Challenges in making standardisation work in healthcare: lessons from a qualitative interview study of a line-labelling policy in a UK region.

OBJECTIVE:To identify and learn from efforts to design and implement a standardised policy for labelling of invasive tubing and lines across a regional health system. DESIGN:Single case study involving qualitative interviews and documentary analysis. SETTING:A devolved health system in the UK National Health Service (NHS). PARTICIPANTS:NHS staff (n=10) and policy-makers (n=8) who were involved in the design and/or implementation of the standardised policy. RESULTS:Though standardising labelling of invasive tubing and lines was initially seen as a common-sense technical change, challenges during the process of developing and implementing the policy were multiple and sociotechnical in nature. Major challenges related to defining the problem and the solution, limited sustained engagement with stakeholders and users, prototyping/piloting of the solution, and planning for implementation. Some frontline staff remained unconvinced of the need for or value of the policy, since they either did not believe that there was a problem or did not agree that standardised labelling was the right solution. Mundane practical issues such authorisation and resourcing, supply chains for labels, the need to restructure work practices to accommodate the new standard, and the physical features of the labels in specific clinical settings all had important impacts. CONCLUSIONS:Newly standardised tools and practices have to fit within a system of pre-existing norms, practices and procedures. We identified a number of practical, social and cultural challenges when designing and implementing a standardised policy in a regional healthcare system. Taking account of both sociocultural and technical aspects of standardisation, combined with systems thinking, could lead to more effective implementation and increase acceptability and usability of new standards

The importance of information flows temporal attributes for the efficient scheduling of dynamic demand responsive transport services

The operation of a demand responsive transport service usually involves the management of dynamic requests. The underlying algorithms are mainly adaptations of procedures carefully designed to solve static versions of the problem, in which all the requests are known in advance. However there is no guarantee that the effectiveness of an algorithm stays unchanged when it is manipulated to work in a dynamic environment. On the other hand, the way the input is revealed to the algorithm has a decisive role on the schedule quality. We analyze three characteristics of the information flow (percentage of real-time requests, interval between call-in and requested pickup time and length of the computational cycle time), assessing their influence on the effectiveness of the scheduling proces

Knowledge-based Expressive Technologies within Cloud Computing Environments

Presented paper describes the development of comprehensive approach for knowledge processing within e-Sceince tasks. Considering the task solving within a simulation-driven approach a set of knowledge-based procedures for task definition and composite application processing can be identified. This procedures could be supported by the use of domain-specific knowledge being formalized and used for automation purpose. Within this work the developed conceptual and technological knowledge-based toolbox for complex multidisciplinary task solv-ing support is proposed. Using CLAVIRE cloud computing environment as a core platform a set of interconnected expressive technologies were developed.Comment: Proceedings of the 8th International Conference on Intelligent Systems and Knowledge Engineering (ISKE2013). 201

Developing efficient web-based GIS applications

There is an increase in the number of web-based GIS applications over the recent years. This paper describes different mapping technologies, database standards, and web application development standards that are relevant to the development of web-based GIS applications. Different mapping technologies for displaying geo-referenced data are available and can be used in different situations. This paper also explains why Oracle is the system of choice for geospatial applications that need to handle large amounts of data. Wireframing and design patterns have been shown to be useful in making GIS web applications efficient, scalable and usable, and should be an important part of every web-based GIS application. A range of different development technologies are available, and their use in different operating environments has been discussed here in some detail

Stochastic multi-period multi-product multi-objective Aggregate Production Planning model in multi-echelon supply chain

In this paper a multi-period multi-product multi-objective aggregate production planning (APP) model is proposed for an uncertain multi-echelon supply chain considering financial risk, customer satisfaction, and human resource training. Three conflictive objective functions and several sets of real constraints are considered concurrently in the proposed APP model. Some parameters of the proposed model are assumed to be uncertain and handled through a two-stage stochastic programming (TSSP) approach. The proposed TSSP is solved using three multi-objective solution procedures, i.e., the goal attainment technique, the modified ε-constraint method, and STEM method. The whole procedure is applied in an automotive resin and oil supply chain as a real case study wherein the efficacy and applicability of the proposed approaches are illustrated in comparison with existing experimental production planning method

Outsourcing and acquisition models comparison related to IT supplier selection decision analysis

This paper presents a comparison of acquisition models related to decision analysis of IT supplier selection. The main standards are: Capability Maturity Model Integration for Acquisition (CMMI-ACQ), ISO / IEC 12207 Information Technology / Software Life Cycle Processes, IEEE 1062 Recommended Practice for Software Acquisition, the IT Infrastructure Library (ITIL) and the Project Management Body of Knowledge (PMBOK) guide. The objective of this paper is to compare the previous models to find the advantages and disadvantages of them for the future development of a decision model for IT supplier selection