Performance Dashboard for a Pharmaceutical Project Benchmarking Program

PurposeThe aim of this research is to explore the implementation of Six Sigma in service organisations. The focus of the investigation is on identifying critical success factors (CSFs), critical‐to quality (CTQ) characteristics, tools and techniques and key performance indicators (KPIs), and also to understand the issues emerging from the implementation process.Design/methodology/approachExploratory empirical evidence is provided through four in‐depth case studies of organisations mainly in Singapore. They include a hospital, a public service organisation, a consultancy service and a hotel.FindingsThe major findings include an understanding about the suitability of Six Sigma implementation in service organisations. Management support and team member support emerged as primary success factors. The CTQs include time and cost, while use of soft tools instead of rigorous statistical tools are preferred by service organisations. At the project level, KPIs are understood more as CTQs. Additionally; various interesting practical difficulties emerged from the case studies.Research limitations/implicationsA main limitation of this study is the small number of organisations studied and that are mainly from a single geographical location. Furthermore, the exploratory nature of the study demands rigorous in‐depth studies. The practical difficulties identified will have major implications for managers. The framework including the CSFs, CTQs, KPIs, and tools and techniques, will be a useful guide for both practitioners and academicians.Originality/valueThere are limited studies about Six Sigma implementation in service organisations. This paper provides a framework and a paradigm shift from viewing its implementation through a manufacturing lens.

There is a great need in the construction industry for identifying a set of common indicators to be used by construction executive and project managers in measuring construction performance at the project level. The focus of this research was to collect management perceptions of the key performance indicators currently utilized in the construction industry. Both quantitative performance indicators and qualitative performance indicators are represented. A literature search was used to generate the initial set of perceived key performance indicators, which were administered to the construction industry via a survey. A statistical analysis of the collected survey responses provided information for the identification of a common set of perceived Key Performance Indicators (KPIs) by construction sector, management level, and experience level. Correlations were performed for both the quantitative and qualitative indicators to determine which type of indicator is used most extensively. Basic statistical analyses...

Tracking the incremental and combined effects of large-scale ecosystem restoration programs is scientifically and socioeconomically challenging; this is especially true for ongoing management and restoration programs in the northern Gulf of Mexico and adjacent areas following the Deepwater Horizon oil disaster. When implemented, monitoring programs for large-scale ecosystems typically monitor overall system health and/or the progress toward individual restoration project goals. However, being able to demonstrate successful “individual restoration projects” does not necessarily equate to providing cost-effective benefits at the large-scale ecosystem level, especially when the area and complexity of the system is large. More than $16billion is available for ecosystem restoration related activities associated with multiple Deepwater Horizon settlements (i.e., Gulf Coast Ecosystem Restoration Council, Natural Resource Damage Assessment (NRDA) Trustee Council, and National Fish and Wildlife Foundation). Restoration activities conducted under the NRDA settlement are intended to restore injured resources to conditions that would have existed in the absence of the spill and to compensate the public for lost use of injured resources. Other restoration activities funded by the settlements are designated to restore the Gulf Coast economy, culture and environmental health by addressing a multitude of other ecological and economic injuries in the Gulf ecosystem not directly caused by the spill. Although the collective funding for restoration activities is large, unprecedented, and has the potential to begin making progress toward reducing adverse long-term environmental stressors, it is insufficient to fully address all stressors to restore ecological health in the vast Gulf ecosystem. This creates a unique challenge for restoration program managers who in addition to demonstrating the success of individual projects, need to demonstrate that overall restoration funds were spent wisely and produced significant synergistic benefits to preserve and restore the Gulf ecosystem. This will be especially important as settlement funds are exhausted and resource managers seek public funding to continue restoration and conservation efforts.We evaluated approaches for integrating the monitoring of individual project outcomes in order to also monitor the combined program progress across all Gulf oil disaster restoration programs based on (1) lessons learned from other large-scale restoration programs; (2) integrated restoration goals and objectives from multiple Gulf restoration programs; (3) common stressors, and potential interactions with varying restoration and conservation target categories and their associated types of projects; and (4) the applicability of monitoring at both the project and program level. We identified a suite of 10 performance metrics or indicators that are applicable to multiple project types and restoration entities in the Gulf using restoration indicators that are highly applicable across restoration categories at both the project and system level. Utilizing a small set of indicators that can be measured across multiple resource and project types creates an opportunity to build a core set of metrics into individual project monitoring plans in a way that is cost-effective, efficient and consistent. Our approach represents one way to track the impacts of restoration activities at a scale larger than the project level in the Gulf, while recognizing the scientific, political and economic challenges associated with restoring the Gulf ecosystem in the wake of the BP Deepwater Horizon oil disaster.

A Comparison of Stem Cell Source in Adult and Paediatric Recipients of T-Cell Depleted Myeloablative Transplants for Standard Risk Leukaemia: No Difference in Mortality Using BM or PBSC.

IntroductionSince the introduction of the JAG endoscopy training system (JETS) for trainees in 2003 there have been demonstrable improvements in the key performance indicators (KPIs) of colonoscopy performance. Caecal intubation,...

Projects carried out by PT. Tunas Jaya Sanur during 2017 is quite diverse, so there is often a variety of potentials related to work safety and has an impact on the surrounding environment. Therefore, PT. Tunas Jaya Sanur implements the Safety, Occupational and Environmental Health Management System. In addition, the director of the company PT. Tunas Jaya also measures the achievement of Management of Occupational Health, Safety and Environment (SMK3L) by using a Key Performance Indicator (KPI). The purpose of this study is to find out work safety and environmental problems (K3L) and to determine the level of success that has been obtained by PT. Tunas Jaya Sanur during 2017 in terms of occupational and environmental safety risks (K3L) based on the main performance indicators (KPI) set by the company. Data collection was conducted using a questionnaire involving 88 respondents who were directly involved in the PT. Tunas Jaya Sanur during 2017. The method of analysis in this study is a quantitative analysis method carried out based on Australian / New Zealand (AS / NZS) standards 4360: 2004, then to measure KPI (Key Performance Indicators) on procedures for calculating KPIs main). The results of the analysis of risks issued by PT. Tunas Jaya is a medium risk (medium risk) of 30 risks, a large risk (high risk) of 14 risk-related risks (very high risk) are 2 risks. The level of success in controlling and controlling that has been done by PT. Tunas Jaya Sanur during 2017 showed that the work safety and environmental management (K3L) of PT. Tunas Jaya Sanur Bali in 2017 is classified as "Very Healthy", with the AA category with a performance score of 94.58%.

Despite lowering of the permissible exposure level for lead in construction from 200 to 50 microg/m3 in 1993, excessive lead exposure continues to be a problem. Relatively little data are available from the Midwestern U.S. on the environmental lead concentrations generated during various construction activities and the potential for worker exposure. This study characterized the prevalence of blood lead concentrations in high-risk construction trades in Iowa/Illinois, and identified risk factors for occupational exposure to lead in these construction workers. A sample of 459 workers was selected from the total population of all union members from trade groups of painters, plumbers/pipefitters, ironworkers, laborers, and electricians. Participants completed an interviewer-administered questionnaire obtaining information on demographics, symptoms, occupational history, work practices, personal protective equipment, and training. Venous blood samples were collected from each participant and analyzed for blood lead (using atomic absorption spectroscopy) and free erythrocyte protoporphyrin levels. Blood lead levels (BLLs) of construction workers ranged from 0.1 to 50 microg/dL. Geometric mean blood lead concentrations by trade group were: laborers (7.6 microg/dL, n = 80); painters (5.9 microg/dL, n = 83); ironworkers (5.2 microg/dL, n = 87); plumbers (4.4 microg/dL, n = 82); electricians (2.4 microg/dL, n = 91). Blood lead levels for painters and laborers were significantly higher than other trade groups, and levels for electricians were significantly lower (p < 0. 01). Participants reported working primarily on commercial and industrial projects including new construction, renovation, and demolition. There were significant differences between the types of projects performed by different trade groups with laborers performing more highway/bridge renovation (p < 0.01), and plumbers reporting more residential remodeling (p = 0.05), repair of water lines containing lead (p = 0.04), or work on lead joints (p < 0.01). In addition to trade, elevated blood lead levels were associated with the type of construction project (especially bridge renovation and residential remodeling) and activities that include welding, cutting, rivet busting. The age of the home in which the worker lived, and hobbies such as casting/smelting lead for bullets or sinkers, were also important risk factors. Compliance with OSHA's Construction Lead Standard, and implementation of good occupational health and safety practices in general, was poor. Blood lead levels of 459 construction workers differed by the type of trade, type of project and specific job activity owing to differences in the inherent exposure potential of each task. Although the numbers of workers performing lead abatement projects were small, the trend for lower BLL in this group provides evidence that training, implementation of engineering controls, and proper use of personal protective equipment such as respirators is effective in controlling lead poisoning.

For certain uremic, diabetic patients, a sequential transplant of a kidney (usually from a living donor) followed by a cadaver pancreas has become an attractive option. But how long to wait after the kidney transplant before proceeding with a pancreas transplant is unclear. We studied outcomes in recipients of a pancreas at varying times after a kidney to determine the optimal timing for the second transplant. We compared pancreas after kidney (PAK) transplants performed early (< or =4 months) and late (>4 months) after the kidney transplant to determine any significant differences in surgical complications or outcomes between the two groups. Between January 1, 1994, and September 30, 1998, we performed 123 cadaver PAK transplants. Of these, 25 (20%) were early and 98 (80%) were late. Characteristics of the two recipient groups were similar. We found no significant differences in outcome between the two groups. The incidence of surgical complications (bleeding, leaks, thrombosis, infections) and of opportunistic infections (such as cytomegalovirus) did not significantly differ between the two groups. Graft and patient survival rates were also equivalent (P=NS). The incidence of acute rejection by 3 months posttransplant was 20% in both groups. The timing of the pancreas transplant for PAK recipients does not seem to influence outcome. As long as an acceptable organ is available and the recipient is clinically stable, a PAK transplant can be performed relatively soon after the kidney transplant.

Resident participation and postoperative outcomes in adrenal surgery

Hip arthroscopy has been shown to be effective in managing various hip pathologies, including labral tears in adolescent patients. The purpose of this study was to ascertain whether outcomes of hip arthroscopy in patients under the age of 18 treated for labral tears differ depending on whether the presentation was acute or chronic. We also present the outcomes of the largest prospectively collected study on hip arthroscopy performed for labral tears in adolescents. Patient reported outcome scores (PROs) for 194 patients undergoing hip arthroscopy for hip pathology, who were 18 or under at the time of surgery were prospectively collected and retrospectively reviewed. Modified Harris hip score (mHHS), Nonarthritic hip score (NAHS), Hip Outcome score-sport specific scale (HOS-SSS) and Visual Analogue Score (VAS) were the PROs collected. The overall cohort was assessed for outcome and a comparison was made between those patients who presented with acute onset of symptoms versus those who presented with insidious onset. There was significant improvement in all the PROs for the overall cohort, with improvement maintained over an average of 38.5 months. There was no significant difference in outcome scores, between the acute and chronic groups except for change in VAS. Preoperative scores in the acute group were significantly lower, while postoperative scores did not differ. A trend toward more improvement was noted for the acute group. Overall need for revision surgery was 12%, with a higher rate of revision in the acute group. Hip arthroscopy in adolescent patients being treated for intra-articular pathology is a safe procedure with favorable outcomes at minimum 2-year follow-up, with no significant difference in final outcomes between patients with acute onset of symptoms as opposed to those with more a more chronic presentation. Reoperation rate may be higher in patients with an acute onset. Level II.

Similar Outcomes at Early Term After Arthroscopic or Open Repair of Chronic Ankle Instability: A Systematic Review and Meta-Analysis

The Environmental Impact Assessment (EIA) plan is an indispensable part of all cycles of industrial projects. By the way, it results to compose the initial matrix of data in the preliminary assessment of the screening step. Iranian industrial projects recognized miscellaneous material streams introduced into industrial ambient and in released shapes. One of the important assessments posed in the EIA plan refers to costs/revenue assessment that assigns Data Envelopment Analysis (DEA) to discover the performance of industrial projects along with statistical tests. The objective of the current study prosecuted to discern the cost/revenue analysis in statistical language. Therefore, the empirical equations and SPSS Software of IBM 20 were employed in the analysis of financial reports. The findings were succeded to present linear relationships for the dependent and independent variables and in full compliance with diagrams developed by SPSS software. The results of the DEA model ended up with the emergence of an efficiency border for 8 industrial groups (334 industries) around a range of 0 to 0.4 by scatter plot. There were no significant differences between dependent and independent variables in different models assessed via T and F and ANOVA tests. It can be concluded that the findings of the DEA model displayed by the scatter plot are a benchmarking level for industrial projects once before complete construction.

Purpose The research aimed to determine the impact of training programs on staff performance and institutional effectiveness in a challenging healthcare environment. Methods A quantitative, explanatory research design was employed. Questionnaires were distributed to 245 randomly selected permanent staff members from a larger population of 630 employees. Statistical analysis (using SPSS) was used to assess the relationship between training and performance through descriptive statistics and multiple regression analysis. Findings The study found a significant positive correlation between training and employee performance. Training programs, particularly those focused on content delivery, facilitation, and evaluation, have a positive influence on key performance indicators such as work quality, initiative, time management, and teamwork. Well-structured training preparation also improved employee readiness and engagement, leading to better overall performance outcomes. Originality The study provides empirical data from a Ghanaian public hospital, contributing to the limited existing literature on training and performance in African healthcare settings. The findings highlight the importance of aligning training initiatives with institutional goals to improve healthcare delivery through human capital development, offering practical implications for hospital administrators, HR professionals, and policymakers.

This study assesses how employee performance in the banking industry in Haripur, Pakistan, is affected by Likert's four management styles: exploitative, benevolent, consultative, and participative. A quantitative survey of 155 bank employees, including managers and staff, was conducted to assess the connections between leadership styles and key performance indicators, including work satisfaction, productivity, and intention to leave. The data demonstrates that participatory management yields the best performance outcomes, but exploitative authoritative leadership negatively impacts productivity and morale. The findings provide useful guidance for financial institutions hoping to optimize their leadership strategies in Pakistan's competitive financial sector.

<h3>Introduction</h3> Colonoscopy remains the gold standard procedure for screening and polyp detection, with adenoma detection rate (ADR) being a widely-accepted key performance indicator (KPI). It has long been recognised that even experienced endoscopists incur an appreciable ‘miss-rate’ and a number of novel devices have been marketed to assist this aspect of practice. The Endorings™ device is a simple soft silicone, single-use device consisting of a series of rings arranged around a central tubular core. As the colonoscope is inserted the rings fold backward to allow intubation and flare on withdrawal to flatten colonic folds and aid inspection. <h3>Methods</h3> Prospective data was collected during screening colonoscopy (performed by two accredited colonoscopists) when the Endorings™ device was used and compared the KPI results to outcomes from the previous few months, for the same two colonoscopists) when the device was not in use (ie. historical controls). <h3>Results</h3> The ADR without Endorings™ (n = 85) was 49.4% with a per-procedure detection rate (ppr) of 0.97. With Endorings (n = 66) 66.7% (p = 0.0006) with ppr of 1.625. This represents a 35% increase in ADR and a 68% increase in the number of polyps detected at any given procedure. There were no significant differences in completion rates, withdrawal time, use of sedation or comfort scores. The device was removed in 5/66 procedures due to interference with intubation (in the presence of either an angulated sigmoid or diverticulosis). No complications were recorded. <h3>Conclusion</h3> Use of the Endorings™ device was associated with a significant increase in ADR. Qualitatively, the three-ring design was felt to interfere with normal intubation such that insertion technique had to be modified. An updated design iteration with two rings in slightly different positions along the central tube, has been produced and appears to offer a significant advantage in this regard. Furthermore, the central tube can be pushed further along the distal end of the colonoscope to allow the terminal ileum to be intubated with the device in place. The Endorings™ may offer an advantage in screening colonoscopy and, in this cohort, further prospective investigation is warranted. <h3>Disclosure of Interest</h3> None Declared