scholarly journals From embracing to managing risks

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e022921 ◽  
Author(s):  
Justin Keen ◽  
Emma Nicklin ◽  
Nyantara Wickramasekera ◽  
Andrew Long ◽  
Rebecca Randell ◽  
...  

ObjectiveTo assess developments over time in the capture, curation and use of quality and safety information in managing hospital services.SettingFour acute National Health Service hospitals in England.Participants111.5 hours of observation of hospital board and directorate meetings, and 72 hours of ward observations. 86 interviews with board level and middle managers and with ward managers and staff.ResultsThere were substantial improvements in the quantity and quality of data produced for boards and middle managers between 2013 and 2016, starting from a low base. All four hospitals deployed data warehouses, repositories where datasets from otherwise disparate departmental systems could be managed. Three of them deployed real-time ward management systems, which were used extensively by nurses and other staff.ConclusionsThe findings, particularly relating to the deployment of real-time ward management systems, are a corrective to the many negative accounts of information technology implementations. The hospital information infrastructures were elements in a wider move, away from a reliance on individual professionals exercising judgements and towards team-based and data-driven approaches to the active management of risks. They were not, though, using their fine-grained data to develop ultrasafe working practices.

2021 ◽  
Author(s):  
Laurie S. Duthie ◽  
Hussain A. Saiood ◽  
Abdulaziz A. Al-Anizi ◽  
Norman B. Moore ◽  
Carol Correia

Abstract Successful reservoir surveillance and production monitoring is a key component for effectively managing any field production strategy. For production logging in openhole horizontal extended reach wells (ERWs), the challenges are formidable and extensive; logging these extreme lengths in a cased hole would be difficult enough, but are considerably exaggerated in the openhole condition. A coiled tubing (CT) logging run in open hole must also contend with increased frictional forces, high dogleg severity, a quicker onset of helical buckling and early lockup. The challenge to effectively log these ERWs is further complicated by constraints in the completion where electrical submersible pumps (ESPs) are installed including a 2.4" bypass section. Although hydraulically powered coiled tubing tractors already existed, a slim CT tractor with real-time logging capabilities was not available in the market. In partnership with a specialist CT tractor manufacturer, a slim logging CT tractor was designed and built to meet the exceptional demands to pull the CT to target depth. The tractor is 100% hydraulically powered, with no electrical power allowing for uninterrupted logging during tractoring. The tractor is powered by the differential pressure from the bore of the CT to the wellbore, and is operated by a pre-set pump rate from surface. Developed to improve the low coverage in open hole ERW logging jobs, the tractor underwent extensive factory testing before being deployed to the field. The tractor was rigged up on location with the production logging tool and ran in hole. Once the coil tubing locked up, the tractor was activated and pulled the coil to cover over 90% of the open hole section delivering a pulling force of up to 3,200 lb. Real-time production logging was conducted simultaneously with the tractor activated, flowing and shut-in passes were completed to successfully capture the zonal inflow profile. Real-time logging with the tractor is logistically efficient and allows instantaneous decision making to repeat passes for improved data quality. The new slim logging tractor is the world's slimmest most compact, and the first of its kind CT tractor that enables production logging operations in horizontal extended reach open hole wells. The ability to successfully log these extended reach wells cannot be understated, reservoir simulations and management decisions can only as good as the quality of data available. Some of the advantages of drilling extended reach wells such as increased reservoir contact, reduced footprint and less wells drilled will be lost if sufficient reservoir surveillance cannot be achieved. To maximize the benefits of ERWs, creative solutions and innovative designs must continually be developed to push the boundaries further.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shi Zhao ◽  
Tien-Fu Lu ◽  
Larissa Statsenko ◽  
Benjamin Koch ◽  
Chris Garcia

Purpose In the mining industry, a run-of-mine (ROM) stockpile is a temporary storage unit, but it is also widely accepted as an effective method to reduce the short-term variations of ore grade. However, tracing ore grade at ROM stockpiles accurately using most current fleet management systems is challenging, due to insufficient information available in real time. This study aims to build a three-dimensional (3D) model for ROM stockpiles continuously based on fine-grained grade information through integrating data from a number of ore grade tracking sources. Design/methodology/approach Following a literature review, a framework for a new stockpile management system is proposed. In this system, near real-time high-resolution 3D ROM stockpile models are created based on dump/load locations measured from global positioning system sensors. Each stockpile model contains a group of layers which are separated by different qualities. Findings Acquiring the geometric shapes of all the layers in a stockpile and cuts made by front wheel loaders provides a better understanding about the quality and quality distribution within a stockpile when it is stacked/reclaimed. Such a ROM stockpile model can provide information on predicating ore blend quality with high accuracy and high efficiency. Furthermore, a 3D stockyard model created based on such ROM stockpile models can help organisations optimise material flow and reduce the cost. Research limitations/implications The modelling algorithm is evaluated using a laboratory scaled stockpile at this stage. The authors expect to scan a real stockpile and create a reference model from it. Meanwhile, the geometric model cannot represent slump or collapse during reclaiming faithfully. Therefore, the model is expected to be reconcile monthly using laser scanning data. Practical implications The proposed model is currently translated to the operations at OZ Minerals. The use of such model will reduce the handling costs and improve the efficiency of existing grade management systems in the mining industry. Originality/value This study provides a solution to build a near real-time high-resolution multi-layered 3D stockpile model through using currently available information and resources. Such novel and low-cost stockpile model will improve the production rates with good output product quality control.


2018 ◽  
Vol 15 (5) ◽  
pp. 593-625 ◽  
Author(s):  
Chi-Hé Elder ◽  
Michael Haugh

Abstract Dominant accounts of “speaker meaning” in post-Gricean contextualist pragmatics tend to focus on single utterances, making the theoretical assumption that the object of pragmatic analysis is restricted to cases where speakers and hearers agree on utterance meanings, leaving instances of misunderstandings out of their scope. However, we know that divergences in understandings between interlocutors do often arise, and that when they do, speakers can engage in a local process of meaning negotiation. In this paper, we take insights from interactional pragmatics to offer an empirically informed view on speaker meaning that incorporates both speakers’ and hearers’ perspectives, alongside a formalization of how to model speaker meanings in such a way that we can account for both understandings – the canonical cases – and misunderstandings, but critically, also the process of interactionally negotiating meanings between interlocutors. We highlight that utterance-level theories of meaning provide only a partial representation of speaker meaning as it is understood in interaction, and show that inferences about a given utterance at any given time are formally connected to prior and future inferences of participants. Our proposed model thus provides a more fine-grained account of how speakers converge on speaker meanings in real time, showing how such meanings are often subject to a joint endeavor of complex inferential work.


Author(s):  
Luis Miguel Pinho ◽  
Brad Moore ◽  
Stephen Michell ◽  
S. Tucker Taft

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