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The motivation for this paper is to better understand the strengths and limitations of quantitative performance measures in a changing environment. The context is one of organisational change and innovative management. Using a case study approach, the paper presents a history of organisational change and focuses on attempts to drive and assess efficiency through performance measures in a public hospital‐based pathology laboratory. The various financial and non‐financial performance measures used in the laboratory are presented. A discrepancy between accounting reports and laboratory management analyses of costs is reported. The notorious difficulties of costing health services are examined through the dispute that arose about whether the mean cost‐per‐test was increasing or decreasing over a three‐year period. Competing representations of performance are analysed. Whilst the case study looks at a New Zealand example, many of the pressures facing pathology services are typical of medical laboratories worldwide. General issues of performance measurement are discussed.

As a result of fundamental change in the environment, Los Alamos National Laboratory (LANL) is in the process of major organizational change. This paper reports the perspectives of four senior managers at the laboratory regarding the change effort and a major restructuring that took place at LANL. Describing the challenges the organization faces and the lessons they have learned, these managers provide a unique viewpoint of change at the laboratory, and organizational change in general. Several key lessons can be learned from the experience of LANL: (1) a well‐understood vision/mission is essential to organizations undergoing major change; (2) major organizational change may take longer than expected; (3) top manager commitment and open communication are critical to the change effort; and (4) changes in structure must be supported by changes in other areas (e.g. compensation and training).

The purpose of this paper is to show the importance of theoretical‐genetic reflection in expansive learning and the transformation of an activity.

Cultural‐historical activity theory is used to explicate forms of work‐related reflection, and an intervention method based on activity theory, the change laboratory, is presented.

Different levels of reflection and the intellectual tools needed for them are identified.

The empirical support presented for the theoretical ideas in the article is based on an exemplary case. This intervention method makes it possible to analyze reflection as a tool‐mediated collaborative activity.

The change laboratory method can be used to support expansive learning and learning to learn in work communities.

The paper introduces a less well‐known original intervention methodology to the audience of the JOCM and demonstrates how it connects some current lines of thought in change management.

This study aims to identify the current barriers to sustainability in the bioscience laboratory setting and to determine which mechanisms are likely to increase sustainable behaviours in this specialised environment.

The study gathers qualitative data from a sample of laboratory researchers presently conducting experimentation in the biological sciences. A questionnaire, regarding sustainability in the laboratory, was developed and distributed to all bioscience researchers at Aberystwyth University.

Although the majority of respondents had favourable attitudes to sustainability, almost three‐quarters (71 per cent) stated that they were not conducting their research in the most sustainable way possible. The factors most likely to hinder sustainable behaviour were lack of support, lack of information and time constraints. However, monetary costs and benefits, closely followed by “other” costs and benefits, were most likely to encourage sustainable behaviour in the laboratory.

There is a need to extend the present research to other types of biological research, such as field‐based studies. Different biological disciplines may have different consumable requirements and waste streams, thereby changing the barriers to sustainability observed.

The findings have immediate practical implication for higher education institutions wishing to adopt researcher‐approved mechanisms to reduce the environmental impact of biological laboratory research.

This is the first study to design a sustainability questionnaire which is specific to research scientists and laboratory users. The paper is therefore of immense value to the numerous global higher education institutions with working laboratories which seek to minimise the environmental impact of research.

The future of pathology services in the NHS is currently under consideration. Recent developments in diagnostic technologies and their possible impact on pathology testing in the future are discussed. Trends and patterns of demand for all three main pathology specialties are analysed over the 12‐year period, 1974‐86. The inflation‐adjusted, revenue cost of pathology testing per hospital admission (excluding capital costs) is shown to have fallen in real terms over this period, although it is uncertain whether this would still be the case were capital costs to be included. In the hospital sector, reported increases in demand can be quite simply related to increasing hospital activity by using a linear regression model. However, the very large increases in demand observed in the primary care sector cannot be related reasonably to any routinely reported practice activity indicators. The implications of this highly volatile pattern of demand in general practice are discussed, especially in relation to recent technological advances designed to produce rapid, near‐patient, surgery‐based tests. Although analysis indicates no evidence for historical technology‐induced increases in demand for laboratory services following the introduction of laboratory automation in the 1970s, the possibility of technology‐induced demand in the primary health care sector following the widespread introduction of surgery‐based tests is discussed.

To review the application of the principles of benchmarking to the field of laboratory medicine.

Review of the literature on performance management techniques employed in healthcare provision, and specifically in laboratory medicine, including benchmarking.

The review identifies the main performance indicators employed in quality assurance and benchmarking programmes that have been developed in laboratory medicine. Some of these have a clear benefit in improving laboratory performance, whilst others are used for more general management purposes. The emphasis of these programmes is on improving analytical performance, together with pre‐ and post‐analytical performance. The review highlights the fact that benchmarking in laboratory medicine is undertaken largely in isolation from the clinical setting in which it is applied. The benchmarking activities are, therefore, concerned with the process (dealing predominantly with efficiency and productivity) of producing laboratory results and do not probe into the way in which the laboratory services are employed in the care of patients (dealing with outcomes and value). Some examples of health outcomes studies are discussed, which demonstrate the value of the laboratory medicine service. They highlight the complexity of developing a more outcomes orientated approach to benchmarking of laboratory medicine services. These studies would show how the laboratory was used; they give a more holistic view of the role of laboratory medicine in healthcare provision.

The review shows how a more comprehensive and integrated approach to benchmarking of laboratory medicine service would provide valuable information on the effectiveness of the laboratory services.

In a recent issue of the Journal of Applied Behavioral Science, Blake strongly criticised an article on organisational change by Blumberg and Wiener for the authors' failure thoroughly to review the literature and for missing important material relevant to their study. In response, Blumberg simply stated that they were not aware of the material, because it had appeared in a relatively obscure journal. Indeed, a later writer (Zurcher) criticised one of Blake's papers on the same grounds, and then suggested that an event such as this might easily happen to any of us. Despite their apparent conflict, each of these individuals did agree, of course, that a thorough review of the literature on any given topic is necessary to good research and reporting. Our purpose here is not to pour salt on wounds, but rather to illustrate our raison d'être for presenting the material below.

The purpose of this paper is to develop a comprehensive list of key performance indicators (KPIs) that can be employed in determining the functional performance of academic and research laboratory facilities.

The study employed a two-phase approach. First, a thorough literature review was conducted to identify potential KPIs specific to the performance of laboratory facilities. This was followed by an assessment of the KPIs by 12 respondents including 6 professionals and 6 users. The KPIs were arranged in the form of a questionnaire survey containing response columns for agree/disagree, and importance rating scales for evaluation. The relative importance index values were also computed.

The result of the study was a comprehensive list of 161 KPIs classified into nine categories including: space, access/circulation, utilities and waste, environmental conditions, furniture, appearance/finishes/image, communications, storage within the space and special building features. These KPIs were perceived to be at varying levels of importance by the respondents.

Though previous studies developed KPIs for the performance of facilities, these KPIs are not universal. Thus, the originality of this study is in its identification of a comprehensive set of KPIs unique to the design, evaluation and management of research and academic laboratory facilities.

The purpose of this paper is to report on a co-design process that was initiated between government and the private sector in Botswana to redesign current ISD practice with particular focus on finding a solution for learning failure. Learning failure was analysed retrospectively using concepts of “task conscious” and “learning conscious” learning.

On the basis of a typical Botswana ISD project in which the lead researcher participated, inefficiencies and shortcomings in the standardised Botswana ISD process in terms of full utilisation of learning processes to support systems success were examined. Through the Developmental Work Research (DWR) methodology, which is based on Cultural-Historical Activity Theory (CHAT) principles, IS practitioners from government and the private sector, together with users collaborated to redesign the current Botswana ISD work practice in order to address this shortcoming.

The result has been the incorporation of activity-based learning and reflection into a proposed improved ISD practice framework for Botswana.

Through collaborative redesign between government and industry, a new Botswana ISD practice model that incorporates activity-based learning and reflection has been designed, and findings from examination of the model suggest that it has potential to address current learning deficiencies and thus contribute to efforts of avoiding IS failures. There have also been contributions to DWR resulting from the way in which the methodology was applied.

This is the first known study that uses concepts of “task-conscious” and “learning-conscious” learning to analyse learning retrospectively and at the same time adopting the DWR methodology in the social context of a developing country such as Botswana.

Building on the existing literature and on a series of interviews conducted in very diverse coworking spaces, this article attempts at analyzing coworking by focusing on the historical evolution and heterogeneity of its interpretations, as well as the plurality of its realization in practice and prospective developments.

The theoretical framework adopted is Cultural Historical Activity Theory – a dialectical approach which allows the study of human activities as historically evolving and complex systems which change under the impulse of their inner contradictions. The analysis presented here starts with an overview of the history of the theoretical elaborations and discussions of coworking. The authors then focus on the experiences and interpretations of this phenomenon as conveyed by coworkers and coworking managers in the north of Italy – one of the most active coworking areas in Europe.

Coworking first emerged as a way of promoting forms of work and organization that require simultaneous, multidirectional, and reciprocal work, as understood in contrast to forms that incorporate an established division of labor, demarcated communities, and formal and informal sets of rules. However, with time, coworking has evolved toward novel directions, giving rise to heterogeneous interpretations of it. Inquiry constitutes a deeper investigation of the heterogeneity of coworking. The take-away message here is that the prefix co- in coworking can be interpreted, through a play of words, to evoke multiple positions and views conveying internal contradictions.

The historical overview of coworking shows a strong differentiation and multisided interpretation of this phenomenon along two dimensions of historical development, namely, social and business, and outward and inward. The qualitative analysis of the interviews traces the different lived interpretations and conceptions of coworking. The analysis confirms, on the one hand, the complexity and heterogeneity described in the literature, and on the other hand, it enriches the literature by depicting the contradictory nature of the phenomenon, including how the historical and inner tensions of coworking are dynamically evolving in the concrete experiences reported by the managers and users in the coworking spaces.