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An assessment of a novel installation procedure of patient moniotoring equipment at New Karolinska Solna
KTH, School of Technology and Health (STH), Health Systems Engineering, Systems Safety and Management.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Utvärdering av ett nytt installationsförfarande av patientmonitoreringsutrustning vid Nya Karolinska Solna (Swedish)
Abstract [en]

Patient monitoring equipment is evolving from smaller, less complex, installation systems to- wards large, complex, systems that require much resources. This led to the development of a new installation procedure involving a so called Delivery Center (DC). Introducing the DC instal- lation procedure affects all stakeholders, and this thesis aimed to assess how the DC installation procedure was perceived by those involved in it. It also investigated if there existed groupings among the participants who share points of views, and whether or not the DC should be kept. The study used Q-Methodology in order to retrieve opinions among employees at Philips who were involved in the installation of Philips patient monitoring equipment at New Karolinska Solna Phase 4.

This study has shown that all involved persons to the DC installation procedure are positive to it. Although significant differences has been shown within the studied group, a positive atti- tude towards the concept of the DC has been found. The specific areas of quality management, environmental aspects, the work environment and the efficiency and utilizations of resources have been addressed. This study has also shown that within the participants of this study there exists three distinct groupings based on their opinions. The groups focuses respectively on processes, project planning and on the work environment. These groupings are shown to all have their own characteristics. Understanding them and taking them into consideration can likely make all participants more positive towards a future DC, and could also potentially make it even more efficient. The results shows that from the perspective of the involved stakeholders, a future DC should be kept, and it has also shown a number of areas where there is room for improvement. 

Abstract [sv]

Patientmonitoreringsutrustning håller på att utvecklas från mindre, låg-komplexa installation- ssystem mot större, komplexare, system som kräver mycket resurser. Detta har lett till utvecklin- gen av ett nytt installationsförfarande som involverar ett så kallat leveranscenter. Introduktionen av en leveranscenter-baserat installationsförfarande påverkar alla inblandade, och detta exam- ensarbete ämnade att utvärdera hur det leveranscenter-baserade installationsförfarandet upp- fattades av de involverade. Det undersökte också om det existerade grupper bland deltagarna som delar åsikter, och undersökte huruvida leveranscentret borde behållas. Arbetet använde Q-Methodology för att samla in åsikter bland alla de anstälda på Philips som var involverade i installationen av Philips patientmonitoreringsutrustning vid Nya Karolinska Solnas fas 4.

Denna studie har visat att alla involverade personer i det leveranscenter-baserade installa- tionsförfarande är positivt inställda till det. Även om signifikanta skillnader bland de studerade grupperna har uppfattats, har en positiv attityd gentemot konceptet med leveranscentret hittats. De specifika områdena kvalitetshantering, miljöpåverkan, arbetsmiljö och effektivitet och uttnyt- jande av resurser har adresserats. Denna studie har också visat att det bland studiedeltagarna finns tre distinkta grupper baserat på åsikter. Grupperna fokuserar på processer, projektplaner- ing och arbetsmiljö. Grupparna har uppvisat egna karaktärsdrag. Förståelse för grupperna och att beakta dem kan troligen göra alla deltagarna än mer positiva gentemot ett framtida lever- anscenter, och även göra det effektivare. Resultaten visar att utifrån deltagarnas perspektiv att ett framtida leveranscenter bör behållas, och det visar även att det finns ett antal områden där det finns utvecklingspotential. 

Place, publisher, year, edition, pages
2017. , p. 37
Series
TRITA-STH ; 10
Keywords [en]
Patient monitoring systems, Medical devices, Installation, Change Management, Q-Methodology, Health Care Logistics
Keywords [sv]
Patientövervakning, Patientövervakningssystem, Förändringsarbete, Installation, Q-Methodology, Sjukvårdslogistik
National Category
Other Medical Engineering
Identifiers
URN: urn:nbn:se:kth:diva-202208OAI: oai:DiVA.org:kth-202208DiVA, id: diva2:1075503
External cooperation
Philips Healthcare
Subject / course
Medical Engineering
Educational program
Master of Science in Engineering - Medical Engineering
Presentation
2017-01-16, 10:08 (English)
Supervisors
Examiners
Available from: 2019-09-10 Created: 2017-02-20 Last updated: 2019-09-10Bibliographically approved

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