System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model

Objectives To analyse a medical protection organisation's database to identify hazards related to general practice systems for ordering laboratory tests, managing test results and communicating test result outcomes to patients. To integrate these data with other published evidence sources to inform design of a systems-based conceptual model of related hazards. Design A retrospective database analysis. Setting General practices in the UK and Ireland. Participants 778 UK and Ireland general practices participating in a medical protection organisation's clinical risk self-assessment (CRSA) programme from January 2008 to December 2014. Main outcome measures Proportion of practices with system risks; categorisation of identified hazards; most frequently occurring hazards; development of a conceptual model of hazards; and potential impacts on health, well-being and organisational performance. Results CRSA visits were undertaken to 778 UK and Ireland general practices of which a range of systems hazards were recorded across the laboratory test ordering and results management systems in 647 practices (83.2%). A total of 45 discrete hazard categories were identified with a mean of 3.6 per practice (SD=1.94). The most frequently occurring hazard was the inadequate process for matching test requests and results received (n=350, 54.1%). Of the 1604 instances where hazards were recorded, the most frequent was at the ‘postanalytical test stage’ (n=702, 43.8%), followed closely by ‘communication outcomes issues’ (n=628, 39.1%). Conclusions Based on arguably the largest data set currently available on the subject matter, our study findings shed new light on the scale and nature of hazards related to test results handling systems, which can inform future efforts to research and improve the design and reliability of these systems

Living Arrangement Options for People with Intellectual Disabilities: A Scoping Review

This is one of a pair of reports prepared for the Moving Ahead Project. Its partner policy review, Mapping the National Intellectual Disability Landscape (Linehan et al., 2014), outlines current disability services, practices and policies in Ireland. This rapid scoping review provides a brief overview of national and international research exploring living arrangement options for people with intellectual disabilities

Advancing the state of the art in the modelling and simulation of information systems evaluation

It is widely accepted that Information Systems Evaluation (ISE) is a powerful and useful technique that can be used to assess IT/IS investments in an a-priori or a-posteriori sense. Traditional approaches to ISE have tended to centre upon financial and management accounting frameworks, seeking to reconcile tangible and intangible costs, benefits, risks and value factors. Such techniques, however, do not provide the IS researcher or practitioner with further insight or appreciation of any inherent and implicit inter-relationships, in the investment justification process. Thus, this paper outlines and discusses via a taxonomy and resulting classification, alternative and complementary approaches that can be applied to ISE from the fields of Artificial Intelligence (AI), Operational Research (OR) and Management Science (MS). The paper subsequently concludes that such approaches can be potentially used by researchers and practitioners in the field, as a basis for carrying out further research in the field of applied ISE

Learning landscapes for universities: mapping the field [or] Beyond a seat in the lecture hall: a prolegemenon of learning landscapes in universities

This is the first in a series of project working papers. Its aim is to commence the development of a shared vocabulary so that visioning learning landscapes can be realised in the appropriate development of academic estate. The paper explores first, how the terminology of learning landscapes has been employed elsewhere. Secondly, its connections with university conceptualisations past and present are explored as this project aims to retain the strengths of traditional academic environments together with new designs. The impetus to its emergence is next reviewed , its constituent elements and any evidence of estates-related literature. Finally a definition is essayed. Includes an abbreviated version (p.11-14)