IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i23p12572-d690781.html
   My bibliography  Save this article

Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems

Author

Listed:
  • Nick McDonald

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland)

  • Lucy McKenna

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

  • Rebecca Vining

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland)

  • Brian Doyle

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland
    Health and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland)

  • Junli Liang

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

  • Marie E. Ward

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland
    Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • Pernilla Ulfvengren

    (KTH Royal Institute of Technology, Industrial Economics and Management, 100 44 Stockholm, Sweden)

  • Una Geary

    (Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • John Guilfoyle

    (Health and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland)

  • Arwa Shuhaiber

    (Beacon Renal, Sandyford Business Park, D18 TH56 Dublin, Ireland)

  • Julio Hernandez

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

  • Mary Fogarty

    (Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • Una Healy

    (Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • Christopher Tallon

    (Health and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland)

  • Rob Brennan

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

Abstract

Three key challenges to a whole-system approach to process improvement in health systems are the complexity of socio-technical activity, the capacity to change purposefully, and the consequent capacity to proactively manage and govern the system. The literature on healthcare improvement demonstrates the persistence of these problems. In this project, the Access-Risk-Knowledge (ARK) Platform, which supports the implementation of improvement projects, was deployed across three healthcare organisations to address risk management for the prevention and control of healthcare-associated infections (HCAIs). In each organisation, quality and safety experts initiated an ARK project and participated in a follow-up survey and focus group. The platform was then evaluated against a set of fifteen needs related to complex system transformation. While the results highlighted concerns about the platform’s usability, feedback was generally positive regarding its effectiveness and potential value in supporting HCAI risk management. The ARK Platform addresses the majority of identified needs for system transformation; other needs were validated in the trial or are undergoing development. This trial provided a starting point for a knowledge-based solution to enhance organisational governance and develop shared knowledge through a Community of Practice that will contribute to sustaining and generalising that change.

Suggested Citation

  • Nick McDonald & Lucy McKenna & Rebecca Vining & Brian Doyle & Junli Liang & Marie E. Ward & Pernilla Ulfvengren & Una Geary & John Guilfoyle & Arwa Shuhaiber & Julio Hernandez & Mary Fogarty & Una Hea, 2021. "Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems," IJERPH, MDPI, vol. 18(23), pages 1-33, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12572-:d:690781
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/23/12572/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/23/12572/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ann Svensson, 2019. "Challenges in Using IT Systems for Collaboration in Healthcare Services," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    2. Zoe Radnor & Stephen P. Osborne, 2013. "Lean: A failed theory for public services?," Public Management Review, Taylor & Francis Journals, vol. 15(2), pages 265-287, February.
    3. Siobhán Corrigan & Alison Kay & Katie O’Byrne & Dubhfeasa Slattery & Sharon Sheehan & Nick McDonald & David Smyth & Ken Mealy & Sam Cromie, 2018. "A Socio-Technical Exploration for Reducing & Mitigating the Risk of Retained Foreign Objects," IJERPH, MDPI, vol. 15(4), pages 1-17, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jun-Zhi Chiu & Chao-Chen Hsieh, 2022. "Constructing Factors Related to Sociotechnical Analysis in Elderly House," Sustainability, MDPI, vol. 14(19), pages 1-9, October.
    2. Martin McNamara & Marie Ward & Seán Paul Teeling, 2023. "Making a Sustainable Difference to People, Processes and Systems: Whole-Systems Approaches to Process Improvement in Health Systems," IJERPH, MDPI, vol. 20(7), pages 1-5, March.
    3. Marie E. Ward & Ailish Daly & Martin McNamara & Suzanne Garvey & Sean Paul Teeling, 2022. "A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting," IJERPH, MDPI, vol. 19(3), pages 1-22, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jacob Torfing & Eva Sørensen, 2019. "Interactive Political Leadership in Theory and Practice: How Elected Politicians May Benefit from Co-Creating Public Value Outcomes," Administrative Sciences, MDPI, vol. 9(3), pages 1-18, July.
    2. Glock, C. H. & Grosse, E. H. & Ries, J. M., 2016. "Decision support models for supplier development: systematic literature review and research agenda," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 77945, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    3. Federica Centauri & Marta Marsilio & Stefano Villa & Francesco Nicosia, 2016. "Implementare il modello Lean nelle organizzazioni sanitarie: il caso dell?Ospedale Galliera," MECOSAN, FrancoAngeli Editore, vol. 2016(100), pages 27-55.
    4. Michael Walker, 2017. "The Search for Viability: A practitioner's view of how the Viable Systems Model is helping transform English local government (and why it has passed unrecognised)," Systems Research and Behavioral Science, Wiley Blackwell, vol. 34(3), pages 313-334, May.
    5. Aline Pietrix Seepma & Dirk Pieter van Donk & Carolien de Blok, 2021. "On publicness theory and its implications for supply chain integration: The case of criminal justice supply chains," Journal of Supply Chain Management, Institute for Supply Management, vol. 57(3), pages 72-103, July.
    6. Gaudet, Joanne & Bergeron, France, 2017. "Lean: it’s not rocket science, it’s work science," OSF Preprints nf2mj, Center for Open Science.
    7. Jacopo Guercini & Vincenzo Mezzatesta & Andrea Chiarini & Caterina Bianciardi & Lucia Bellandi & Sara Moi & Pasquale Biandolino, 2016. "Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese," MECOSAN, FrancoAngeli Editore, vol. 2016(98), pages 83-103.
    8. D’Andreamatteo, Antonio & Ianni, Luca & Lega, Federico & Sargiacomo, Massimo, 2015. "Lean in healthcare: A comprehensive review," Health Policy, Elsevier, vol. 119(9), pages 1197-1209.
    9. Sharon J. Williams & Zoe Radnor, 2018. "Using bandwidths to visualize and improve patient pathways," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 21-28, January.
    10. Dag Øivind Madsen & Stig Risvik & Tonny Stenheim, 2017. "The diffusion of Lean in the Norwegian municipality sector: An exploratory survey," Cogent Business & Management, Taylor & Francis Journals, vol. 4(1), pages 1411067-141, January.
    11. Ingo Kregel & Bettina Distel & André Coners, 2022. "Business Process Management Culture in Public Administration and Its Determinants," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 64(2), pages 201-221, April.
    12. Joost van Hoof & Deirdre M. Beneken genaamd Kolmer & Erwin de Vlugt & Sanne I. de Vries, 2019. "Quality of Life: The Interplay between Human Behaviour, Technology and the Environment," IJERPH, MDPI, vol. 16(24), pages 1-7, December.
    13. Marte D.-Q. Holmemo & Jonas A. Ingvaldsen, 2018. "Local adaption and central confusion: decentralized strategies for public service Lean implementation," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 13-20, January.
    14. Stephen P. Osborne & Zoe Radnor & Isabel Vidal & Tony Kinder, 2014. "A Sustainable Business Model for Public Service Organizations?," Public Management Review, Taylor & Francis Journals, vol. 16(2), pages 165-172, February.
    15. Pankaj Kumar Baag & Kavitha P. & Ashutosh Sarkar, 2019. "Application of Lean Tool for Process Improvement of Bank Branches," IIM Kozhikode Society & Management Review, , vol. 8(2), pages 131-142, July.
    16. Seán Paul Teeling & Jan Dewing & Deborah Baldie, 2021. "A Realist Inquiry to Identify the Contribution of Lean Six Sigma to Person-Centred Care and Cultures," IJERPH, MDPI, vol. 18(19), pages 1-21, October.
    17. Seán Paul Teeling & Jan Dewing & Deborah Baldie, 2022. "Developing New Methods for Person-Centred Approaches to Adjudicate Context–Mechanism–Outcome Configurations in Realist Evaluation," IJERPH, MDPI, vol. 19(4), pages 1-17, February.
    18. Leander Luiz Klein & Kelmara Mendes Vieira & Thiago Schirmer Feltrin & Matheus Pissutti & Luciano Dibi Ercolani, 2022. "The Influence of Lean Management Practices on Process Effectiveness: A Quantitative Study in a Public Institution," SAGE Open, , vol. 12(1), pages 21582440221, March.
    19. Cynthia Hardy & Vikram Bhakoo & Steve Maguire, 2020. "A New Methodology for Supply Chain Management: Discourse Analysis and its Potential for Theoretical Advancement," Journal of Supply Chain Management, Institute for Supply Management, vol. 56(2), pages 19-35, April.
    20. Sébastien Dony, 2017. "Ce que nous apprennent les démarches d'amélioration de l'efficience dans les collectivités territoriales," Post-Print hal-01907400, HAL.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12572-:d:690781. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.