Rankings zijn populair: wat is de beste universiteit, het beste ziekenhuis, het beste restaurant? Maar grafieken die alleen de relatieve verhoudingen laten zien, kunnen misleidend zijn. De Grafiekpolitie ontwart een spaghettigrafiek die het glazen plafond vergelijkt in 29 landen.
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Enige tijd geleden presenteerde de commissie Lemstra haar rapport over het Maasstad ziekenhuis Rotterdam, waar de klebsiella bacterie heerste. Opvallend uit het rapport is de dominante rol die de lijstjes met de 'beste ziekenhuizen' van Elsevier en het Algemeen Dagblad vervullen binnen de strategie van dit ziekenhuis (en waarschijnlijk bij vele andere). In dit artikel wordt aandacht besteed aan de verschillen, de overeenkomsten en de conclusies die aan deze rankings worden verbonden. De performance bubble wordt doorgeprikt: het beste ziekenhuis bestaat niet. Ten eerste wordt duidelijk dat er geen eenduidige definitie van kwaliteit wordt gehanteerd, de onderzoeken richten zich op verschillende kenmerken van kwaliteit. Daarnaast worden gegevens aangeleverd door de (bestuurders van) ziekenhuizen zelf, wat strategisch gedrag opwekt en de betrouwbaarheid van de gegevens in negatieve zin beïnvloedt. Ten derde blijken er fouten te zitten in de toegekende scores. Kortom, de gegevens zijn deels onbetrouwbaar, de meetmethodes zijn aanvechtbaar en de eindoordelen zijn arbitrair. ABSTRACT Some time ago the Commission Lemstra presented its report on the Maasstad Hospital Rotterdam, where the klebsiella bacterium prevailed. What stands out, in the report is the dominant role that the lists (best hospitals) of Elsevier and the Algemeen Dagblad play in the strategy of this hospital (and probably many others). This article focuses on the differences and similarities between, and the conclusions drawn from these rankings. The performance bubble is punctured: the best hospital does not exist. Firstly, it is clear that there is no single definition of quality employed; the research is based on varying characteristics. Additionally, data are supplied by the hospitals or hospital directors themselves, which generates strategic behavior and the reliability of the data is negatively affected. Thirdly, errors appear in the assigned scores. In short, the data are partly unreliable, the measurement methods are questionable and the final judgments are arbitrary.
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Well, because the Dutch score high on Pisa rankings, they top almost every chart on child well-being and have a high performing system with a good balance between equity and excellence. These are just a few aspects that indicate the Dutch society and its education has a lot of things to discover if you look more closely.
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This research investigates the integration of stakeholders' values into the digital frameworks of Collective Management Organizations (CMOs) within the Dutch music copyright system. Utilizing Q methodology, the study captures diverse perspectives from composers, lyricists, publishers, and CMO representatives on values, value tensions, norms, and system requirements. A pilot study with four experts tested data collection methods and refined the study design for a larger, follow-up study involving 30 participants. Preliminary findings, based on factor analysis of participant rankings of 30 statements, reveal two distinct perspectives: one focused on "Fairness and Accountability," emphasizing trust-building and equitable treatment, and the other on "Technological Efficiency and Transparency," prioritizing clear information, verification mechanisms, and advanced IT systems. Qualitative insights from participant interviews provide nuanced understanding, highlighting the importance of transparency in royalty processes, balanced application of technology, and equitable royalty distribution in the digital age. This research contributes to the modernization of copyright management systems offering a conceptual model adaptable to other creative (Intellectual Property) industries
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When AI tools like ChatGPT exploded in 2023, tracking the fast-changing landscape became a challenge. We built RankmyAI to bring structure with data-driven rankings and insights—cutting through hype and showing AI’s full impact. This is just the beginning, and we’re excited to make AI insights more transparent, accessible, and valuable.
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Afgelopen weken las ik Ger Biesta’s boek Het prachtige risico van onderwijs en Alderik Vissers artikel Marktfilosofie en onderwijsutopie. Beide onderwijsfilosofen maken ‘gehakt’ van de huidige onderwijspolitiek. Marktdenken leidde tot schaalvergroting, autonomie, outputfinanciering, prestatiebeurzen en -rankings. Marktdenken, bestuurlijke vrijheid en publieke verantwoording onderwierpen het onderwijs aan de ‘tucht van de markt’, ‘maakbaar’ en ‘meetbaar’...
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Background: Nurse-sensitive indicators and nurses’ satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive screening indicators and nurse-perceived quality of care. Methods: To calculate a composite performance score for each of six Dutch non-university teaching hospitals, the percentage scores of the publicly reported nurse-sensitive indicators: screening of delirium, screening of malnutrition, and pain assessments, were averaged (2011). Nurse-perceived quality ratings were obtained from staff nurses working in the same hospitals by the Dutch Essentials of Magnetism II survey (2010). Concordance between the quality measures was analyzed using Spearman’s rank correlation. Results: The mean screening performances ranged from 63 % to 93 % across the six hospitals. Nurse-perceived quality of care differed significantly between the hospitals, also after adjusting for nursing experience, educational level, and regularity of shifts. The hospitals with high-levels of nurse-perceived quality were also high-performing hospitals according to nurse-sensitive indicators. The relationship was true for high-performing as well as lower-performing hospitals, with strong correlations between the two quality measures (r S = 0.943, p = 0.005). Conclusions: Our findings showed that there is a significant positive association between objectively measured nurse sensitive screening indicators and subjectively measured perception of quality. Moreover, the two indicators of quality of nursing care provide corresponding quality rankings. This implies that improving factors that are associated with nurses’ perception of what they believe to be quality of care may also lead to better screening processes. Although convergent validity seems to be established, we emphasize that different kinds of quality measures could be used to complement each other, because various stakeholders may assign different values to the quality of nursing care.
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In het vorige blog kwam de term ‘greenwashing’ voor en werd ik nieuwsgierig of organisaties inderdaad zo groen zijn als ze beweren in bijvoorbeeld hun jaarverslagen. Greenwashing staat voor “het zich groener of maatschappelijk verantwoorder voordoen dan een bedrijf of organisatie daadwerkelijk is”. Het kernproces van het bedrijf is dan bijvoorbeeld nog niet aangepast. Bedrijven noemen hun product ‘natuurlijk’, terwijl er misschien maar één natuurlijk ingrediënt in voorkomt. Op die manier kunnen ze mooi meelopen met de groene trend, zonder daadwerkelijk te voldoen aan milieueisen. Het is meer een likje groene verf. Zijn er middelen die ons kunnen helpen bij het vormen van een kritische houding?
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This paper studies the factors that drive distribution structure design (DSD), which includes the spatial layout of distribution channels and location choice of logistics facilities. We build on a generic framework from existing literature, which we validate and elaborate using interviews among industry practitioners. Empirical evidence was collected from 18 logistics experts and 33 decision-makers affiliated to shippers and logistics service providers from the fashion, consumer electronics and online retail sectors. It turns out that interviewees share similar rankings of main factors across industries, and even confirm factor weights from earlier research established using multi-criteria decision analysis, which would indicate that the framework is sector- neutral at the highest level. The importance attached to subfactors varies between sectors according to our expectations. We were able to identify 20 possible new influencing subfactors. The results may support managers in their decision-making process, and regional policy-makers with regard to spatial planning and regional marketing. The framework is a basis for researchers to help improve further quantitative DSD support models.
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Background: The present study investigates the suitability of various treatment outcome indicators to evaluate performance of mental health institutions that provide care to patients with severe mental illness. Several categorical approaches are compared to a reference indicator (continuous outcome) using pretest-posttest data of the Health of Nation Outcome Scales (HoNOS). Methods: Data from 10 institutions and 3189 patients were used, comprising outcomes of the first year of treatment by teams providing long-term care. Results: Findings revealed differences between continuous indicators (standardized pre-post difference score ES and ΔT) and categorical indicators (SEM, JTRCI, JTCS, JTRCI&CS, JTrevised) on their ranking of institutions, as well as substantial differences among categorical indicators; the outcome according to the traditional JT approach was most concordant with the continuous outcome indicators. Conclusions: For research comparing group averages, a continuous outcome indicator such as ES or ΔT is preferred, as this best preserves information from the original variable. Categorical outcomes can be used to illustrate what is accomplished in clinical terms. For categorical outcome, the classical Jacobson-Truax approach is preferred over the more complex method of Parabiaghi et al. with eight outcome categories. The latter may be valuable in clinical practice as it allows for a more detailed characterization of individual patients.
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