Background: A quality improvement collaborative is an intensive project involving a combination of implementation strategies applied in a limited “breakthrough” time window. After an implementation project, it is generally difficult to sustain its success. In the current study, sustainability was described as maintaining an implemented innovation and its benefits over a longer period of time after the implementation project has ended. The aim of the study was to explore potentially promising strategies for sustaining the Enhanced Recovery After Surgery (ERAS) programme in colonic surgery as perceived by professionals, three to six years after the hospital had successfully finished a quality improvement collaborative. Methods: A qualitative case study was performed to identify promising strategies to sustain key outcome variables related to the ERAS programme in terms of adherence, time needed for functional recovery and hospital length of stay (LOS), as achieved immediately after implementation. Ten hospitals were selected which had successfully implemented the ERAS programme in colonic surgery (2006–2009), with success defined as a median LOS of 6 days or less and protocol adherence rates above 70%. Fourteen semi-structured interviews were held with eighteen key participants of the care process three to six years after implementation, starting with the project leader in every hospital. The interviews started by confronting them with the level of sustained implementation results. A direct content analysis with an inductive coding approach was used to identify promising strategies. The mean duration of the interviews was 37 minutes (min 26 minutes – max 51 minutes). Results: The current study revealed strategies targeting professionals and the organisation. They comprised internal audit and feedback on outcomes, small-scale educational booster meetings, reminders, changing the physical structure of the organisation, changing the care process, making work agreements and delegating responsibility, and involving a coordinator. A multifaceted self-driven promising strategy was applied in most hospitals, and in most hospitals promising strategies were suggested to sustain the ERAS programme. Conclusions: Joining a quality improvement collaborative may not be enough to achieve long-term normalisation of transformed care, and additional investments may be needed. The findings suggest that certain post-implementation strategies are valuable in sustaining implementation successes achieved after joining a quality improvement collaborative.
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We, humans have our roots in pre-Anthropocene eras where we gathered skills for survival and establishing our culture. The cumulated tacit knowledge, the skills, ideas and experiences that can only be shared by personal contact and mutual trust, is evolved and cumulated during this pre-Anthropocene era. This tacit knowledge is geared to our existence and to local circumstances, it isthe indigenous knowledge necessary for local adaptation and for (cultural) perseverance. The Anthropocene era however, is characterized by rapid changes with respect to environment, climate, food sovereignty, culture and more. Our tacit knowledge needs to evolve and adapt at the same pace as changes happen in our environment and culture. Changes in the Anthropocene era are fastand disruptive thereby challenging concomitant evolution of our tacit knowledge
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The Institute of Network Cultures and the Learning Community Critical Making are proud to present the Post-Precarity Zine, a toolbox for beginning artists.Times have changed. The art world and the creative economy are no longer the ones we used to know. The digital economy, the pandemic, and the cuts within the cultural field are some of the many factors that influence our practices and the way artists live nowadays. While some claim that the golden eras are gone, and maybe they are, a community of young artists and thinkers meets to discuss the ways in which the narrative around art and its practices has changed and can be geared towards the future.What does it mean to be an artist today? How to survive as a cultural worker while making what you want to make? How can we use contemporary platforms to turn our anger into transformative power? What are the many strategies of organization and obstacles artists have to face nowadays for their practice to remain? By better understanding the structures of the art world and its economies, how can we counteract them and use them to our benefit and create sustainable and collective actions?It is with such questions in mind that the first Post-Precarity Precarity Autumn Camp was organized by the Institute of Network Cultures, Platform BK and Hotel Maria Kapel from September 27th until October 1st, 2021. This zine collects extracts of texts, testimonials, precious reports, summaries of our daily programs, quotes, drawings and notes from the many participants, references to relevant sources, an open letter to Dutch art academies with four demands for change, an essay on principles for post-precarity, and exercises you can do at home to recalibrate your ‘artistic biotope’. With this mumble jumble, we give you a window to our inspiring week, a toolkit, and a fragmented manifesto. We hope to inspire you with our critical reflections, optimism, and the actions taken during the Post-Precarity Autumn Camp!
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Erasmus project about training cultural workers for facilitating rural youths culture
Drones have been verified as the camera of 2024 due to the enormous exponential growth in terms of the relevant technologies and applications such as smart agriculture, transportation, inspection, logistics, surveillance and interaction. Therefore, the commercial solutions to deploy drones in different working places have become a crucial demand for companies. Warehouses are one of the most promising industrial domains to utilize drones to automate different operations such as inventory scanning, goods transportation to the delivery lines, area monitoring on demand and so on. On the other hands, deploying drones (or even mobile robots) in such challenging environment needs to enable accurate state estimation in terms of position and orientation to allow autonomous navigation. This is because GPS signals are not available in warehouses due to the obstruction by the closed-sky areas and the signal deflection by structures. Vision-based positioning systems are the most promising techniques to achieve reliable position estimation in indoor environments. This is because of using low-cost sensors (cameras), the utilization of dense environmental features and the possibilities to operate in indoor/outdoor areas. Therefore, this proposal aims to address a crucial question for industrial applications with our industrial partners to explore limitations and develop solutions towards robust state estimation of drones in challenging environments such as warehouses and greenhouses. The results of this project will be used as the baseline to develop other navigation technologies towards full autonomous deployment of drones such as mapping, localization, docking and maneuvering to safely deploy drones in GPS-denied areas.
Met huidige opleidings- en trainingsprogramma’s kan niet worden voldaan aan de groeiende vraag naar vakbekwame medewerkers op gebied van kunstmatige intelligentie (AI). Europa heeft daarom een innovatieve Europese AI-strategie nodig, die de bijscholing van werkenden kan versnellen om aan deze steeds toenemende vraag te voldoen. Doel Het project ondersteunt het Europese Pact for Skills door een strategie op het gebied van AI skills te ontwikkelen. Deze strategie moet leiden tot impact op het terugdringen van tekorten, hiaten en mismatches in skills op de arbeidsmarkt, en zorgen voor passende kwaliteit en niveaus van skills. Resultaten Verwachte resultaten en impactHet project omvat: de oprichting van een lange termijn partnerschap voor een innovatieve Europese alliantie voor AI; het ontwerpen en uitrollen van een innovatieve en duurzame strategie voor AI-skills op korte en lange termijn; het ontwikkelen, testen en uitrollen van opleidingscurricula in acht proeflocaties (5 universiteiten/hogescholen en 3 mbo-aanbieders); de aanpassing van programma's en kwalificaties aan de nieuwste marktbehoeften. het koppelen van micro-credentials aan het opleidingsaanbod Voordelen op lange termijnDe AI-skills strategie en de opleidingscurricula zullen, nadat ze zijn ontworpen en grondig getest in de praktijk, beschikbaar worden gesteld om te worden aangepast en opgeschaald in heel Europa. Op deze manier kan worden voldaan aan de huidige en toekomstige skills-behoeften van de AI-sector en kan de groei van AI-talent in Europa worden gestimuleerd. Looptijd 01 juni 2022 - 30 juni 2026 Aanpak Het project wordt als volgt uitgevoerd in negen werkpakketten: 1 – Projectbeheer en coördinatie 2 – Behoeftenanalyse 3 – Strategie voor AI-skills 4 - Ontwikkeling van een innovatief leerplan en trainingsprogramma 5 - Ontwikkeling van een certificeringssysteem 6 – Pilots in verschillende EU-landen 7 – Verspreiding en communicatie 8 – Duurzaamheid op lange termijn 9 – Kwaliteitsborging Inhoudelijk start het project met de behoeftenanalyse, waarin de skills mismatch op Europees niveau wordt geanalyseerd door o.a. de behoefte aan skills op basis van vacatures en beschikbaar relevant AI opleidingsaanbod te onderzoeken. Meer over ARISA Het vierjarige onderzoeksproject ARISA wordt gefinancierd door de Europese Unie via een Erasmus+ programma. Meer informatie vind je op de ARISA website, de ARISA Twitter en de ARISA LinkedIn. Lees ook dit artikel (ENG) over de start van ARISA.