In the city of Amsterdam commercial transport is responsible for 15% of vehicles, 34% of traffic’s CO2 emissions and 62% of NOx emissions. The City of Amsterdam plans to improve traffic flows using real time traffic data and data about loading and unloading zones. In this paper, we present, reflect, and discuss the results of two projects from the Amsterdam University of Applied Sciences with research partners from 2016 till 2018. The ITSLOG and Sailor projects aim to analyze and test the benefits and challenges of connecting ITS and traffic management to urban freight transport, by using real-time data about loading and unloading zone availability for rerouting trucks. New technologies were developed and tested in collaboration with local authorities, transport companies and a food retailer. This paper presents and discusses the opportunities and challenges faced in developing and implementing this new technology, as well as the role played by different stakeholders. In both projects, the human factor was critical for the implementation of new technologies in practice.
MULTIFILE
Abstract Specialist oncology nurses (SONs) have the potential to play a major role in monitoring and reporting adverse drug reactions (ADRs); and reduce the level of underreporting by current healthcare professionals. The aim of this study was to investigate the long term clinical and educational efects of real-life pharmacovigilance education intervention for SONs on ADR reporting. This prospective cohort study, with a 2-year follow-up, was carried out in the three postgraduate schools in the Netherlands. In one of the schools, the prescribing qualifcation course was expanded to include a lecture on pharmacovigilance, an ADR reporting assignment, and group discussion of self-reported ADRs (intervention). The clinical value of the intervention was assessed by analyzing the quantity and quality of ADR-reports sent to the Netherlands Pharmacovigilance Center Lareb, up to 2 years after the course and by evaluating the competences regarding pharmacovigilance of SONs annually. Eighty-eight SONs (78% of all SONs with a prescribing qualifcation in the Netherlands) were included. During the study, 82 ADRs were reported by the intervention group and 0 by the control group. This made the intervention group 105 times more likely to report an ADR after the course than an average nurse in the Netherlands. This is the frst study to show a signifcant and relevant increase in the number of well-documented ADR reports after a single educational intervention. The real-life pharmacovigilance educational intervention also resulted in a long-term increase in pharmacovigilance competence. We recommend implementing real-life, context- and problem-based pharmacovigilance learning assignments in all healthcare curricula.
MULTIFILE
Traditionally, most cleaning activities take place in the evening or during nighttime.In the Netherlands, day-time cleaning is becoming increasingly popular. It is however unknown how day-time cleaning affects perceptions and satisfaction of end-users. An experimental field study was conducted on trains of Netherlands Railways (NS) to determine how the presence of cleaning staff affects perceptions and satisfaction of train passengers.
