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

Author

Listed:
  • Nick McDonald

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland)

  • Lucy McKenna

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

  • Rebecca Vining

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland)

  • Brian Doyle

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland
    Health and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland)

  • Junli Liang

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

  • Marie E. Ward

    (Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland
    Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • Pernilla Ulfvengren

    (KTH Royal Institute of Technology, Industrial Economics and Management, 100 44 Stockholm, Sweden)

  • Una Geary

    (Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • John Guilfoyle

    (Health and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland)

  • Arwa Shuhaiber

    (Beacon Renal, Sandyford Business Park, D18 TH56 Dublin, Ireland)

  • Julio Hernandez

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

  • Mary Fogarty

    (Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • Una Healy

    (Quality and Safety Improvement Directorate, St. James’s Hospital Dublin, D08 NHY1 Dublin, Ireland)

  • Christopher Tallon

    (Health and Safety Unit, Dublin Fire Brigade, D02 RY99 Dublin, Ireland)

  • Rob Brennan

    (ADAPT Centre, School of Computing, Dublin City University, D09 PX21 Dublin, Ireland)

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.

Suggested Citation

  • Nick McDonald & Lucy McKenna & Rebecca Vining & Brian Doyle & Junli Liang & Marie E. Ward & Pernilla Ulfvengren & Una Geary & John Guilfoyle & Arwa Shuhaiber & Julio Hernandez & Mary Fogarty & Una Hea, 2021. "Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems," IJERPH, MDPI, vol. 18(23), pages 1-33, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12572-:d:690781
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    References listed on IDEAS

    as
    1. Ann Svensson, 2019. "Challenges in Using IT Systems for Collaboration in Healthcare Services," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    2. Zoe Radnor & Stephen P. Osborne, 2013. "Lean: A failed theory for public services?," Public Management Review, Taylor & Francis Journals, vol. 15(2), pages 265-287, February.
    3. Siobhán Corrigan & Alison Kay & Katie O’Byrne & Dubhfeasa Slattery & Sharon Sheehan & Nick McDonald & David Smyth & Ken Mealy & Sam Cromie, 2018. "A Socio-Technical Exploration for Reducing & Mitigating the Risk of Retained Foreign Objects," IJERPH, MDPI, vol. 15(4), pages 1-17, April.
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    Cited by:

    1. Jun-Zhi Chiu & Chao-Chen Hsieh, 2022. "Constructing Factors Related to Sociotechnical Analysis in Elderly House," Sustainability, MDPI, vol. 14(19), pages 1-9, October.
    2. Marie E. Ward & Ailish Daly & Martin McNamara & Suzanne Garvey & Sean Paul Teeling, 2022. "A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting," IJERPH, MDPI, vol. 19(3), pages 1-22, January.
    3. Martin McNamara & Marie Ward & Seán Paul Teeling, 2023. "Making a Sustainable Difference to People, Processes and Systems: Whole-Systems Approaches to Process Improvement in Health Systems," IJERPH, MDPI, vol. 20(7), pages 1-5, March.

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