Use of resources in special schools = Y defnydd o adnoddau mewn ysgolion arbennig

While special schools generally make good use of available funds, many councils’ funding and support arrangements do not reflect the changed context in which schools operate

Identifying common problems in the acquisition and deployment of large-scale software projects in the US and UK healthcare systems

Public and private organizations are investing increasing amounts into the development of healthcare information technology. These applications are perceived to offer numerous benefits. Software systems can improve the exchange of information between healthcare facilities. They support standardised procedures that can help to increase consistency between different service providers. Electronic patient records ensure minimum standards across the trajectory of care when patients move between different specializations. Healthcare information systems also offer economic benefits through efficiency savings; for example by providing the data that helps to identify potential bottlenecks in the provision and administration of care. However, a number of high-profile failures reveal the problems that arise when staff must cope with the loss of these applications. In particular, teams have to retrieve paper based records that often lack the detail on electronic systems. Individuals who have only used electronic information systems face particular problems in learning how to apply paper-based fallbacks. The following pages compare two different failures of Healthcare Information Systems in the UK and North America. The intention is to ensure that future initiatives to extend the integration of electronic patient records will build on the ‘lessons learned’ from previous systems

The NASA teleconferencing system: An evaluation

The communication requirements of the Apollo project led to the development of a teleconferencing network which linked together, in an audio-fax mode, the several NASA centers and supporting contractors of the Apollo project. The usefulness of this communication linkage for the Apollo project suggested that the system might be extended to include all NASA centers, enabling them to conduct their in-house business more efficiently than by traveling to other centers. A pilot project was run in which seventeen NASA center and subcenters, some with multiple facilities, were connected into the NASA teleconferencing network. During that year, costs were charted and, at the end of the year, an evaluation was made to determine how the system had been used and with what results. The year-end evaluation of the use of NASA teleconferencing system is summarized

Applying the lessons of the attack on the World Trade Center, 11th September 2001, to the design and use of interactive evacuation simulations

The collapse of buildings, such as terminal 2E at Paris' Charles de Gaule Airport, and of fires, such as the Rhode Island, Station Night Club tragedy, has focused public attention on the safety of large public buildings. Initiatives in the United States and in Europe have led to the development of interactive simulators that model evacuation from these buildings. The tools avoid some of the ethical and legal problems from simulating evacuations; many people were injured during the 1993 evacuation of the World Trade Center (WTC) complex. They also use many concepts that originate within the CHI communities. For instance, some simulators use simple task models to represent the occupants' goal structures as they search for an available exit. However, the recent release of the report from the National Commission on Terrorist Attacks upon the United States (the '9/11 commission') has posed serious questions about the design and use of this particular class of interactive systems. This paper argues that simulation research needs to draw on insights from the CHI communities in order to meet some the challenges identified by the 9/11 commission

Lessons from the evacuation of the World Trade Center, Sept 11th 2001 for the future development of computer simulations

This paper provides an overview of the state of the art in evacuation simulations. These interactive computer based tools have been developed to help the owners and designers of large public buildings to assess the risks that occupants might face during emergency egress. The development of the Glasgow Evacuation Simulator is used to illustrate the existing generation of tools. This system uses Monte Carlo techniques to control individual and group movements during an evacuation. The end-user can interactively open and block emergency exits at any point. It is also possible to alter the priorities that individuals associate with particular exit routes. A final benefit is that the tool can derive evacuation simulations directly from existing architects models; this reduces the cost of simulations and creates a more prominent role for these tools in the iterative development of large-scale public buildings. Empirical studies have been used to validate the GES system as a tool to support evacuation training. The development of these tools has been informed by numerous human factors studies and by recent accident investigations. For example, the 2003 fire in the Station nightclub in Rhode Island illustrated the way in which most building occupants retrace their steps to an entrance even when there are alternate fire exits. The second half of this paper uses this introduction to criticise the existing state of the art in evacuation simulations. These criticisms are based on a detailed study of the recent findings from the 9/11 Commission (2004). Ten different lessons are identified. Some relate to the need to better understand the role of building management and security systems in controlling egress from public buildings. Others relate to the human factors involved in coordinating distributed groups of emergency personnel who may be physically exhausted by the demands of an evacuation. Arguably the most important findings centre on the need to model the ingress and egress of emergency personnel from these structures. The previous focus of nearly all-existing simulation tools has been on the evacuation of building occupants rather than on the safety of first responders1