The labor productivity of construction projects is low. This urges construction companies to increase their labor efficiency, particularly when demands grow and labor is scarce. This blog introduces an overview that helps practitioners identify causes of low productivity to find and eliminate the root causes.
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Background: In 2009, the Steering Committee for Pregnancy and Childbirth in the Netherlands recommended the implementation of continuous care during labor in order to improve perinatal outcomes. However, in current care, routine maternity caregivers are unable to provide this type of care, resulting in an implementation rate of less than 30%. Maternity care assistants (MCAs), who already play a nursing role in low risk births in the second stage of labor and in homecare during the postnatal period, might be able to fill this gap. In this study, we aim to explore the (cost) effectiveness of adding MCAs to routine first- and second-line maternity care, with the idea that these MCAs would offer continuous care to women during labor. Methods: A randomized controlled trial (RCT) will be performed comparing continuous care (CC) with care-as-usual (CAU). All women intending to have a vaginal birth, who have an understanding of the Dutch language and are > 18 years of age, will be eligible for inclusion. The intervention consists of the provision of continuous care by a trained MCA from the moment the supervising maternity caregiver establishes that labor has started. The primary outcome will be use of epidural analgesia (EA). Our secondary outcomes will be referrals from primary care to secondary care, caesarean delivery, instrumental delivery, adverse outcomes associated with epidural (fever, augmentation of labor, prolonged labor, postpartum hemorrhage, duration of postpartum stay in hospital for mother and/or newborn), women’s satisfaction with the birth experience, cost-effectiveness, and a budget impact analysis. Cost effectiveness will be calculated by QALY per prevented EA based on the utility index from the EQ-5D and the usage of healthcare services. A standardized sensitivity analysis will be carried out to quantify the outcome in addition to a budget impact analysis. In order to show a reduction from 25 to 17% in the primary outcome (alpha 0.05 and bèta 0.20), taking into account an extra 10% sample size for multi-level analysis and an attrition rate of 10%, 2 × 496 women will be needed (n = 992). Discussion: We expect that adding MCAs to the routine maternity care team will result in a decrease in the use of epidural analgesia and subsequent costs without a reduction in patient satisfaction. It will therefore be a costeffective intervention. Trial registration: Trial Registration: Netherlands Trial Register, NL8065. Registered 3 October 2019 - Retrospectively registered.
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In order for techniques from Model Driven Engineering to be accepted at large by the game industry, it is critical that the effectiveness and efficiency of these techniques are proven for game development. There is no lack of game design models, but there is no model that has surfaced as an industry standard. Game designers are often reluctant to work with models: they argue these models do not help them design games and actually restrict their creativity. At the same time, the flexibility that model driven engineering allows seems a good fit for the fluidity of the game design process, while clearly defined, generic models can be used to develop automated design tools that increase the development’s efficiency.
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This book presents the results of the international research project CODALoop: Community Data Loop for Energy Conscious Lifestyles. It dissects the energy practices that make urban households demanding energy in their daily life and reveals the pathway towards reducing this energy demand.To unpack energy practices, the authors of this volume move away from efficiency problems studying the interaction between human and new technologies. Instead, they use a repertoire of different analytical instruments to study how interaction between humans, and between humans and data, change the social norms that shape energy needs.The volume offers a synthesis of a cross-disciplinary study of energy reduction carried out in three different countries through multiple methodological approaches. The project at the source of the book was funded under the Joint Program Initiative 'Urban Europe' and the ERA-net framework.
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In deze bijdrage presenteren we een aantal voorbeelden die laten zien dat verdieping van de unitstructuur een levensvatbaar alternatief is voor de vervanging van de unitstructuur door de multidimensionale organisatie (MDO), zoals voorgesteld door Strikwerda en Galbraith. In de MDO wordt gestreefd naar ‘resource efficiency’ en schaalvoordelen, terwijl het verdiepen van de unitstructuur gericht is op het bereiken van ‘flow efficiency’ en flow voordelen.
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The project focuses on highlighting the importance of the work-life balance within the hospitality industry, in 5-star hotels. Moreover, it is tailored to deliver a concrete and efficient implementation plan of a 5-day work week system instead of the current 6-day work week model system within a 5 star hotel in Abu Dhabi, United Arab Emirates. Several aspects were taken in consideration when developing the project such as, financial implications, stakeholder management, resistance management and organizational change.
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Cooperation is more likely upheld when individuals can choose their interaction partner. However, when individuals differ in their endowment or ability to cooperate, free partner choice can lead to segregation and increase inequality. To understand how decision-makers can decrease such inequality, we conducted an incentivized and preregistered experiment in which participants (n=500) differed in their endowment and cooperation productivity. First, we investigated how these individual differences impacted cooperation and inequality under free partner choice in a public goods game. Next, we calculated if and how decision-makers should restrict partner choice if their goal is to decrease inequality. Finally, we studied whether decision-makers actually did decrease inequality when asked to allocate endowment and productivity factors between individuals, and combine individuals into pairs of interaction partners for a two-player public goods game. Our results show that without interventions, free partner choice, indeed, leads to segregation and increases inequality. To mitigate such inequality, decision-makers should curb free partner choice and force individuals who were assigned different endowments and productivities to form pairs with each other. However, this comes at the cost of lower overall cooperation and earnings, showing that the restriction of partner choice results in an equality-efficiency trade-off. Participants who acted as third-parties were actually more likely to prioritize inequality reduction over efficiency maximization, by forcing individuals with unequal endowment and productivity levels to form pairs with each other. However, decision-makers who had a ‘stake in the game’ self-servingly navigated the equality-efficiency trade-off by preferring partner choice interventions that benefited themselves. These preferences were partly explained by norms on public good cooperation and redistribution, and participants’ social preferences. Results reveal potential conflicts on how to govern free partner choice stemming from diverging preferences ‘among unequals’.
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This paper presents work aimed at improved organization and performance of production in housing renovation projects. The purpose is to explore and demonstrate the potential of lean work organization and industrialized product technology to improve workflow and productive time. The research included selected case studies that have been found to implement lean work organization and industrialized product technology in an experimental setting. Adjustments to the work organization and construction technology have been implemented on site. The effects of the adjustments have been measured and were reviewed with operatives and managers. The data have been collected and analyzed, in comparison to traditional settings. Two projects were studied. The first case implied am application of lean work organization in which labor was reorganized redistributing and balancing operations among operatives of different trades. In the second case industrialized solution for prefabricated installation of prefabricated roofs. In both cases the labor productivity increased substantially compared to traditional situations. Although the limited number of cases, both situations appeared to be representative for other housing projects. This has led to conclusions extrapolated from both cases applicable to other projects, and contribution to the knowledge to improve production in construction. Vrijhoef, R. (2016). “Effects of Lean Work Organization and Industrialization on Workflow and Productive Time in Housing Renovation Projects.” In: Proc. 24 th Ann. Conf. of the Int’l. Group for Lean Construction, Boston, MA, USA, sect.2 pp. 63–72. Available at: .
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When Google sold 3D geo-modeling software Sketch-up, a dedicated community of Google Earth developers were left behind. Is this a case of digital labor and exploitation or just an agreement based on mutual consent that ended, like relationships so often do?
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In a rapidly developing labor market, in which some parts of jobs disappear and new parts appear due to technological developments, companies are struggling with defining future-proof job qualifications and describing job profiles that fit the organization’s needs. This is even more applicable to smaller companies with new types of work because they often grow rapidly and cannot hire graduates from existing study programs. In this research project, we undertook in-depth, qualitative research into the five roles of a new profession: social media architect. It has become clear which 21st century skills and motivations are important per role and, above all, how they differ in subcategory and are interpreted by a full-service team in their working methods, in a labor market context, and in the talents of the professional themselves. In a workshop, these “skills” were supplemented through a design-based approach and visualized per team role in flexibly applicable recruitment cards. This research project serves as an example of how to co-create innovative job profiles for the changing labor market. Ellen Sjoer, Petra Biemans. “A design-based (pre)recruitment approach for new professions: defining futureproof job profiles.” Információs Társadalom XX, no. 2 (2020): 84–100. https://dx.doi.org/10.22503/inftars.XX.2020.2.6
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