International Journal on Smart Sensing and Intelligent Systems, 2010
This is a follow-up study to a previous experiment that evaluated the feasibility of a simple mon... more This is a follow-up study to a previous experiment that evaluated the feasibility of a simple monitoring device, Con-Dis, in assessing perceived well-being (PWB) among elderly people. Additionally, in the present study Con-Dis was used at the same time as blood pressure and heart rate monitors and pedometers to see the possible correlation between PWB, blood pressure, heart rate, and time spent on outdoor activity. The Con-Dis device proved technically functional, feasible, and informative throughout the four-week follow-up test period among elderly test subjects. In addition, PWB (measured by Con-Dis) appeared to correlate with mood, QoL, and time spent on outdoor activity.
We analyzed the effectiveness of sheltered housing and the quality of life of service users with ... more We analyzed the effectiveness of sheltered housing and the quality of life of service users with the ASCOT-INT4 service user measure. We evaluated the suitability of the measure and the associations between service user characteristics, service quality and the unweighted SCRQoL and effectiveness. Our findings from interview surveys (N = 101) indicated that the service was more effective for clients with higher care needs and better SCRQoL was predicted by the satisfaction with the treatment received. The results show that good basic services were provided to but there were some shortcomings in the implementation of meaningful social relations and activities.
Aging people are forced to steadily extend their working-lives since the old-age dependency ratio... more Aging people are forced to steadily extend their working-lives since the old-age dependency ratio will rise considerably in the near future. Meanwhile, social and healthcare resources will become increasingly scarce, although the need for healthcare and rehabilitation services is bound to increase. The aim of this study was to examine rehabilitation professionals’ experiences related to eHealth and technology in the rehabilitation process in the North Savo region. The research was carried out as a part of the European Social Fund (ESF) funded project ”Expertise and Business Network for Rehabilitation Services in Northern Savo”. 30 rehabilitation workers were interviewed (67% women) in 2020. The participants were aged 24-60 years and their job titles were e.g. doctors, physiotherapists, practical nurses and community sector representatives. The interviews were carried out using a semi-structured format. The interviews were recorded, transcribed, and analysed using the inductive cont...
Tässä hankkeessa korostui se, että sairaalan johdon tulee viedä eteenpäin yhtä aikaa strategisest... more Tässä hankkeessa korostui se, että sairaalan johdon tulee viedä eteenpäin yhtä aikaa strategisesti tärkeitä sairaalan tutkimusja hoitoprosesseja ja sairaaloiden tilojen uudistamista toimintojen tarpeiden lähtökohdista. Osallistuva suunnittelu, jossa sairaalan henkilöstö on tiiviisti mukana työprosessien ja tilojen kehittämisessä, on tutkitusti eduksi hankkeiden läpiviennissä ja hyvän lopputuloksen varmistamiseksi. Sujuvilla työprosesseilla sekä terveellisillä ja turvallisilla työtiloilla kyetään edistämään terveydenhuoltohenkilöstön työhyvinvointia ja työn tuottavuutta. TUTKIMUSHANKEEEN LOPPURAPORTTI T e L e a n -h a n k k e e n lo p p u ra p o rtti
ABSTRACT Healthcare (HC) environments demand high-quality design in order to provide efficient ca... more ABSTRACT Healthcare (HC) environments demand high-quality design in order to provide efficient care processes for those in need. In this study, we aimed to determine changes in the target hospital’s (H1) operative processes undergoing relocation. The goal was also to illustrate the shift in treatment paradigm from bedside care to extended day surgery, and the burden in terms of bedside places and anesthesia and surgery processes. Value stream mapping has been utilized to assess both the hospital work environment and work process design. The significant improvements in H1 process design include improved treatment planning, minimization of patient stay at the hospital, centralization of patient care and focus on Lean thinking. The value stream maps created in 2016 appeared more complicated compared to those composed in 2013. Several reasons may explain the complexity of the value stream maps: Surgical care has gained new alternative treatment options, patient pre-evaluation is carried out comprehensively before the surgery and phone contacts, local municipality research resources are utilized, anesthesia evaluation is carried out systematically and patients’ diseases are optimized to fit the surgery schedule. We argue that in a HC context, more complex value stream maps may not always be inferior compared to simpler ones.
Purpose This study assessed employees’ perceptions of their hospital work environment, its qualit... more Purpose This study assessed employees’ perceptions of their hospital work environment, its quality and functionality, as well as their satisfaction and well-being both before and after relocation within the hospital campus. Design/methodology/approach The study was carried out in a Finnish University Hospital. Employees from the anesthesia, orthopedics and physiatrics department took part in the study. The data were collected from the employees with online questionnaires before and after the relocation. The statistical differences between the questionnaire variables were analyzed using the Chi-square test. Findings Remarkable improvements in the quality of the new workplace included ability to adjust temperature, ventilation and furniture, ability to see out of windows, accessibility, number of meeting rooms, places to discuss confidential matters, quality of interior design, improved work satisfaction and desire to implement Lean. Significant deteriorations after relocation include...
ABSTRACT Healthcare (HC) providers are expected to enhance their work efficiency, while resources... more ABSTRACT Healthcare (HC) providers are expected to enhance their work efficiency, while resources for HC remain scarce. In order to accomplish this, efficient work environments must be developed. Although not yet a common practice in today’s hospitals, participatory design is a useful tool for improving HC facility design (FD). Thematic interviews were used as a study method. Employees from two Finnish central hospitals (n = 14) were interviewed. The interviews were carried out among, for example, hospital and project managers, facility designers and hospital user group representatives. The interviews revealed that participatory design can improve several aspects of FD, such as staff satisfaction, trust and teamwork. Clarifying reasons behind the decision-making process and instilling cohesion among the FD participants seemed beneficial. The hospital units that had systematically listened to the users and involved them in the decision-making process had also gained the users’ commitment and encountered little resistance. The challenges associated with participatory design included, for example, guiding the employees to project-based FD, utilizing users’ know-how, getting everyone involved, and eliminating silo mentality. Several similarities were found in the participatory FD processes in the two target hospitals. The users of hospital facilities provide an important resource for designing new hospitals. The two study target hospitals had significantly benefited from using participatory design in their FD projects.
International Journal of Healthcare Technology and Management
The economic downturn in developed countries has had implications in the field of healthcare. In ... more The economic downturn in developed countries has had implications in the field of healthcare. In Finland, public hospitals have been forced to improve their production efficiency while coping with limited resources. In this study, 14 interviewees from two Finnish University hospitals were interviewed. The aim of the study was to shed light on today's work process, change, information, medical technology, and lean management challenges. Both hospitals had recently undergone rigorous renovation and relocation projects. The employees and patients were happy with the hospital management. However, there were several improvements needed regarding hospital hierarchy, bureaucracy, communication, ICT technology, logistics, safety, teamwork, personnel structure and outsourcing. The managements at both hospitals desired to improve their work processes, employee well-being and patient care, and also develop the lean work processes. Several functions were praiseworthy, and those in need of improvement were transparently discussed by the hospital management.
Introduction.Old hospitals may promote inefficient patient care processes and safety. A new, func... more Introduction.Old hospitals may promote inefficient patient care processes and safety. A new, functionally planned hospital presents a chance to create an environment that supports streamlined, patient-centered healthcare processes and adapts to users’ needs. This study depicts the phases of a facility planning project for pregnant women and newborn care processes (beginning of life process) at Turku University Hospital.Materials and Methods.Project design reports and meeting documents were utilized to assess the beginning of life process as well as the work processes of the Women’s and Children’s Hospital.Results.The main elements of the facility design (FD) project included rigorous preparation for the FD phase, functional planning throughout the FD process, and setting key values: (1) family-centered care, (2) Lean thinking and Lean tools as the framework for the FD process, (3) safety, and (4) cooperation.Conclusions.A well-prepared FD project with sufficient insight into functio...
Hospitals will be expected to work more efficiently in the upcoming years due to several factors,... more Hospitals will be expected to work more efficiently in the upcoming years due to several factors, one of which is aging population groups. Meanwhile, healthcare resources are dwindling, as is the amount of available personnel. This paper examines interviews and questionnaires that were conducted to assess the experiences and effects of Lean implementation in two university hospitals. Several factors, such as emphasis on the participatory, user-centric design approach and integrating Lean as an integral part of the operational facility design process in both target hospitals have proven to be beneficial. This study delivers promising evidence from the two university hospitals, which supports the implementation of Lean in the healthcare sector for improving facility design and work processes.
Purpose Hospitals in the developed countries have been subjected to increasing economic pressure.... more Purpose Hospitals in the developed countries have been subjected to increasing economic pressure. Thus, several hospitals have been forced to improve their production efficiency while coping with limited resources. This paper aims to illustrate challenges and insight associated with health care (HC) facility design (FD) in two publicly funded hospitals. Design/methodology/approach In this study, 14 interviewees from two Finnish university hospitals were interviewed. Both hospitals had implemented Lean methods and recently undergone rigorous renovation projects and were seen as ideal study targets. Findings Both hospitals had managed to carry out successful indoor environment design. However, logistics, navigation, health information technology, scheduling, budgeting and outsourcing challenges had arisen. An outpatient care approach and customer-driven operational needs are beneficial and guide FD in the target hospitals. Lean thinking offers the necessary fundamental framework for i...
ABSTRACT Facility design related to rapidly changing healthcare (HC) processes is in dire need of... more ABSTRACT Facility design related to rapidly changing healthcare (HC) processes is in dire need of new innovations. Due to an ongoing nationwide HC reform in Finland, five University Hospitals among other central hospitals are forced to find ways to carry out competitive HC design practices in order to maintain efficient work environments and processes. This article illustrates a brief overview of Kuopio University Hospital's (KUH's) design development concept. The researchers reviewed and evaluated all the major facility design projects being carried out at KUH during the past five years. KUH aspires to continuously learn in order to stay effective and improve as a major player in Finnish HC. Creative thinking and openness to new, state-of-the-art solutions have enabled gradual development in the facility design process. Emphasis on participatory design approach, change management and evidence-based design has proven to be beneficial as well. Furthermore, integrating operational design as a main part of the facility design process should pay dividends in the near future. This article brings forth a HC design concept from one of the leading hospitals among Finnish HC. The article sheds light on the methods crucial to KUH for continuous improvement.
Dissertation for the degree of Doctor of Science in Technology to be presented with due permissio... more Dissertation for the degree of Doctor of Science in Technology to be presented with due permission of the School of Science and Technology for public examination and debate in Auditorium S4 at Helsinki Aalto University (Espoo, Finland) on the 8th of October, 2010, at 12 noon.
The nurses and doctors working in the intensive care units of hospitals have to daily deal with p... more The nurses and doctors working in the intensive care units of hospitals have to daily deal with patient beds that are connected to numerous cables and wires used to monitor patients. Detaching a patient who is lying in a bed with wires and then reattaching him slows down the work pace of the medical staff thus increasing the amount of staff and money needed to upkeep the hospital. Reducing the number of cables used not only eases the work of the hospital staff but also accelerates the treatment of patients arriving in the hospital, makes the treatment more effective and also apparently reduces the number of treatment errors and even patient mortality rates. Wireless patient monitoring offers a solution to reducing the number of cables used. This thesis presents the most useful present technologies for wireless data communication. Currently, short range wireless networks offer the most noteworthy solution to this problem. We shortly discuss the technologies enabling short range wirel...
Background: Hospital research administration is expected to provide improved work efficiency and ... more Background: Hospital research administration is expected to provide improved work efficiency and service delivery in the upcoming years. Meanwhile, resources to support scientific research are dwindling, as is the amount of research support personnel. The aim of the study was to investigate the research admission's user needs, their opinions on the state of today's scientific research and also to assess its future development needs and find out whether a customer-oriented management philosophy such as Lean Thinking could be implemented in the research administration setting to enhance work processes and services. Methods: In this study, thematic interviews were used as a method. Kuopio University Hospital researchers (n = 7) and research administration personnel (n = 11) were interviewed. The interviews were carried out by one researcher and lasted on average approximately 60 minutes per interviewee. Results: The interviews revealed that several issues, such as bureaucracy, decreased attitudes towards research, lack of transparency and face-to-face customer service by the research administration, have hindered and complicated research work and service delivery. The study addressed a need for a comprehensive, linear, efficiency-and quality-oriented, user-focused management philosophy. Conclusions: The results of the study support implementation of a customer-oriented management philosophy into the research administration to improve its work processes and service delivery. Although Lean Thinking remains untested in the research administration setting, its fundamentals and strengths seem to answer many needs of the research administration.
This report illustrates the technical design for the monitoring system of well- being and demonst... more This report illustrates the technical design for the monitoring system of well- being and demonstrates its feasibility in elderly people. The Con-Dis device consists of three buttons with a happy, neutral or unhappy face, each describing the mood of the patient. The functionality of the device was tested on 5 test persons who were asked to demonstrate their state of
International Journal on Smart Sensing and Intelligent Systems, 2010
This is a follow-up study to a previous experiment that evaluated the feasibility of a simple mon... more This is a follow-up study to a previous experiment that evaluated the feasibility of a simple monitoring device, Con-Dis, in assessing perceived well-being (PWB) among elderly people. Additionally, in the present study Con-Dis was used at the same time as blood pressure and heart rate monitors and pedometers to see the possible correlation between PWB, blood pressure, heart rate, and time spent on outdoor activity. The Con-Dis device proved technically functional, feasible, and informative throughout the four-week follow-up test period among elderly test subjects. In addition, PWB (measured by Con-Dis) appeared to correlate with mood, QoL, and time spent on outdoor activity.
We analyzed the effectiveness of sheltered housing and the quality of life of service users with ... more We analyzed the effectiveness of sheltered housing and the quality of life of service users with the ASCOT-INT4 service user measure. We evaluated the suitability of the measure and the associations between service user characteristics, service quality and the unweighted SCRQoL and effectiveness. Our findings from interview surveys (N = 101) indicated that the service was more effective for clients with higher care needs and better SCRQoL was predicted by the satisfaction with the treatment received. The results show that good basic services were provided to but there were some shortcomings in the implementation of meaningful social relations and activities.
Aging people are forced to steadily extend their working-lives since the old-age dependency ratio... more Aging people are forced to steadily extend their working-lives since the old-age dependency ratio will rise considerably in the near future. Meanwhile, social and healthcare resources will become increasingly scarce, although the need for healthcare and rehabilitation services is bound to increase. The aim of this study was to examine rehabilitation professionals’ experiences related to eHealth and technology in the rehabilitation process in the North Savo region. The research was carried out as a part of the European Social Fund (ESF) funded project ”Expertise and Business Network for Rehabilitation Services in Northern Savo”. 30 rehabilitation workers were interviewed (67% women) in 2020. The participants were aged 24-60 years and their job titles were e.g. doctors, physiotherapists, practical nurses and community sector representatives. The interviews were carried out using a semi-structured format. The interviews were recorded, transcribed, and analysed using the inductive cont...
Tässä hankkeessa korostui se, että sairaalan johdon tulee viedä eteenpäin yhtä aikaa strategisest... more Tässä hankkeessa korostui se, että sairaalan johdon tulee viedä eteenpäin yhtä aikaa strategisesti tärkeitä sairaalan tutkimusja hoitoprosesseja ja sairaaloiden tilojen uudistamista toimintojen tarpeiden lähtökohdista. Osallistuva suunnittelu, jossa sairaalan henkilöstö on tiiviisti mukana työprosessien ja tilojen kehittämisessä, on tutkitusti eduksi hankkeiden läpiviennissä ja hyvän lopputuloksen varmistamiseksi. Sujuvilla työprosesseilla sekä terveellisillä ja turvallisilla työtiloilla kyetään edistämään terveydenhuoltohenkilöstön työhyvinvointia ja työn tuottavuutta. TUTKIMUSHANKEEEN LOPPURAPORTTI T e L e a n -h a n k k e e n lo p p u ra p o rtti
ABSTRACT Healthcare (HC) environments demand high-quality design in order to provide efficient ca... more ABSTRACT Healthcare (HC) environments demand high-quality design in order to provide efficient care processes for those in need. In this study, we aimed to determine changes in the target hospital’s (H1) operative processes undergoing relocation. The goal was also to illustrate the shift in treatment paradigm from bedside care to extended day surgery, and the burden in terms of bedside places and anesthesia and surgery processes. Value stream mapping has been utilized to assess both the hospital work environment and work process design. The significant improvements in H1 process design include improved treatment planning, minimization of patient stay at the hospital, centralization of patient care and focus on Lean thinking. The value stream maps created in 2016 appeared more complicated compared to those composed in 2013. Several reasons may explain the complexity of the value stream maps: Surgical care has gained new alternative treatment options, patient pre-evaluation is carried out comprehensively before the surgery and phone contacts, local municipality research resources are utilized, anesthesia evaluation is carried out systematically and patients’ diseases are optimized to fit the surgery schedule. We argue that in a HC context, more complex value stream maps may not always be inferior compared to simpler ones.
Purpose This study assessed employees’ perceptions of their hospital work environment, its qualit... more Purpose This study assessed employees’ perceptions of their hospital work environment, its quality and functionality, as well as their satisfaction and well-being both before and after relocation within the hospital campus. Design/methodology/approach The study was carried out in a Finnish University Hospital. Employees from the anesthesia, orthopedics and physiatrics department took part in the study. The data were collected from the employees with online questionnaires before and after the relocation. The statistical differences between the questionnaire variables were analyzed using the Chi-square test. Findings Remarkable improvements in the quality of the new workplace included ability to adjust temperature, ventilation and furniture, ability to see out of windows, accessibility, number of meeting rooms, places to discuss confidential matters, quality of interior design, improved work satisfaction and desire to implement Lean. Significant deteriorations after relocation include...
ABSTRACT Healthcare (HC) providers are expected to enhance their work efficiency, while resources... more ABSTRACT Healthcare (HC) providers are expected to enhance their work efficiency, while resources for HC remain scarce. In order to accomplish this, efficient work environments must be developed. Although not yet a common practice in today’s hospitals, participatory design is a useful tool for improving HC facility design (FD). Thematic interviews were used as a study method. Employees from two Finnish central hospitals (n = 14) were interviewed. The interviews were carried out among, for example, hospital and project managers, facility designers and hospital user group representatives. The interviews revealed that participatory design can improve several aspects of FD, such as staff satisfaction, trust and teamwork. Clarifying reasons behind the decision-making process and instilling cohesion among the FD participants seemed beneficial. The hospital units that had systematically listened to the users and involved them in the decision-making process had also gained the users’ commitment and encountered little resistance. The challenges associated with participatory design included, for example, guiding the employees to project-based FD, utilizing users’ know-how, getting everyone involved, and eliminating silo mentality. Several similarities were found in the participatory FD processes in the two target hospitals. The users of hospital facilities provide an important resource for designing new hospitals. The two study target hospitals had significantly benefited from using participatory design in their FD projects.
International Journal of Healthcare Technology and Management
The economic downturn in developed countries has had implications in the field of healthcare. In ... more The economic downturn in developed countries has had implications in the field of healthcare. In Finland, public hospitals have been forced to improve their production efficiency while coping with limited resources. In this study, 14 interviewees from two Finnish University hospitals were interviewed. The aim of the study was to shed light on today's work process, change, information, medical technology, and lean management challenges. Both hospitals had recently undergone rigorous renovation and relocation projects. The employees and patients were happy with the hospital management. However, there were several improvements needed regarding hospital hierarchy, bureaucracy, communication, ICT technology, logistics, safety, teamwork, personnel structure and outsourcing. The managements at both hospitals desired to improve their work processes, employee well-being and patient care, and also develop the lean work processes. Several functions were praiseworthy, and those in need of improvement were transparently discussed by the hospital management.
Introduction.Old hospitals may promote inefficient patient care processes and safety. A new, func... more Introduction.Old hospitals may promote inefficient patient care processes and safety. A new, functionally planned hospital presents a chance to create an environment that supports streamlined, patient-centered healthcare processes and adapts to users’ needs. This study depicts the phases of a facility planning project for pregnant women and newborn care processes (beginning of life process) at Turku University Hospital.Materials and Methods.Project design reports and meeting documents were utilized to assess the beginning of life process as well as the work processes of the Women’s and Children’s Hospital.Results.The main elements of the facility design (FD) project included rigorous preparation for the FD phase, functional planning throughout the FD process, and setting key values: (1) family-centered care, (2) Lean thinking and Lean tools as the framework for the FD process, (3) safety, and (4) cooperation.Conclusions.A well-prepared FD project with sufficient insight into functio...
Hospitals will be expected to work more efficiently in the upcoming years due to several factors,... more Hospitals will be expected to work more efficiently in the upcoming years due to several factors, one of which is aging population groups. Meanwhile, healthcare resources are dwindling, as is the amount of available personnel. This paper examines interviews and questionnaires that were conducted to assess the experiences and effects of Lean implementation in two university hospitals. Several factors, such as emphasis on the participatory, user-centric design approach and integrating Lean as an integral part of the operational facility design process in both target hospitals have proven to be beneficial. This study delivers promising evidence from the two university hospitals, which supports the implementation of Lean in the healthcare sector for improving facility design and work processes.
Purpose Hospitals in the developed countries have been subjected to increasing economic pressure.... more Purpose Hospitals in the developed countries have been subjected to increasing economic pressure. Thus, several hospitals have been forced to improve their production efficiency while coping with limited resources. This paper aims to illustrate challenges and insight associated with health care (HC) facility design (FD) in two publicly funded hospitals. Design/methodology/approach In this study, 14 interviewees from two Finnish university hospitals were interviewed. Both hospitals had implemented Lean methods and recently undergone rigorous renovation projects and were seen as ideal study targets. Findings Both hospitals had managed to carry out successful indoor environment design. However, logistics, navigation, health information technology, scheduling, budgeting and outsourcing challenges had arisen. An outpatient care approach and customer-driven operational needs are beneficial and guide FD in the target hospitals. Lean thinking offers the necessary fundamental framework for i...
ABSTRACT Facility design related to rapidly changing healthcare (HC) processes is in dire need of... more ABSTRACT Facility design related to rapidly changing healthcare (HC) processes is in dire need of new innovations. Due to an ongoing nationwide HC reform in Finland, five University Hospitals among other central hospitals are forced to find ways to carry out competitive HC design practices in order to maintain efficient work environments and processes. This article illustrates a brief overview of Kuopio University Hospital's (KUH's) design development concept. The researchers reviewed and evaluated all the major facility design projects being carried out at KUH during the past five years. KUH aspires to continuously learn in order to stay effective and improve as a major player in Finnish HC. Creative thinking and openness to new, state-of-the-art solutions have enabled gradual development in the facility design process. Emphasis on participatory design approach, change management and evidence-based design has proven to be beneficial as well. Furthermore, integrating operational design as a main part of the facility design process should pay dividends in the near future. This article brings forth a HC design concept from one of the leading hospitals among Finnish HC. The article sheds light on the methods crucial to KUH for continuous improvement.
Dissertation for the degree of Doctor of Science in Technology to be presented with due permissio... more Dissertation for the degree of Doctor of Science in Technology to be presented with due permission of the School of Science and Technology for public examination and debate in Auditorium S4 at Helsinki Aalto University (Espoo, Finland) on the 8th of October, 2010, at 12 noon.
The nurses and doctors working in the intensive care units of hospitals have to daily deal with p... more The nurses and doctors working in the intensive care units of hospitals have to daily deal with patient beds that are connected to numerous cables and wires used to monitor patients. Detaching a patient who is lying in a bed with wires and then reattaching him slows down the work pace of the medical staff thus increasing the amount of staff and money needed to upkeep the hospital. Reducing the number of cables used not only eases the work of the hospital staff but also accelerates the treatment of patients arriving in the hospital, makes the treatment more effective and also apparently reduces the number of treatment errors and even patient mortality rates. Wireless patient monitoring offers a solution to reducing the number of cables used. This thesis presents the most useful present technologies for wireless data communication. Currently, short range wireless networks offer the most noteworthy solution to this problem. We shortly discuss the technologies enabling short range wirel...
Background: Hospital research administration is expected to provide improved work efficiency and ... more Background: Hospital research administration is expected to provide improved work efficiency and service delivery in the upcoming years. Meanwhile, resources to support scientific research are dwindling, as is the amount of research support personnel. The aim of the study was to investigate the research admission's user needs, their opinions on the state of today's scientific research and also to assess its future development needs and find out whether a customer-oriented management philosophy such as Lean Thinking could be implemented in the research administration setting to enhance work processes and services. Methods: In this study, thematic interviews were used as a method. Kuopio University Hospital researchers (n = 7) and research administration personnel (n = 11) were interviewed. The interviews were carried out by one researcher and lasted on average approximately 60 minutes per interviewee. Results: The interviews revealed that several issues, such as bureaucracy, decreased attitudes towards research, lack of transparency and face-to-face customer service by the research administration, have hindered and complicated research work and service delivery. The study addressed a need for a comprehensive, linear, efficiency-and quality-oriented, user-focused management philosophy. Conclusions: The results of the study support implementation of a customer-oriented management philosophy into the research administration to improve its work processes and service delivery. Although Lean Thinking remains untested in the research administration setting, its fundamentals and strengths seem to answer many needs of the research administration.
This report illustrates the technical design for the monitoring system of well- being and demonst... more This report illustrates the technical design for the monitoring system of well- being and demonstrates its feasibility in elderly people. The Con-Dis device consists of three buttons with a happy, neutral or unhappy face, each describing the mood of the patient. The functionality of the device was tested on 5 test persons who were asked to demonstrate their state of
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