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The purpose of this paper is to develop an integrated patient-focused analytical framework to improve quality of care in accident and emergency (A & E) unit of a Maltese hospital.

The study adopts a case study approach. First, a thorough literature review has been undertaken to study the various methods of healthcare quality management. Second, a healthcare quality management framework is developed using combined quality function deployment (QFD) and logical framework approach (LFA). Third, the proposed framework is applied to a Maltese hospital to demonstrate its effectiveness. The proposed framework has six steps, commencing with identifying patients’ requirements and concluding with implementing improvement projects. All the steps have been undertaken with the involvement of the concerned stakeholders in the A & E unit of the hospital.

The major and related problems being faced by the hospital under study were overcrowding at A & E and shortage of beds, respectively. The combined framework ensures better A & E services and patient flow. QFD identifies and analyses the issues and challenges of A & E and LFA helps develop project plans for healthcare quality improvement. The important outcomes of implementing the proposed quality improvement programme are fewer hospital admissions, faster patient flow, expert triage and shorter waiting times at the A & E unit. Increased emergency consultant cover and faster first significant medical encounter were required to start addressing the problems effectively. Overall, the combined QFD and LFA method is effective to address quality of care in A & E unit.

The proposed framework can be easily integrated within any healthcare unit, as well as within entire healthcare systems, due to its flexible and user-friendly approach. It could be part of Six Sigma and other quality initiatives.

Although QFD has been extensively deployed in healthcare setup to improve quality of care, very little has been researched on combining QFD and LFA in order to identify issues, prioritise them, derive improvement measures and implement improvement projects. Additionally, there is no research on QFD application in A & E. This paper bridges these gaps. Moreover, very little has been written on the Maltese health care system. Therefore, this study contributes demonstration of quality of emergency care in Malta.

The purpose of the paper is to develop an integrated quality management model, which identifies problems, suggests solutions, develops a framework for implementation and helps evaluate performance of health care services dynamically.

This paper uses logical framework analysis (LFA), a matrix approach to project planning for managing quality. This has been applied to three acute healthcare services (Operating room utilization, Accident and emergency, and Intensive care) in order to demonstrate its effectiveness.

The paper finds that LFA is an effective method of quality management of hospital‐based healthcare services.

This paper shows LFA application in three service processes in one hospital. However, ideally this is required to be tested in several hospitals and other services as well.

In the paper the proposed model can be practised in hospital‐based healthcare services for improving performance.

The paper shows that quality improvement in healthcare services is a complex and multi‐dimensional task. Although various quality management tools are routinely deployed for identifying quality issues in health care delivery and corrective measures are taken for superior performance, there is an absence of an integrated approach, which can identify and analyze issues, provide solutions to resolve those issues, develop a project management framework (planning, monitoring, and evaluating) to implement those solutions in order to improve process performance. This study introduces an integrated and uniform quality management tool. It integrates operations with organizational strategies.

The purpose of this paper is to analyze the quintessential methodology of the international development (ID) projects, the logical framework approach (LFA), to find out which changes are required to increase the level of effectiveness of these projects.

This research presents a thorough review of literature relating to the evolution of the LFA. This theoretical analysis formed the basis for a closed-ended questionnaire on the methodology and how it could be improved, from which the responses of 56 project managers experienced in the LFA were collected. Data were statistically analyzed through correlation matrix and ANOVA analysis by SPSS software. The questionnaire included a last open-ended question where professionals suggested how they would develop the methodology, opening a new path to effectiveness through participative approaches.

The research reveals that the LFA needs to be improved, and points to the next steps in the evolution of this mature methodology. An interesting insight is that although some suggestions are broadly accepted, such as the integration of risk management, other proposals could be open to further discussion depending on the organization.

The main weakness is related to the sample, which is reduced to 56 project managers from the same country (Spain).

Since interventions for development are made by practitioners, considering their suggestions to improve the LFA is a major step to enhance the management of ID projects.

The purpose of this paper is to describe and analyse a case of local freight stakeholder involvement to plan and design eco-efficient city logistics innovations in Como, a small city in Italy. While the importance of a well-functioning urban goods distribution system is widely acknowledged, city authorities have become increasingly aware of the need to minimise the negative impacts associated to the system. There are now countless examples of attempts to increase the eco-efficiency of urban freight deliveries; however, very few have made a notable impact. The success of such schemes often depends upon the response of a range of private sector freight stakeholders and their involvement during the planning process of these solutions is crucial.

To engage local freight stakeholders within the planning process of a city logistics project, the logical framework approach, in the form of the design and monitoring framework (DMF) developed by the Asian Development Bank, has been applied.

The structured consultation process implied within the DMF approach allowed urban freight stakeholders to share their aspirations from the beginning of the city freight planning process, despite their differences in priorities in adopting eco-efficient logistics innovations. The process ensured that city stakeholders accepted and committed to the city logistics strategies formulated during the consultation process, namely: changes to the Limited Traffic Zone regulation, the use of an urban consolidation centre and hybrid electric truck adoption.

The evaluation of the DMF application will be definitive after the demonstration/implementation stage of the city logistics project. It will then become clear if freight stakeholders have committed to the project and if it is effective in delivering the expected outputs and outcomes.

Local city authorities may find this method useful in situations where a structured consultation process is needed for addressing urban freight issues. This is especially the case in the context of introducing innovative, eco-efficiency solutions.

The application of DMF in the developed environment can be considered novel; this paper extends this with an application to the promotion of sustainable urban freight.

The purpose of the paper is to develop an integrated framework for performance management of healthcare services.

This study develops a performance management framework for healthcare services using a combined analytic hierarchy process (AHP) and logical framework (LOGFRAME). The framework is then applied to the intensive care units of three different hospitals in developing nations. Numerous focus group discussions were undertaken, involving experts from the specific area under investigation.

The study reveals that a combination of outcome, structure and process‐based critical success factors and a combined AHP and LOGFRAME‐based performance management framework helps manage performance of healthcare services.

The proposed framework could be practiced in hospital‐based healthcare services.

The conventional approaches to healthcare performance management are either outcome‐based or process‐based, which cannot reveal improvement measures appropriately in order to assure superior performance. Additionally, they lack planning, implementing and evaluating improvement projects that are identified from performance measurement. This study presents an integrated approach to performance measurement and implementing framework of improvement projects.

The purpose of this paper is to develop a methodology that is based on the concept of environmental comfort and can serve as a tool that can help companies and employees to implement Kaizen projects. This methodology focuses on the worker’s participation in analyzing and developing improvements related to their workplace.

This research is focused on the development of a methodology that encourages worker participation in improvement activities, through the analysis of their working conditions. For this purpose, the proposed methodology was developed in accordance with the dimensions of workplace comfort proposed by Vischer. The employees start working on the analysis of problems and their solutions through the logical framework approach, as it is a tool that encourages worker participation and consensus. The developed methodology was applied in a company, with three different groups of people, which enabled the authors to test its utility.

The findings reveal that the proposed methodology is effective in initiating workers in the path of Kaizen. The employees who applied this methodology were able to propose improvement actions that addressed the problems and opportunities that they had previously detected. Moreover, the questionnaire that was used to validate the methodology and was administered to employees shows that the methodology is useful in preparing them for adopting continuous improvement (CI) programs.

The methodology presented in this paper has been applied and evaluated by a small number of employees. These limitations suggest future research recommendations.

This participatory methodology could be used by different types of companies to initiate employees on the path of CI, even if they are not familiar with improvement programs or methodologies. In addition, its use could improve the capabilities of employees in areas such as participatory analysis, problem identification and proposal of objectives. These capabilities are necessary in any Kaizen project. As a result of the application of this methodology, the companies could obtain a list of areas of improvement related to their work and propose actions to work on.

The paper presents the use of environmental comfort in the workplace as the first step in accomplishing a Kaizen project, with a focus on the employee involvement and consensus.

The ultimate purpose of this paper is to report on a research thesis that contributes to making public projects more relevant and sustainable. The objective of this paper is to make readers aware of the thesis. The objective of the thesis was to develop a deeper understanding of how governance frameworks can contribute to such development. The research study aimed at developing new knowledge about governance frameworks and how they influence major public projects.

Critical realism was chosen for the research as an ontological and epistemological position. A whole array of different research methods are used, ranging from theoretical analysis to group processes, in dept interviews and a survey. Document studies and triangulation support the conclusions.

The research is structured around five research questions including identifying the most important governance functions in an owner perspective, how to design a governance framework, what are the most important problems that lead to lack of relevance and sustainability, what characterizes an effective improvement strategy for governance frameworks, how to charge public infrastructure investment projects with the right direction and level of ambitions. The questions are thoroughly answered in the thesis.

This research contributes to both project governance and project management through a more clarified interface between these two spheres. The thesis offers practical help to those involved in developing or improving governance frameworks for major projects.

The thesis offers new insight in the interplay between governance functions and management functions, challenges in developing and implementing governance frameworks, adds new awareness about the lack of logic and consistency in current Norwegian projects. Its greatest potential is in its contribution to relevant infrastructure investment projects with sustainable effect.

This study aims to identify the factor that could be able to motivate the food industry to take part in the standardization process and analyse which motive is the most influential one. This study also examines the relationship between the motive and the implementation itself.

As one of Malaysian Standard, MS1500 is focused on halal food matters. This standard was established by the Malaysian Government to realize their dream of becoming the leader in the global halal market. However, there are still many food and beverage small and medium-sized entterprises owned by Indigenous Muslims in Malaysia who still take it for granted by claiming that their products are halal without ever signing up for the halal certificate or implementing MS1500.

The findings of this study can be used as an input for the Malaysian Government, so they will be able to plan any suitable programme that can promote the implementation of this standard.

The halal food industry has grown significantly around the world. By category of spending, the halal food and beverages industry holds the biggest share, with a value of about US$1,303bn in 2017 and is expected to reach US$1,863bn by 2023. These big opportunities have been captured by several countries in the world, including Malaysia. As a Moslem country, Malaysia aspires to be the halal hub and has aggressively worked towards becoming the key player in delivering halal food products. By understanding the motives behind the implementation of the halal standard by the food industry, we can develop strategies to expand the growth of the halal industry itself.

To the best of the authors’ knowledge, this is the first study of its kind that has been conducted to explore the motives behind the implementation of halal food standards by the food industry, especially in Malaysia. From the review of the current literature, it is found that studies on halal food certification and halal logo mainly focused on the consumer side instead of the industry side. On top of that, it is also found that previous studies mostly adopted two notable theories, namely, theory of reasoned action and theory of planned behaviour. To elaborate on and use plenty of other theories in performing a halal standard research, the three isomorphism pressure from institutional theory of DiMaggio and Powell has been chosen as a pertinent theory in this study. As a result, the theoretical gap and the uneven scope of halal food standard and certification research, with particular attention on the industry or manufacturer side, are expected to be bridged. This theory is also used to identify the most dominant motive. Moreover, this study examined the relationship between the motive behind standardization and the standardization itself.

This study aims to investigate the growing use of financial metrics (such as return on investment [ROI]) to measure performance and evaluate human capital (HC) investments.

The research employed an embedded case study approach, examining how one ROI approach was applied to evaluating HC investments, across three sectors (corporate, public health and international development).

Three major findings emerged in this study: First, interpretations of ROI can lead to ambiguity during implementation. ROI is interpreted trichotomously – metaphorically, as a desire for value; literally, as a metric; and procedurally, as a method for planning and evaluating HC investments. Second, understanding, measuring and tracking the domains of people performance (cognitive, affective and psychomotor) is vital to evaluating the impact of HC investments because this is where the change in behavior occurs. Third, although the logic model measures the change in process following an intervention (input-activity-output-outcome-impact), other approaches measure the change in behavior of people in the intervention (people performance).

These findings provide clarity for practitioners about challenges when applying ROI.

This is the first study to explore how the ROI financial metric is applied in a new domain by first examining its interpretation. It elucidates the use of ROI in practice, as well as the different purposes of key ROI approaches.

Post-disaster reconstruction poses a double-edged sword to its implementers as it demands addressing survivors’ need for speed as well as meeting the growing expectation to trigger resilience. While an owner-driven housing reconstruction (ODHR), inter-disciplinary and long-term approach has been promoted internationally; however, there is limited research focussed on the long-term impacts (>10 years after a disaster) of ODHR. Furthermore, there is no one accepted framework for practitioners to guide through the process of ODHR projects to carve pathways for disaster resilience. The purpose of this paper is to assimilate findings—contingent and generalisable—into a novel framework for future change in practice.

This paper deployed a mixed methods methodology with a comparative case study research method. Two case study projects were from the Indian state of Gujarat, 13 years after the 2001 earthquake and the other two from Bihar, 6 years since the 2008 Kosi river floods. Due to multi-disciplinary nature of research, empirical data collection relied on a mix of social sciences methods including 80 semi-structured interviews, and architectural research methods including the visual analysis of photographs and sketches. Three sample groups of agency members, beneficiaries and non-beneficiaries were purposively selected. Thematic content analysis was used for the data analysis.

The paper provides empirical insights on how ODHR projects in Indian states of Gujarat and Bihar succeeded at enhancing disaster resilience of communities. It suggests that the civil society organisations acted as “enablers” at four stages: envisioning strategically based on systemic understanding, building soft assets including community trust and dignity for social mobilisation prior to, proposing minor modifications to construction technology for its multi-hazard safety as well as cultural relevance, and sustaining capacity building efforts beyond reconstruction completion or beyond one project life-cycle.

The author of this paper cautions that the spiral framework needs further development to make it flexibility and customisable to suit the specifics of a particular context.

The implications of the findings discussed in this paper are primarily for practitioners involved in disaster recovery and development sector. Since prevailing models or frameworks neither incorporate multi-disciplinary approach (demanded by socio-ecological systems resilience concept), nor represent project scale, a novel, four-pronged framework for ODHR has been proposed in this paper for strategic success. The framework has been illustrated in spiral and tabular forms, and has been kept abstract to provide practitioners the much-needed flexibility for adapting it to suit the specifics of a particular context.