The Mediating Effect of Innovation on The Relationship between Strategic Management Dimensions and Construction Project Development: A Conceptual Framework

Innovation becomes a crucial factor to the project development; a factor which is ignored by the previous strategic management models that focused more on the physical resources of the project. This paper aims to investigate the improvement of the linkage in between the competitive advantages’ roots and the projects’ development. A comprehensive review has been done wherein several previous strategic management models are discussed. The reviews found out that there are some pillars of strategies that contribute to the project development. Even more, this review focuses on how to strengthen the direct relationship between the competitive advantages’ roots and the project development. This paper is significantly important because it adds innovation factor as a mediator between the competitive advantages and the project’s development. Hence, this paper provides an effective project development model linkage for the project’s strategic plan.Keywords—Competitive advantages; resources; value; capability; innovation; project developmen

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries