This chapter presents the importance of the 5S methodology in the processes to maintain and seek continuous improvement in the conditions of organization, order, and cleanliness, as well as the optimization of working conditions, safety, work environment, personal motivation, and efficiency. Therefore, we present the characteristics of the 5S, some research on the 5S that has emerged during the last two decades, the benefits observed after the application, the process of implementation of the 5S, and a case study of the application.
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Introduction: The implementation of oncology care pathways that standardize organizational procedures has improved cancer care in recent years. However, the involvement of “authentic” patients and caregivers in quality improvement of these predetermined pathways is in its infancy, especially the scholarly reflection on this process. We, therefore, aim to explore the multidisciplinary challenges both in practice, when cancer patients, their caregivers, and a multidisciplinary team of professionals work together on quality improvement, as well as in our research team, in which a social scientist, health care professionals, health care researchers, and experience experts design a research project together. Methods and design: Experience-based co-design will be used to involve cancer patients and their caregivers in a qualitative research design. In-depth open discovery interviews with 12 colorectal cancer patients, 12 breast cancer patients, and seven patients with cancer-associated thrombosis and their caregivers, and focus group discussions with professionals from various disciplines will be conducted. During the subsequent prioritization events and various co-design quality improvement meetings, observational field notes will be made on the multidisciplinary challenges these participants face in the process of co-design, and evaluation interviews will be done afterwards. Similar data will be collected during the monthly meetings of our multidisciplinary research team. The data will be analyzed according to the constant comparative method. Discussion: This study may facilitate quality improvement programs in oncologic care pathways, by increasing our real-world knowledge about the challenges of involving “experience experts” together with a team of multidisciplinary professionals in the implementation process of quality improvement. Such co-creation might be challenging due to the traditional paternalistic relationship, actual disease-/treatment-related constraints, and a lack of shared language and culture between patients, caregivers, and professionals and between professionals from various disciplines. These challenges have to be met in order to establish equality, respect, team spirit, and eventual meaningful participation.
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Collaborative governance (CG) is becoming the common currency of decision-making, able to surmount existing institutional constraints to effectively address challenges related to sustainability and social and environmental corporate behavior. CG approaches may however result in institutional complexity. As an illustration of CG in the domain of corporate social responsibility (CSR), the ISO 26000 standard is a legitimate point of reference for organizations worldwide. The standard represents a pluralistic institutional logic that resonates several tensions arising from the domain it tries to standardize, the nature of its development process, its interpretation of CSR and the type of standard it represents. This article aims to identify and examine strategic responses to ISO 26000 by various standards-related organizations (including national standardization institutes, certification organizations, and service providers) and to contribute to the understanding of strategic responses of organizations to pluralistic institutional logics that result from CG.
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In the Dutch armed forces clothing sizes are determined using 3D body scans. To evaluate if the predicted size based on the scan analysis matches the best fit, 35 male soldiers fitted a combat jacket and combat pants. It was shown that the predicted jacket size was slightly too large. Therefore, an adjustment was proposed. The predicted and preferred pant size matched rather well. We further investigated discrepancies between predicted and preferred sizes using virtual fitting analysis. Colour maps showing the difference between garment and body circumference illustrated that some soldiers selected a garment size that was obviously too small or too large. In order to minimize the effect of personal preference and maximize standardize ease, we recommend to maintain the current size prediction (with minor corrections for jackets) and use virtual fitting selectively as a control measure.
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De PDCA- of Demingcyclus is het hart van de kwaliteitskunde en heeft haar nut bewezen. Het is echter geen panacee, datin alle culturen en op alle tijden even bruikbaar is. Met nanme in andere dan westerse culturen in tijden van snelle veranderingen voldoet Plan-Do-Check-Act niet.
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In recent years, the number of human-induced earthquakes in Groningen, a large gas field in the north of the Netherlands, has increased. The majority of the buildings are built by using unreinforced masonry (URM), most of which consists of cavity (i.e. two-leaf) walls, and were not designed to withstand earthquakes. Efforts to define, test and standardize the metal ties, which do play an important role, are valuable also from the wider construction industry point of view. The presented study exhibits findings on the behavior of the metal tie connections between the masonry leaves often used in Dutch construction practice, but also elsewhere around the world. An experimental campaign has been carried out at Delft University of Technology to provide a complete characterization of the axial behavior of traditional connections in cavity walls. A large number of variations was considered in this research: two embedment lengths, four pre-compression levels, two different tie geometries, and five different testing protocols, including monotonic and cyclic loading. The experimental results showed that the capacity of the connection was strongly influenced by the embedment length and the geometry of the tie, whereas the applied pre-compression and the loading rate did not have a significant influence.
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Interdisciplinary multimodal pain therapy (IMPT) is a biopsychosocial treatment approach for patients with chronic pain that comprises at least psychological and physiotherapeutic interventions. Core outcome sets (COSs) are currently developed in different medical fields to standardize and improve the selection of outcome domains, and measurement instruments in clinical trials, to make trial results meaningful, to pool trial results, and to allow indirect comparison between interventions. The objective of this study was to develop a COS of patient-relevant outcome domains for chronic pain in IMPT clinical trials. An international, multiprofessional panel (patient representatives [n = 5], physicians specialized in pain medicine [n = 5], physiotherapists [n = 5], clinical psychologists [n = 5], and methodological researchers [n = 5]) was recruited for a 3-stage consensus study, which consisted of a mixed-method approach comprising an exploratory systematic review, a preparing online survey to identify important outcome domains, a face-to-face consensus meeting to agree on COS domains, and a second online survey (Delphi) establishing agreement on definitions for the domains included. The panel agreed on the following 8 domains to be included into the COS for IMPT: pain intensity, pain frequency, physical activity, emotional wellbeing, satisfaction with social roles and activities, productivity (paid and unpaid, at home and at work, inclusive presentism and absenteeism), health-related quality of life, and patient's perception of treatment goal achievement. The complexity of chronic pain in a biopsychosocial context is reflected in the current recommendation and includes physical, mental, and social outcomes. In a subsequent step, measurement instruments will be identified via systematic reviews.
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Consistency issues limit the sharing of horticultural data across multiple systems, resulting in challenges for users to analyze data effectively across various systems utilizing artificial intelligence technology. Introducing data governance principles can help standardize and unify data practices, making it easier for analysts to locate, comprehend, transfer and integrate data from diverse sources to enable data-driven horticulture. Implementing data governance and principles specific to horticulture can assist in standardizing the layout and format of data structures from different sources. This study aims to propose a new governance framework, Horti-IoT, based on the Data Management Body of Knowledge and several structured frameworks for the Internet of Things (IoT) governance that will lead to data-driven horticulture. This study is empirical in nature. The Dutch horticulture stakeholders are involved in this initiative, providing the data, knowledge, and experiences needed for this study. The data stream from various sources, including camera images, sap flow sensors, climate sensors and manually measured growth data. The key findings following the implementation of the Horti-IoT framework’s principles are reduced workload for data analysts, efficiency in plant monitoring, savings time in pre-processing, enhanced water resource management, reduced system administrator contacts and compliance with General Data Privacy Regulation. The new proposed Horti-IoT framework, compatible with Dutch horticulture, is presented. The data were obtained from the Lab greenhouse at the World Horti Centre in the Netherlands, in the framework of the Regionale SIA RAAK MKB call March 2022-September 2024 subsidy funds for project title ‘Gewasgroei Goed Gemeten (GeGoGe). This project is a collaboration between three educational institutions. Inholland University of Applied Science, the Hague University of Applied Science, Lentiz Vocational School, and stakeholders.
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Dealing with and maintaining high-quality standards in the design and construction phases is challenging, especially for on-site construction. Issues like improper implementation of building components and poor communication can widen the gap between design specifications and actual conditions. To prevent this, particularly for energy-efficient buildings, it is vital to develop resilient, sustainable strategies. These should optimize resource use, minimize environmental impact, and enhance livability, contributing to carbon neutrality by 2050 and climate change mitigation. Traditional post-occupancy evaluations, which identify defects after construction, are impractical for addressing energy performance gaps. A new, real-time inspection approach is necessary throughout the construction process. This paper suggests an innovative guideline for prefabricated buildings, emphasizing digital ‘self-instruction’ and ‘self-inspection’. These procedures ensure activities impacting quality adhere to specific instructions, drawings, and 3D models, incorporating the relevant acceptance criteria to verify completion. This methodology, promoting alignment with planned energy-efficient features, is supported by BIM-based software and Augmented Reality (AR) tools, embodying Industry 4.0 principles. BIM (Building Information Modeling) and AR bridge the gap between virtual design and actual construction, improving stakeholder communication and enabling real-time monitoring and adjustments. This integration fosters accuracy and efficiency, which are key for energy-efficient and nearly zero-energy buildings, marking a shift towards a more precise, collaborative, and environmentally sensible construction industry.
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What you don’t know can’t hurt you: this seems to be the current approach for responding to disinformation by public regulators across the world. Nobody is able to say with any degree of certainty what is actually going on. This is in no small part because, at present, public regulators don’t have the slightest idea how disinformation actually works in practice. We believe that there are very good reasons for the current state of affairs, which stem from a lack of verifiable data available to public institutions. If an election board or a media regulator wants to know what types of digital content are being shared in their jurisdiction, they have no effective mechanisms for finding this data or ensuring its veracity. While there are many other reasons why governments would want access to this kind of data, the phenomenon of disinformation provides a particularly salient example of the consequences of a lack of access to this data for ensuring free and fair elections and informed democratic participation. This chapter will provide an overview of the main aspects of the problems associated with basing public regulatory decisions on unverified data, before sketching out some ideas of what a solution might look like. In order to do this, the chapter develops the concept of auditing intermediaries. After discussing which problems the concept of auditing intermediaries is designed to solve, it then discusses some of the main challenges associated with access to data, potential misuse of intermediaries, and the general lack of standards for the provision of data by large online platforms. In conclusion, the chapter suggests that there is an urgent need for an auditing mechanism to ensure the accuracy of transparency data provided by large online platform providers about the content on their services. Transparency data that have been audited would be considered verified data in this context. Without such a transparency verification mechanism, existing public debate is based merely on a whim, and digital dominance is likely to only become more pronounced.
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