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  • 1.
    Cano, Stefan J
    et al.
    Modus Outcomes, UK.
    Pendrill, Leslie
    RISE - Research Institutes of Sweden, Safety and Transport, Measurement Science and Technology.
    Barbic, Skye P
    University of British Columbia, Canada.
    Fisher Jr, William P
    University of California, USA.
    Patient-centred outcome metrology for healthcare decision-making2017Conference paper (Refereed)
    Abstract [en]

    Valid and precise quantification of clinical variables is essential for appropriate interpretation to inform healthcare decision making. The outcomes produced from different measurement procedures and instruments, purporting to quantify the same measurand, should be directly comparable. This ensures the appropriate application and widespread adoption of clinical research findings. Metrology provides a framework for the development of a common language of reference measurement systems, which have the potential to improve the accuracy and comparability of patients’ results. However, the practices, procedures and instruments used in social measurement are currently excluded from any formal metrological framework. In this paper, we build on previous arguments, and propose a new international body to bring together metrology, psychometrics, philosophy, and clinical management to support the global comparability and equivalence of measurement results in patient centred outcome measurement to improve healthcare.

  • 2.
    Dellve, Lotta
    et al.
    KTH Royal Institute of Technology, Sweden.
    Williamsson, Anna
    KTH Royal Institute of Technology, Sweden.
    Strömgren, Marcus
    KTH Royal Institute of Technology, Sweden.
    Holden, Richard
    University of Indiana, USA.
    Åhlström, Linda
    Andreasson, Jörgen
    KTH Royal Institute of Technology, Sweden.
    Eriksson, Andrea
    KTH Royal Institute of Technology, Sweden.
    The impact of implementation of lean at hospitals for work conditions and health-related conditions among health care professionals: a three year follow-up2015Conference paper (Other academic)
    Abstract [en]

    Introduction The public sector has during the last decades been struggling with the challenge of how to increase the efficiency, the quality of performance, as well as with problems related to work environment and recruitments. Hospitals have struggled with increased focuses on costumer orientation, rationalizations and care processes redesign, and have often used Lean production (LP) as management model. Aim to assess the long-term importance of implementing LP in hospitals for the psychosocial work conditions.  Based on earlier research (e.g. Westgaard & Winkel, 2011), the following hypothesis were tested (1) Strategic large scale  implementation of LP is associated with negative impact on mental health; (2) Implementation of LP is associated with weak negative impact on psychosocial work conditions; (3) The association between implementation of LP and psychosocial conditions is moderated by profession and participatory approaches. Method  Five hospitals working with improvements of care processes were studied 2012-2014 using questionnaires to employees (T1 n=1303) and interviews at strategic and operative levels. Analyzes with mixed models repeated measurements were performed. The explaining variables for the models were implementation of lean at strategic resp operative level, and time (T1, T2, T3). The outcome variables were work-related health (SRH, work ability, stress-symptoms) and psychosocial work conditions. Results  Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There were no overall differences in self rated health and work ability with regard to implementation of LP. A higher degree of LP at operative level was associated with decreased work demands. There was, especially initially, more beneficial or improved working conditions in relation to higher degree of LP at operative levels. The long-term follow-up showed that quantitative demands increased and predictability as well as leadership decreased in the non-lean hospitals. There were different patterns with regard to profession and participatory approaches that will be presented.

  • 3.
    Harlin, Ulrika
    et al.
    RISE Research Institutes of Sweden, Materials and Production, Product Realisation Methodology.
    Williamsson, Anna
    RISE Research Institutes of Sweden, Materials and Production, Product Realisation Methodology.
    Eklund, Jörgen
    KTH Royal Institute of Technology, Sweden.
    Berglund, Martina
    Linköping university, Sweden.
    Dialogverktyget Work Balance i praktiken: En lärande utvärdering för hållbart arbete2022Report (Other academic)
    Abstract [en]

    För att svara upp mot utmaningarna inom det organisatoriska och sociala arbetsmiljöområdet och främja ett hållbart arbetsliv har Scania utvecklat dialogverktyget Work Balance. Det är forskningsbaserat och avser ge stöd och struktur åt chefer att föra djupare och regelbunden dialog med medarbetare kring upplevelser av arbetssituationer. Dialogen är strukturerad inom de fyra ämnesområdena Hanterbarhet, Begriplighet, Meningsfullhet och Återhämtning, och avses användas på frivillig basis i grupp eller individuellt. HELIX har i samarbete med Scania genomfört en lärande utvärdering av Work Balance. Syftet med denna utvärdering var att identifiera möjliggörare och hinder för användningen av Work Balance samt att ta fram förbättringsförslag som underlag för Scanias vidareutveckling av dialogverktyget. HELIX-forskare intervjuade 44 medarbetare, första och andra linjens chefer ur produktions- och kontorsmiljö, från sex produktionsenheter i fyra länder. Dessa använde eller hade valt att inte använda dialogverktyget. Resultaten visar en över lag positiv syn på Work Balance, på frivilligheten i användningen, relevansen, anpassningsbarheten, flexibiliteten och det varierade användningssättet. Men vid en produktionsenhet där verktyget inte fungerat som önskat har användningen avbrutits. Implementeringen varierade avseende tydlighet i information och träning i verktyget. Användningsförutsättningarna varierade kraftigt beroende på tidigare erfarenheter, kultur och mognad hos team och chefer att vara öppna och sätta ord på känslor. Användningen varierade även mellan produktionsenheter. Vid regelbunden användning var man mycket nöjd, men andra som inte sett nyttan hade slutat använda Work Balance. I produktion var teamen större, tiden mer begränsad, språk och frågor kändes mer abstrakta och användningen upplevdes svårare än i kontor. Högre chefers efterfrågan av användning tenderade ge en mer uthållig användning. Upplevda effekter var; öppnare klimat, bättre kommunikation, ökat samförstånd och tidigare identifiering av problem. Många trodde på en indirekt positiv koppling mellan Work Balance och nyckeltal. En enklare version av Work Balance efterfrågades, men också bättre hantering av identifierade problem, där mer stöd och utbildning till chefer och team behövs. En väl utvecklad förbättringskultur torde vara en bra grund för en utvecklad dialog där Work Balance kopplas till andra verktyg eller metoder som används i teamets kärnprocesser.

  • 4.
    Pendrill, Leslie
    et al.
    RISE - Research Institutes of Sweden, Safety and Transport, Measurement Science and Technology.
    Cano, Stefan
    Modus Outcomes, UK.
    Barbic, Skye
    University of British Columbia, Canada.
    Fisher Jr, William P
    University of California, USA.
    Patient-Centred Outcome Metrology for Healthcare Decision-Making2018In: IOP Conf. Series: Journal of Physics: Conf. Series, ISSN 1742-6596, Vol. 1044, article id 012057Article in journal (Refereed)
    Abstract [en]

    Valid and precise quantification of clinical variables is essential for appropriate interpretation to inform healthcare decision making. The outcomes produced from different measurement procedures and instruments, purporting to quantify the same measurand, should be directly comparable. This ensures the appropriate application and widespread adoption of clinical research findings. Metrology provides a framework for the development of a common language of reference measurement systems, which have the potential to improve the accuracy and comparability of patients' results.However, the practices, procedures and instruments used in social measurement are currently excluded from any formal metrological framework. In this paper, we build on previous arguments, and propose a new international body to bring together metrology, psychometrics, philosophy, and clinical management to support the global comparability and equivalence of measurement results in patient centred outcome measurement to improve healthcare.

    Download full text (pdf)
    fulltext
  • 5.
    Pendrill, Leslie
    et al.
    RISE Research Institutes of Sweden, Safety and Transport, Measurement Technology.
    Espinoza, Andreas
    Sony Mobile Communications AB, Sweden.
    Wadman, Johan
    Sony Mobile Communications AB, Sweden.
    Nilsask, Fredrik
    Wretborn, Jens
    Lund University, Sweden; Local Health Care Services in Central Östergötland, Sweden.
    Ekelund, Ulf
    Lund University, Sweden.
    Pahlm, Ulrika
    Lund University, Sweden.
    Reducing search times and entropy in hospital emergency departments with real-time location systems2021In: IISE Transactions on Healthcare Systems Engineering, ISSN 2472-5579, Vol. 11, no 4, p. 305-Article in journal (Refereed)
    Abstract [en]

    Although the consequences of hospital ED crowding have been studied extensively, the causes of crowding are still not well understood. Throughput factors in ED crowding models are difficult to study in a controlled fashion in a dynamic environment where healthcare demand changes rapidly, and physical and human resources suddenly become limited. Opportunities for automated, simultaneous, and low-cost observation of the location and movement of multiple units, patients and staff have recently arisen with the introduction of small, non-intrusive real-time location systems (RTLS). One such RTLS deployment reported here has initiated renewed consideration of quality and industrial statistics as applied to healthcare operations management. Novel metrics for essential constructs of throughput factors in ED crowding such as efficiency and effectiveness are proposed. In particular, causality is explained in terms of understanding of each construct, modeled in terms of entropy, information, and order. Experimental demonstration is given of how labor reduction and the probability of patients, personnel and equipment meeting in terms of less uncertainty can be explained. These novel metrics are expected to facilitate monitoring of how an ED reacts to different levels of crowding, provide insight into crowding dynamics, help evaluate interventions to decrease crowding, and ultimately improve care. © 2021 The Author(s). 

  • 6.
    Sommarlund, Petra
    et al.
    RISE, SP – Sveriges Tekniska Forskningsinstitut.
    Falkvall, Frida
    RISE, SP – Sveriges Tekniska Forskningsinstitut.
    Sandberg, Peter
    RISE, SP – Sveriges Tekniska Forskningsinstitut.
    Andersson, Albin
    RISE, SP – Sveriges Tekniska Forskningsinstitut.
    Stavenow, bengt
    Innovation Skåne AB.
    Vitabäck, carolina
    Innovation Skåne AB.
    Gerwand, Sofia
    Innovation Skåne AB.
    Lindskog, Peder
    Nordic Healhcare Group.
    Ambjörnsson, Mårten
    Nordic Healthcare Group.
    Norelius, Marianne
    Apoteket AB.
    En personlig och digital vårdupplevelse - framtidens primärvård: Kortversion2016Report (Other academic)
    Abstract [sv]

    Om 10 år kommer primärvården ha andra kontaktvägar och högre tillgänglighet än idag. Patientens första kontakt är digital och i många fall kan ett digitalt beslutsstödssystem, vid behov kompletterat med hemtester, vara tillräckligt för att ge patienten den vård hen behöver. De digitala möjligheterna kommer att leda till ökad kunskap och egenförmåga hos patienten att ta större ansvar för sin egen hälsa. Personanpassade tjänster där individens behov styr kommer att erbjudas både från vården och andra aktörer. Relevant hälsodata kommer att finnas tillgänglig för de aktörer som behöver den och digitala lösningar integreras i hela vårdkedjan. På så sätt frigörs vårdresurser till de personer som verkligen behöver den.

    Denna rapport illustrerar den nutida och framtida primärvården genom fem patientfall som tillsammans täcker in merparten av primärvårdens besök. Möt febrige femårige Arvid, Ahmed med risk för att utveckla livsstilsrelaterad kronisk sjukdom, deprimerade 14-åriga Sara, Erik som just haft en hjärtinfarkt och multisjuka Inga. Från nutid och 10 år framåt förväntas primärvårdens resurser förflyttas från fall av engångskaraktär som Arvid till att arbeta förebyggande med fall som Ahmed.

    För att detta ska realiseras behöver vården säkerställa att patient- och kostnadsansvar följer individen och inte organisatoriska gränssnitt. Ett tydligt syfte med digitaliseringen och den avsedda effekten på verksamheten behöver definieras och hinder som möjliggör samlad vårdinformation som flödar mellan kommun och landsting behöver undanröjas.

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    fulltext
  • 7.
    Wallo, Andreas
    et al.
    Linköping University, Sweden.
    Martin, Jason
    Linköping University, Sweden.
    Elg, Mattias
    Linköping University, Sweden.
    Harlin, Ulrika
    RISE Research Institutes of Sweden, Materials and Production, Product Realisation Methodology. Linköping university, SwedenU.
    Bozic, Nina
    RISE Research Institutes of Sweden, Digital Systems, Prototyping Society.
    Skagert, Katrin
    RISE Research Institutes of Sweden, Digital Systems, Prototyping Society.
    Williamsson, Anna
    RISE Research Institutes of Sweden, Materials and Production, Product Realisation Methodology.
    Gremyr, Ida
    Chalmers University of Technology, Sweden.
    Mapping the challenges of a socially sustainable, competitive, and green industry in the age of rapid change: A Delphi study2023Report (Other academic)
    Abstract [en]

    This report presents the findings of a Delphi study coordinated by Linköping University (LiU) in collaboration with RISE Research Institutes of Sweden and the Chalmers University of Technology. The study was carried out in 2022 as part of a Vinnova-funded planning project aimed at establishing an interdisciplinary research environment to prepare an application for a new competence centre focused on building a long-term, sustainable Swedish industry. The Delphi study aimed to identify key challenges related to the ambition to develop a socially sustainable, competitive, and green industry subjected to an accelerating pace of change. The Delphi study was based on an interactive research approach to facilitate the cocreation of knowledge for the dual purpose of advancing long-term theory development and innovation processes. The consortium and its reference groups consist of industrial companies (such as AstraZeneca, Ericsson IndustryLab, Rimaster, Saab Aeronautics, Scania, Volvo GTO and Volvo Cars), intermediaries and educational actors (such as Skill, IUC Sverige and Linköping Science Park), labour market organisations (including IF Metall, Industriarbetsgivarna, Unionen, and Teknikföretagen), governmental agencies (the Office for Sustainable Working life), and researchers from LiU, Chalmers, and RISE. There are key industrial targets forming the starting point for the Delphi study that also guide policies and investments in strategic agendas for the industrial stakeholders. For the Swedish industry to be resilient and sustainable, new competence and organisational abilities are required to decrease the dependency on fossil energy in production. Transformation towards electrification, circular economy, and digitalisation are key enablers, and these transitions are ongoing and accelerating at a fast pace. Furthermore, new and constantly emerging targets require organisational resilience, like managing new requirements and targets within energy consumption and supply of competence. The findings of this report include a total of 14 identified challenges. To organise and create conditions for flexible work for all To successfully manage crises and drastic external events To successfully drive and contribute to the green industrial transformation To facilitate employee-driven innovation and organisational learning To attract, develop and retain employees with the right skills To take advantage of and exploit the opportunities of digitalisation To create inclusive workplaces and utilise diversity To organise competence development To collaborate with external parties to ensure the availability of competence To design for socially sustainable work considering efficiency and good health in a dynamic environment To organise the creation of added value for and together with customers and suppliers To systematically drive continuous improvement work in parallel with long-term development work To develop leadership that creates better opportunities both for a climate-neutral footprint and a competitive industry with good working conditions To transform research- and policy-based knowledge into practice The 14 challenges were further analysed according to perceived importance and ability and presented in a priority matrix. According to the priority matrix, the 14 challenges were then synthesised into six main research themes: A. Innovative competence supply practice, B. Resilient organisations & production systems, C. Analytics for improvement & learning, D. Socially sustainable work, E. Green transformation practices, and an open and undefined research theme labelled as Future challenges. The research themes are also presented together with six main analytical and theoretical perspectives in a matrix that can be used to intersect and interweave the research themes to guide the research agenda in a potential future research program.

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    fulltext
  • 8.
    Williamsson, Anna
    et al.
    KTH Royal Institute of Technology, Sweden.
    Karltun, Annette
    Dellve, Lotta
    Visualizing improvements of care processes- a contribution to shared understanding and engagement, or cognitive strain?2014Conference paper (Other academic)
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