Search results

Studies demonstrate how patient roles in system redesign teams reflect a continuum of involvement and influence. This research shows the process by which patients move through this continuum and effectively engage within redesign projects.

The authors studied members of redesign teams, consisting of 5–10 members: clinicians, systems engineers, health system staff and patient(s), from three health systems working on separate projects in a patient safety learning lab. Weekly team meetings were observed, January 2016–April 2018, 17 semi-structured interviews were conducted and findings through a patient focus group were refined. Grounded theory was used to analyze field notes and transcripts.

Results show how the social identity process enables patients to move through stages in a patient engagement continuum (informant, partner and active change agent). Initially, patient and team member perceptions of the patient's role influence their respective behaviors (activating, directing, framing and sharing). Subsequently, patient and team member behaviors influence patient contributions on the team, which can redefine patient and team member perceptions of the patient's role.

As health systems grow increasingly complex and become more interested in responding to patient expectations, understanding how to effectively engage patients on redesign teams gains importance. This research investigates how and why patient engagement on redesign teams changes over time and what makes different types of patient roles valuable for team objectives. Findings have implications for how redesign teams can better prepare, anticipate and support the changing role of engaged patients.

The analysis of groundwater level below the earth surface is focused on current and future scenarios. To analyze the wells under the threat of water level depletion, a study is conducted on the groundwater level using control charts. To improve watershed management, the important criteria are to increase infiltration as well as water storage capacity. There are 15 over-exploited zones in the study area (Dynamic GW Resources 2011). The purpose of this paper is to help in understanding the importance of wells for improving the water level to a certain extent for sustainable development.

The water levels in the wells are located with the help of x, y, z plotting on the ground using ArcGIS software. This water level mapping is done at a micro-watershed level to increase the clarity of information at the micro-level. In this study, the problem of depleted wells is sorted out, and the water level present in depleted wells pre-monsoon and post-monsoon is evaluated for the two years. Also, water level analysis is done using a control chart to find out the critical wells. On the basis of Poisson distribution, C-chart is used here to analyze the quality of wells and the water levels in those wells to be improved.

The outcome of the C-chart helps to track the wells that can be improved further to increase the water level. This paper presents the study of estimation of appropriate sites to be given importance and the rate of water level depletion to be controlled, which also helps to select a site suitable for artificial restoration by targeting groundwater potential zones.

This paper gives an outlook idea of wells that can be improved and the area that should be given more attention. Analyzing water level depletion helps to identify a suitable site for groundwater restoration using a remote sensing and geographical information system. These measures help the government and public sectors for proper planning and management of natural resources.