scholarly journals Developing ecosystem accounts for the marine and coastal environment: Limitations, opportunities and lessons learned from the United Kingdom experience.

2022 ◽  
Vol 8 (2) ◽  
Author(s):  
Gaetano Grilli ◽  
Tiziana Luisetti ◽  
Ann Thornton ◽  
Deanna Donovan
Author(s):  
Cesar Orsini ◽  
Veena Rodrigues ◽  
Jorge Tricio

This study presents the design, implementation, and lessons learned from 2 fit-for-purpose online interprofessional faculty development programs for educational practice improvement in the health professions in Chile and the United Kingdom from 2018 to 2021. Both programs were designed to enhance teaching and learning practices in an interprofessional environment based on 4 pillars: professional diversity, egalitarianism, blended/online learning, and active learning strategies. A multidisciplinary mix of educators participated, showing similar results. The 3 main lessons learned were that the following factors facilitated an interprofessional environment: a professions-inclusive teaching style, a flexible learning climate, and interprofessional peer work. These lessons may be transferable to other programs seeking to enhance and support interprofessionality. Faculty development initiatives preparing educators for interprofessional practice should be an integral component of health professions education, as delivering these courses within professional silos is no longer justifiable. As the relevance of interprofessional education grows, an effective way of promoting interprofessonal education is to train the trainers in formal interprofessional settings.


Author(s):  
Jo Hoffman ◽  
Catherine A. Cook

The recent increase in the use of Commercial Off The Shelf (COTS) equipment and software in future military procurements creates a variety of challenges for human factors practitioners to address. There is a need to tailor our approach in order to provide suitable human factors tools to support the design of COTS-based systems. The human factors approach adopted, and experiences gained, in the development of a command planning aid are reported. This system, which is currently under development, utilises a large number of COTS products together with significant bespoke software development. It is one of the first major procurements in the United Kingdom to be based heavily around the use of COTS. A major challenge has been to optimise the usability of the overall system by providing future users with as seamless as possible integration of the various COTS products, rather than a series of unrelated, separate applications. One of the main activities has therefore been the design of the human-computer interface (HCI). A comprehensive Style Guide was developed against which the proposed COTS products could be evaluated, and new bespoke software could be designed. This paper evaluates the utility of a Style Guide in this context, and reports a number of lessons learned from our experiences.


2020 ◽  
Vol 86 (6) ◽  
pp. 585-590
Author(s):  
Steven D. Wexner ◽  
Delia Cortés-Guiral ◽  
Neil Mortensen ◽  
Ara Darzi

This is the second installment of a series of interviews, conducted by the senior author (S.D.W.) and the American College of Surgeons (ACS), that feature international leaders in surgery telling of the challenges they faced during the global COVID-19 pandemic. The disease arrived in the United Kingdom with devastating effects within a few weeks of its spread to Western Europe from China. In Oxford, Professor Neil Mortensen used his position as the President-elect of the Royal College of Surgeons of England to help coordinate efforts among the 4 Royal Colleges in the United Kingdom (his own, London, Edinburgh, and Ireland) to mobilize and retrain surgeons for duty helping to support in the critical care of patients with respiratory illness from the virus. In London, Lord Ara Darzi, a colon and rectal surgeon and leading innovator in minimally invasive surgery, underwent re-education himself in respiratory care to help his medical colleagues. As a member of the House of Lords involved in matters regarding the National Health Service as former Parliamentary Undersecretary of Health, he facilitated legislative measures to increase the physician workforce necessary to meet the demand for skilled personnel. Professor Mortensen and Lord Darzi have been recognized as honorary fellows of the ACS for their contributions to surgery. “Lots of people do not think it can possibly happen to them”, Professor Mortensen said, “Our experience is that it will happen to you, and you cannot be prepared enough. Preparation, preparation, preparation is what you need to do.”


2015 ◽  
Vol 23 (1) ◽  
pp. 48-59 ◽  
Author(s):  
Alison M Devlin ◽  
Marilyn McGee-Lennon ◽  
Catherine A O’Donnell ◽  
Matt-Mouley Bouamrane ◽  
Ruth Agbakoba ◽  
...  

Abstract Objective To identify implementation lessons from the United Kingdom Delivering Assisted Living Lifestyles at Scale (dallas) program—a large-scale, national technology program that aims to deliver a broad range of digital services and products to the public to promote health and well-being. Materials and Methods Prospective, longitudinal qualitative research study investigating implementation processes. Qualitative data collected includes semi-structured e-Health Implementation Toolkit–led interviews at baseline/mid-point ( n = 38), quarterly evaluation, quarterly technical and barrier and solutions reports, observational logs, quarterly evaluation alignment interviews with project leads, observational data collected during meetings, and ethnographic data from dallas events ( n > 200 distinct pieces of qualitative data). Data analysis was guided by Normalization Process Theory, a sociological theory that aids conceptualization of implementation issues in complex healthcare settings. Results Five key challenges were identified: 1) The challenge of establishing and maintaining large heterogeneous, multi-agency partnerships to deliver new models of healthcare; 2) The need for resilience in the face of barriers and set-backs including the backdrop of continually changing external environments; 3) The inherent tension between embracing innovative co-design and achieving delivery at pace and at scale ; 4) The effects of branding and marketing issues in consumer healthcare settings; and 5) The challenge of interoperability and information governance, when commercial proprietary models are dominant. Conclusions The magnitude and ambition of the dallas program provides a unique opportunity to investigate the macro level implementation challenges faced when designing and delivering digital health and wellness services at scale. Flexibility, adaptability, and resilience are key implementation facilitators when shifting to new digitally enabled models of care.


Author(s):  
Yacine Koucha ◽  
QingPing Yang

The COVID-19 outbreak is of great concern due to the high rates of infection and the large number of deaths worldwide. In this paper, we considered a Bayesian inference and failure mode and effects analysis of the modified susceptible-exposed-infectious-removed model for the transmission dynamics of COVID-19 with an exponentially distributed infectious period. We estimated the effective reproduction number based on laboratory-confirmed cases and death data using Bayesian inference and analyse the impact of the community spread of COVID-19 across the United Kingdom. We used the failure mode and effects analysis tool to evaluate the effectiveness of the action measures taken to manage the COVID-19 pandemic. We focused on COVID-19 infections and therefore the failure mode is taken as positive cases. The model is applied to COVID-19 data showing the effectiveness of interventions adopted to control the epidemic by reducing the reproduction number of COVID-19. Results have shown that the combination of Bayesian inference, compartmental modelling and failure mode and effects analysis is effective in modelling and studying the risks of COVID-19 transmissions, leading to the quantitative evaluation of the action measures and the identification of the lessons learned from the governmental measures and actions taken in response to COVID-19 in the United Kingdom. Analytical and numerical methods are used to highlight the practical implications of our findings. The proposed methodology will find applications in current and future COVID-19 like pandemics and wide quality engineering.


2021 ◽  
Vol 9 (1) ◽  
pp. 4
Author(s):  
Dian Kusuma

The health system in Indonesia is facing the persistent burden of maternal mortality and infectious diseases (including COVID-19) and an increasing burden of non-communicable diseases. Thus, health system reform and innovations at all levels are needed, including through lessons learned from other countries. There are at least five lessons from primary health care in the United Kingdom: easy access, digital and online services, continuity of care, managing chronic conditions, and referral and counter-referral system. There are lessons that policymakers and stakeholders at the national and local (city/district) level could potentially learn from. Despite the differences between the UK and Indonesia (e.g. country income level, national health systems), these lessons could be adapted or piloted in some settings.


2007 ◽  
Vol 13 (3) ◽  
pp. 58-62 ◽  
Author(s):  
William Sowers ◽  
Jeff French ◽  
Clive Blair-Stevens

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