impact analysis tool has been reported as used for all artefact types, and experience and automation do not seem to greatly help in avoiding challenges

Counting Is Not Enough: Investing in Qualitative Case Reviews for Practice Improvement in Child Welfare

Outlines the value of quality case service reviews in child welfare systems, requirements for building and sustaining a robust process and adapting it under limited state budgets, and recommendations for jurisdictions, initiators, and national leadership