Evidence map›Paper›PMID 34886304›Full record

ArticleInternational journal of environmental research and public health2021

Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems.

Nick McDonald, Lucy McKenna, Rebecca Vining, Brian Doyle, Junli Liang, Marie E Ward, Pernilla Ulfvengren, Una Geary, John Guilfoyle, Arwa Shuhaiber and 5 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Nick McDonaldCentre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland.
Lucy McKennaADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland.ORCID 0000-0002-6035-7656
Rebecca ViningCentre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland.ORCID 0000-0002-2715-8129
Brian DoyleCentre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland.ORCID 0000-0002-9106-9526
Junli LiangADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland.
Marie E WardCentre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland.ORCID 0000-0002-6638-8461
Pernilla UlfvengrenKTH Royal Institute of Technology, Industrial Economics and Management, 100 44 Stockholm, Sweden.ORCID 0000-0002-9709-540X
Una GearyQuality and Safety Improvement Directorate, St. James's Hospital Dublin, D08 NHY1 Dublin, Ireland.
John GuilfoyleHealth and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland.
Arwa ShuhaiberBeacon Renal, Sandyford Business Park, D18 TH56 Dublin, Ireland.
Julio HernandezADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland.ORCID 0000-0003-1347-9631
Mary FogartyQuality and Safety Improvement Directorate, St. James's Hospital Dublin, D08 NHY1 Dublin, Ireland.
Una HealyQuality and Safety Improvement Directorate, St. James's Hospital Dublin, D08 NHY1 Dublin, Ireland.
Christopher TallonHealth and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland.
Rob BrennanADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland.ORCID 0000-0001-8236-362X

Funding

EU Erasmus+ 2018-1-IE01-KA202-038820Science Foundation Ireland \#13/RC/2106\_P2
6 · The paper itself

Abstract

Three key challenges to a whole-system approach to process improvement in health systems are the complexity of socio-technical activity, the capacity to change purposefully, and the consequent capacity to proactively manage and govern the system. The literature on healthcare improvement demonstrates the persistence of these problems. In this project, the Access-Risk-Knowledge (ARK) Platform, which supports the implementation of improvement projects, was deployed across three healthcare organisations to address risk management for the prevention and control of healthcare-associated infections (HCAIs). In each organisation, quality and safety experts initiated an ARK project and participated in a follow-up survey and focus group. The platform was then evaluated against a set of fifteen needs related to complex system transformation. While the results highlighted concerns about the platform's usability, feedback was generally positive regarding its effectiveness and potential value in supporting HCAI risk management. The ARK Platform addresses the majority of identified needs for system transformation; other needs were validated in the trial or are undergoing development. This trial provided a starting point for a knowledge-based solution to enhance organisational governance and develop shared knowledge through a Community of Practice that will contribute to sustaining and generalising that change.

Indexed as

Delivery of Health CareKnowledgeGovernment ProgramsHealth FacilitiesOrganizationsAccess Risk Knowledge (ARK)COVID-19infection prevention controlknowledge engineering platformmindful governancerisk in changesocio-technical systemssystem changesystems engineering

Identifiers

PMID34886304
PMCPMC8657006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.