Proceedings of the International Conference on Emerging Trends in Engineering & Technology (IConETech-2020), 2020
There is a growing realisation in the international community that economic development and envir... more There is a growing realisation in the international community that economic development and environmental conservation must achieve a balance to enable future generations to survive and prosper as we exist on a planet of finite resources. Circular Economy (CE) has emerged as a paradigm shift to assist in attaining this balance. It has been argued that industry can achieve CE through five phases – take, make, distribute, use and recover i.e. converting their linear business processes (take, make and distribute) to circular. 3D printing/Additive Manufacturing (AM) industry is developing speedily and it could potentially involve trillions of dollars in business over the coming decades. 3D printing inadvertently achieves some of the most urgent environmental and resource goals facing the global industry. For example, the transportation and manufacturing carbon footprint of many products could be reduced as design, rather than products, is shipped. Further, 3D Printers will manufacture p...
Measuring health care service performance is a complex task as it has multiple-functions, which c... more Measuring health care service performance is a complex task as it has multiple-functions, which contribute in aggregate towards achieving overall goals. There has been an increasing need of a tool for the process-based performance measurement of multispecialty tertiary care hospitals to identify the deficiencies in services and suggest recommendations for their improvement. Analytic Hierarchy Process (AHP), a multiple attribute decision-making technique, is utilized in this study to evolve a model to effectively measure the performance of the processes involved in the healthcare delivery of a hospital. Each step in the model was derived by group-discussions and brainstorming sessions among clinicians and managers with more than twenty years service in healthcare system. This tool was applied to a 600-bed tertiary care teaching hospital in Barbados, and another similar bed-strength tertiary care teaching hospital in South India. The cumulative performance rating of the Barbados hospi...
Although the contribution of small and medium-sized enterprises (SMEs) to economic growth is beyo... more Although the contribution of small and medium-sized enterprises (SMEs) to economic growth is beyond doubt, they collectively affect the environment and society negatively. As SMEs have to perform in a very competitive environment, they often find it difficult to achieve their environmental and social targets. Therefore, making SMEs sustainable is one of the most daunting tasks for both policy makers and SME owners/managers alike. Prior research argues that through measuring SMEs’ supply chain sustainability performance and deriving means of improvement one can make SMEs’ business more viable, not only from an economic perspective, but also from the environmental and social point of view. Prior studies apply data envelopment analysis (DEA) for measuring the performance of groups of SMEs using multiple criteria (inputs and outputs) by segregating efficient and inefficient SMEs and suggesting improvement measures for each inefficient SME through benchmarking it against the most success...
Benchmarking can be described as the search for the best practices leading to superior performanc... more Benchmarking can be described as the search for the best practices leading to superior performance of an organization. This study demonstrates how analytic hierarchy process (AHP), a multiple attribute decision-making technique, can be used for benchmarking project management practices. The methodology has been applied to benchmark project management practices of Caribbean public sector organizations, organizations in the Indian petroleum sector, and infrastructure sector organizations of Thailand and UK. This study illustrates the effectiveness of a proposed benchmarking model using AHP and suggests measures for effective project management.
Journal of health organization and management, Jan 18, 2018
Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surge... more Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon's decision that considers criticality of the surgery, patient's conditions before and after surgery, expected time to recovery and experience of the surgeon involved. Decision on patients' LOS at hospital post-surgery affects overall healthcare performance as it affects both cost and quality of care. The purpose of this paper is to develop a model for deriving the most appropriate LOS after surgical interventions. Design/methodology/approach The study adopts an action research involving multiple stakeholders (surgeon, patients/patients' relatives, hospital management and other medics). First, a conceptual model is developed using literature and experts' opinion. Second, the model is applied in three surgical interventions in a public hospital in Malta to demonstrate the effectiveness of the model. Third, the policy alternatives developed are compared to a selection...
Journal of health organization and management, Jan 10, 2016
Purpose The purpose of this paper is to present the application of logical framework analysis (LF... more Purpose The purpose of this paper is to present the application of logical framework analysis (LFA) for implementing continuous quality improvement (CQI) across multiple settings in a tertiary care hospital. Design/methodology/approach This study adopts a multiple case study approach. LFA is implemented within three diverse settings, namely, intensive care unit, surgical ward, and acute in-patient psychiatric ward. First, problem trees are developed in order to determine the root causes of quality issues, specific to the three settings. Second, objective trees are formed suggesting solutions to the quality issues. Third, project plan template using logical framework (LOGFRAME) is created for each setting. Findings This study shows substantial improvement in quality across the three settings. LFA proved to be effective to analyse quality issues and suggest improvement measures objectively. Research limitations/implications This paper applies LFA in specific, albeit, diverse settings ...
International journal of health care quality assurance, Jan 14, 2016
Purpose - The purpose of this paper is to develop an integrated patient-focused analytical framew... more Purpose - The purpose of this paper is to develop an integrated patient-focused analytical framework to improve quality of care in accident and emergency (A & E) unit of a Maltese hospital. Design/methodology/approach - The study adopts a case study approach. First, a thorough literature review has been undertaken to study the various methods of healthcare quality management. Second, a healthcare quality management framework is developed using combined quality function deployment (QFD) and logical framework approach (LFA). Third, the proposed framework is applied to a Maltese hospital to demonstrate its effectiveness. The proposed framework has six steps, commencing with identifying patients' requirements and concluding with implementing improvement projects. All the steps have been undertaken with the involvement of the concerned stakeholders in the A & E unit of the hospital. Findings - The major and related problems being faced by the hospital under study were overcrowding at...
PPT: http://www.ehma.org/files/BUTTIGIEG_15.05.2015_0.pdf Abstract: In the current global financi... more PPT: http://www.ehma.org/files/BUTTIGIEG_15.05.2015_0.pdf Abstract: In the current global financial picture, healthcare, a fundamental service, has progressively become an economic weight. The 2008 global financial crisis has also had an impact on health systems’ performance (Karanikolos et al., 2013). Amongst the top priorities, the most costly, and with the highest risk in any health system are the Accident and Emergency (A&E) services. Over the years, several scholars and policy makers have attempted to provide solutions to minimize risk, reduce the incidence of errors and consequently improve patient safety. Possible solutions are to have parts of the health services better integrated, as well as to optimize resources safely through risk management principles. Twenty years ago, Braithwaite and colleagues discussed the future of the hospital and coined the term ‘boundaryless hospital’ (Braithwaite, Vining & Lazarus 1994). The authors foretell a radical change in the nature of the...
Proceedings of the International Conference on Emerging Trends in Engineering & Technology (IConETech-2020), 2020
There is a growing realisation in the international community that economic development and envir... more There is a growing realisation in the international community that economic development and environmental conservation must achieve a balance to enable future generations to survive and prosper as we exist on a planet of finite resources. Circular Economy (CE) has emerged as a paradigm shift to assist in attaining this balance. It has been argued that industry can achieve CE through five phases – take, make, distribute, use and recover i.e. converting their linear business processes (take, make and distribute) to circular. 3D printing/Additive Manufacturing (AM) industry is developing speedily and it could potentially involve trillions of dollars in business over the coming decades. 3D printing inadvertently achieves some of the most urgent environmental and resource goals facing the global industry. For example, the transportation and manufacturing carbon footprint of many products could be reduced as design, rather than products, is shipped. Further, 3D Printers will manufacture p...
Measuring health care service performance is a complex task as it has multiple-functions, which c... more Measuring health care service performance is a complex task as it has multiple-functions, which contribute in aggregate towards achieving overall goals. There has been an increasing need of a tool for the process-based performance measurement of multispecialty tertiary care hospitals to identify the deficiencies in services and suggest recommendations for their improvement. Analytic Hierarchy Process (AHP), a multiple attribute decision-making technique, is utilized in this study to evolve a model to effectively measure the performance of the processes involved in the healthcare delivery of a hospital. Each step in the model was derived by group-discussions and brainstorming sessions among clinicians and managers with more than twenty years service in healthcare system. This tool was applied to a 600-bed tertiary care teaching hospital in Barbados, and another similar bed-strength tertiary care teaching hospital in South India. The cumulative performance rating of the Barbados hospi...
Although the contribution of small and medium-sized enterprises (SMEs) to economic growth is beyo... more Although the contribution of small and medium-sized enterprises (SMEs) to economic growth is beyond doubt, they collectively affect the environment and society negatively. As SMEs have to perform in a very competitive environment, they often find it difficult to achieve their environmental and social targets. Therefore, making SMEs sustainable is one of the most daunting tasks for both policy makers and SME owners/managers alike. Prior research argues that through measuring SMEs’ supply chain sustainability performance and deriving means of improvement one can make SMEs’ business more viable, not only from an economic perspective, but also from the environmental and social point of view. Prior studies apply data envelopment analysis (DEA) for measuring the performance of groups of SMEs using multiple criteria (inputs and outputs) by segregating efficient and inefficient SMEs and suggesting improvement measures for each inefficient SME through benchmarking it against the most success...
Benchmarking can be described as the search for the best practices leading to superior performanc... more Benchmarking can be described as the search for the best practices leading to superior performance of an organization. This study demonstrates how analytic hierarchy process (AHP), a multiple attribute decision-making technique, can be used for benchmarking project management practices. The methodology has been applied to benchmark project management practices of Caribbean public sector organizations, organizations in the Indian petroleum sector, and infrastructure sector organizations of Thailand and UK. This study illustrates the effectiveness of a proposed benchmarking model using AHP and suggests measures for effective project management.
Journal of health organization and management, Jan 18, 2018
Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surge... more Purpose Length of stay (LOS) in hospital after surgery varies for each patient depending on surgeon's decision that considers criticality of the surgery, patient's conditions before and after surgery, expected time to recovery and experience of the surgeon involved. Decision on patients' LOS at hospital post-surgery affects overall healthcare performance as it affects both cost and quality of care. The purpose of this paper is to develop a model for deriving the most appropriate LOS after surgical interventions. Design/methodology/approach The study adopts an action research involving multiple stakeholders (surgeon, patients/patients' relatives, hospital management and other medics). First, a conceptual model is developed using literature and experts' opinion. Second, the model is applied in three surgical interventions in a public hospital in Malta to demonstrate the effectiveness of the model. Third, the policy alternatives developed are compared to a selection...
Journal of health organization and management, Jan 10, 2016
Purpose The purpose of this paper is to present the application of logical framework analysis (LF... more Purpose The purpose of this paper is to present the application of logical framework analysis (LFA) for implementing continuous quality improvement (CQI) across multiple settings in a tertiary care hospital. Design/methodology/approach This study adopts a multiple case study approach. LFA is implemented within three diverse settings, namely, intensive care unit, surgical ward, and acute in-patient psychiatric ward. First, problem trees are developed in order to determine the root causes of quality issues, specific to the three settings. Second, objective trees are formed suggesting solutions to the quality issues. Third, project plan template using logical framework (LOGFRAME) is created for each setting. Findings This study shows substantial improvement in quality across the three settings. LFA proved to be effective to analyse quality issues and suggest improvement measures objectively. Research limitations/implications This paper applies LFA in specific, albeit, diverse settings ...
International journal of health care quality assurance, Jan 14, 2016
Purpose - The purpose of this paper is to develop an integrated patient-focused analytical framew... more Purpose - The purpose of this paper is to develop an integrated patient-focused analytical framework to improve quality of care in accident and emergency (A & E) unit of a Maltese hospital. Design/methodology/approach - The study adopts a case study approach. First, a thorough literature review has been undertaken to study the various methods of healthcare quality management. Second, a healthcare quality management framework is developed using combined quality function deployment (QFD) and logical framework approach (LFA). Third, the proposed framework is applied to a Maltese hospital to demonstrate its effectiveness. The proposed framework has six steps, commencing with identifying patients' requirements and concluding with implementing improvement projects. All the steps have been undertaken with the involvement of the concerned stakeholders in the A & E unit of the hospital. Findings - The major and related problems being faced by the hospital under study were overcrowding at...
PPT: http://www.ehma.org/files/BUTTIGIEG_15.05.2015_0.pdf Abstract: In the current global financi... more PPT: http://www.ehma.org/files/BUTTIGIEG_15.05.2015_0.pdf Abstract: In the current global financial picture, healthcare, a fundamental service, has progressively become an economic weight. The 2008 global financial crisis has also had an impact on health systems’ performance (Karanikolos et al., 2013). Amongst the top priorities, the most costly, and with the highest risk in any health system are the Accident and Emergency (A&E) services. Over the years, several scholars and policy makers have attempted to provide solutions to minimize risk, reduce the incidence of errors and consequently improve patient safety. Possible solutions are to have parts of the health services better integrated, as well as to optimize resources safely through risk management principles. Twenty years ago, Braithwaite and colleagues discussed the future of the hospital and coined the term ‘boundaryless hospital’ (Braithwaite, Vining & Lazarus 1994). The authors foretell a radical change in the nature of the...
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