Methods and contexts: Challenges of planning with scenarios in a hospital's division

Scenario planning is presented as a well-suited approach in uncertain environments such as healthcare systems. In this article, we report a project aimed at defining scenarios in the cancer division of a large hospital. The approach chosen was based on La Prospective school of scenario planning. The project stopped before scenarios could be elaborated, for lack of knowledge available on contextual factors influencing the system. From the analysis of this case study, we elaborate on the adequacy of scenario planning in the context of small healthcare delivery organisations. We conclude that most forms of scenario planning are unlikely to work in these cases, especially in the La Prospective approach. Perspectives are drawn for scenario planning in hospitals, and for research on the fit between scenario approaches and application contexts, in order to understand what approaches work in which circumstances

STEREOTYPES AND PERCEPTIONS OF GENDER EQUALITY IN GLOBAL CORPORATIONS IN EUROPE AND THE USA – SUMMARY OF RESULTS FROM EUROPEAN COMPANIES

International audienc

TOWARDS A FRAMEWORK FOR INTEGRATED AND COLLABORATIVE KNOWLEDGE MANAGEMENT FOR ENGINEERING DESIGN – A CASE STUDY

International audienceIn automotive industry, the design process is costly and time-consuming. Car safety is a crucial factor in the development of a vehicle, which is why crash simulation is an essential step in the design process. To improve car crash simulation analysis, it is necessary to reduce the time required and support the resolution of encountered design issues. We propose a knowledge management approach to support car crash simulation analysis and ensure the collaboration of different stakeholders. In a knowledge-intensive context, we used an ontology-based approach to formalise and capture knowledge

HOW A BETTER REPRESENTATION OF CONTRACTUAL RELATIONS CAN HELP TO DESIGN BETTER CONTRACTS

International audienc

Combining Soft Systems Methodology, ethnographic observation, and discrete-event simulation: A case study in cancer care

We describe a project where Discrete-Event Simulation (DES) is combined with Soft Systems Methodology (SSM) and ethnographic observation to support the improvement of patient flows in an outpatient chemotherapy unit and a chemotherapy preparation pharmacy unit. The project combines three interesting characteristics. First, we rely on ethnographic observation to explore the problem situation and frame the problem, a technique rarely reported in operational research (OR). Second, this leads us to define several root definitions, an aspect that remains overlooked in studies combining SSM and DES. Finally, the project stands at the interface between two departments (outpatient oncology unit and chemotherapy preparation pharmacy unit), a situation seldom explored in healthcare OR but where SSM has arguably a lot to offer to help identify and accommodate diverging objectives. We framed the problem, developed a simulation model, explored scenarios and refined a preferred one into a new business process. However, the proposed changes were not implemented. We analyse the outcomes of the project, the contribution of each method and their integration into an intervention. The paper provides insights on how SSM and DES can be combined in practice, and how the potential of ethnographic observation can be leveraged in this context