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  • 1.
    Akay, Altug
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation.
    Dragomir, Andrei
    Erlandsson, Björn-Erik
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation.
    A Novel-Data Mining Platform to Monitor the Outcomes of Erlontinib (Tarceva) using Social Media2014Inngår i: XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013, Springer, 2014, s. 1394-1397Konferansepaper (Fagfellevurdert)
    Abstract [en]

    A novel data-mining method was developed to gauge the experiences of the oncology drug Tarceva. Self-organizing maps were used to analyze forum posts numerically to infer user opinion of drug Tarceva. The result is a word list compilation correlating positive and negative word cluster groups and a web of influential users on Tarceva. The implica-tions could open new research avenues into rapid data collec-tion, feedback, and analysis that would enable improved solu-tions for public health.

  • 2. Alsved, Malin
    et al.
    Wang, Cong
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Byggvetenskap, Strömnings- och klimatteknik.
    Civilis, Anette
    Sadrizadeh, Sasan
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Byggvetenskap, Strömnings- och klimatteknik.
    Ekolind, Peter
    Skredsvik, Henrik
    Höjerback, Peter
    Jakobsson, Jonas
    Löndahl, Jakob
    Experimental and computational evaluation of airborne bacteria in hospital operating rooms with high airflows2018Inngår i: Proceedings of The 5th Working & Indoor Aerosols Conference 18-20 April 2018; Cassino, Italy, 2018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Post-operative infections after surgery can be decreased by the use of efficient ventilation with clean air. In this study, we investigated three types of operating room ventilation: turbulent mixed airflow(TMA), laminar airflow (LAF) and a new type of ventilation named temperature controlled airflow(TcAF). Measurements of airborne bacteria were made during surgery and compared with values calculated by computational fluid dynamics (CFD). The results show that LAF and TcAF are most efficient in removing bacteria around the patient. With LAF, there are large differences in bacterial loads, depending on location in the room.

  • 3.
    Andreasson, Jörgen
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Ahlstrom, Linda
    Eriksson, Andrea
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    The importance of healthcare managers’ organizational preconditions and support resources for their appraisal of planned change and its outcomes2017Inngår i: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 6, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Healthcare managers are expected to lead and manage planned organizational change intended to improve healthcare process quality. However, their complex working conditions offer limited decision control, and healthcare managers often feel ill prepared and inadequately supported to perform their duties. Healthcare managers have previously described their need for organizational support, but we lack knowledge of the preconditions and resources that help managers implement planned change.Methods: This prospective cohort study examined healthcare managers at three Swedish hospitals implementing lean production and two Swedish hospitals implementing their own improvement model. Questionnaire data from 2012, 2103, and 2014 were used in following up. We used t-tests and a linear mixed model design in analysing the data.Results: Healthcare managers who perceived strong support from managers, employees, colleagues, and the organization and managers with the longest managerial experience had the least negative appraisal of change. Managers who perceived strong support from employees, management, and the organizational structure perceived higher levels of healthcare process quality.Conclusions: Long managerial experience and strong support from managers, employees, and the organization are important formanagers’ appraisal of, work on, and successful implementation of planned change. Top management must therefore ensure that the healthcare managers have sufficient managerial experience and support before they delegate to them the responsibility to implement planned change.

  • 4.
    Andreasson, Jörgen
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Eriksson, Andrea
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Health care managers' views on and approaches to implementing models for improving care processes2016Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, nr 2Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To develop a deeper understanding of health-care managers' views on and approaches to the implementation of models for improving care processes. Background: In health care, there are difficulties in implementing models for improving care processes that have been decided on by upper management. Leadership approaches to this implementation can affect the outcome. Method: In-depth interviews with first- and second-line managers in Swedish hospitals were conducted and analysed using grounded theory. Results: 'Coaching for participation' emerged as a central theme for managers in handling top-down initiated process development. The vertical approach in this coaching addresses how managers attempt to sustain unit integrity through adapting and translating orders from top management. The horizontal approach in the coaching refers to managers' strategies for motivating and engaging their employees in implementation work. Conclusion and implications for nursing management: Implementation models for improving care processes require a coaching leadership built on close manager-employee interaction, mindfulness regarding the pace of change at the unit level, managers with the competence to share responsibility with their teams and engaged employees with the competence to share responsibility for improving the care processes, and organisational structures that support process-oriented work. Implications for nursing management are the importance of giving nurse managers knowledge of change management.

  • 5.
    Angelis, Jannis
    et al.
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.), Industriell Management.
    Glenngård, A.H.
    Jordahl, H.
    Management practices and the quality of primary care2019Inngår i: Public Money & Management, ISSN 0954-0962, E-ISSN 1467-9302Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Using the World Management Survey method, the authors mapped and analysed management quality in Swedish primary care centres. On average, private sector providers were better managed than public providers. Centres with a high overall social deprivation among enrolled patients also tended to have higher management quality. Management quality was positively associated with accessibility (length of waiting times), but not with patient-reported experience.

  • 6.
    Arman, Rebecka
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Wikström, Ewa
    Sahlgrenska akademin, Göteborgs universitet.
    Törnström, Linda
    Sahlgrenska akademin, Göteborgs universitet.
    What health care managers do: Applying Mintzberg’s structured observation method2009Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, nr 6, s. 718-729Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

     Aim The aim of the present study was to explore and describe what characterizes first-and second-line health care managers' use of time. Background Many Swedish health care managers experience difficulties managing their time. Methods Structured and unstructured observations were used. Ten first-and second-line managers in different health care settings were studied in detail from 3.5 and 4 days each. Duration and frequency of different types of work activities were analysed. Results The individual variation was considerable. The managers' days consisted to a large degree of short activities (<9 minutes). On average, nearly half of the managers' time was spent in meetings. Most of the managers' time was spent with subordinates and <1% was spent alone with their superiors. Sixteen per cent of their time was spent on administration and only a small fraction on explicit strategic work. Conclusions The individual variations in time use patterns suggest the possibility of interventions to support changes in time use patterns. Implications for nursing management A reliable description of what managers do paves the way for analyses of what they should do to be effective.

  • 7. Bergman, Caroline
    et al.
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi. University of Borås, Sweden.
    Skagert, Katrin
    Exploring communication processes in workplace meetings: A mixed methods study in a Swedish healthcare organization2016Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, nr 3, s. 533-541Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: An efficient team and a good organizational climate not only improve employee health but also the health and safety of the patients. Building up trust, a good organizational climate and a healthy workplace requires effective communication processes. In Sweden, workplace meetings as settings for communication processes are regulated by a collective labor agreement. However, little is known about how these meetings are organized in which communication processes can be strengthened. OBJECTIVE: The aim of this study was to explore communication processes during workplace meetings in a Swedish healthcare organization. METHODS: A qualitatively driven, mixed methods design was used with data collected by observations, interviews, focus group interviews and mirroring feedback seminars. Data were analyzed using descriptive statistics and conventional content analysis. RESULTS: The communication flow and the organization of the observed meetings varied in terms of physical setting, frequency, time allocated and duration. The topics for the workplace meetings were mainly functional with a focus on clinical processes. Overall, the meetings were viewed not only as an opportunity to communicate information top down but also a means by which employees could influence decision-making and development at the workplace. CONCLUSIONS: Workplace meetings have very distinct health-promoting value. It emerged that information and the opportunity to influence decisions related to workplace development are important to the workers. These aspects also affect the outcome of the care provided.

  • 8. Boman, Inga-Lill
    et al.
    Lundberg, Stefan
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation.
    Starkhammar, Sofia
    Nygard, Louise
    Exploring the usability of a videophone mock-up for persons with dementia and their significant others2014Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 14, s. 49-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Persons with dementia might have considerable difficulties in using an ordinary telephone. Being able to use the telephone can be very important in order to maintain their social network, getting stimulation and for reaching help when needed. Therefore, persons with dementia might need an easy-to-use videophone to prevent social isolation and to feel safe and independent. This study reports the evaluation of the usability of a touch-screen videophone mock-up for persons with dementia and their significant others. Methods: Four persons with dementia and their significant others tested the videophone mock-up at a living laboratory. In order to gain knowledge of the participants' with dementia ability to use their own computers and telephones, interviews and observations were conducted. Results: Overall, the participants had a very positive attitude towards the videophone. The participants with dementia perceived that it was useful, enjoyable and easy to use, although they initially had difficulties in understanding how to handle some functions, thus indicating that the design needs to be further developed to be more intuitive. Conclusions: The findings suggest that the videophone has the potential to enable telephone calls without assistance and add quality in communication.

  • 9. Borg, S.
    et al.
    Gerdtham, U. G.
    Rydén, Tobias
    KTH, Skolan för teknikvetenskap (SCI), Matematik (Inst.), Matematisk statistik.
    Munkholm, P.
    Odes, S.
    Langholz, E.
    Moum, B.
    Annese, V
    Bagnoli, S.
    Beltrami, M.
    Clofent, J.
    Friger, M.
    Milla, M.
    Mouzas, I
    O'Morain, C.
    Politi, P.
    Riis, L.
    Stockbrugger, R.
    Tsianos, E.
    Vardi, H.
    Lindgren, S.
    Estimation Of A Markov Chain For Crohn's Disease And Classification Of Patients Into Disease Phenotypes, In Eight Countries Using Individual Longitudinal Data Aggregated Over Time2012Inngår i: Value in Health, ISSN 1098-3015, E-ISSN 1524-4733, Vol. 15, nr 7, s. A466-A467Artikkel i tidsskrift (Annet vitenskapelig)
  • 10.
    Brorsson, Anna
    et al.
    Karolinska Institutet.
    Öhman, Annika
    Karolinska Institutet.
    Lundberg, Stefan
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Nygård, Louise
    Karolinska Institutet.
    Accessibility in public space as perceived by people with Alzheimer´s disease2011Inngår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, nr aug 11Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Most people with dementia remain living at home as long as possible after being diagnosed, and hence their lives also include activities in the public space. The aim of this study was to illuminate experiences of accessibility in public space in people with Alzheimer’s disease. A qualitative grounded theory approach with repeated in-depth interviews was used. The core category, accessibility as a constantly changing experience, was characterized by changes in the relationship between informants and public space. Changes in the relationship took place in activities and use of place and related to familiarity and comfort, individual motives and interests, and planning and protecting. Other changes occurred in places and problematic situations related to everyday technologies, crowded places with high tempo and noise, and change of landmarks. These changes reduced feelings of accessibility and increased difficulties in carrying out activities in public space. These findings may be helpful when providing support, and supporting community living.

  • 11.
    Brouwers, Lisa
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Data- och systemvetenskap, DSV.
    MicroPox: a Large-scale and Spatially Explicit Microsimulation Model for Smallpox Transmission2005Inngår i: The Proceedings of the 15th International Conference on Health Sciences Simulation, 2005, s. 70-76Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The motivation for this microsimulation model is the need to analyze and compare effects of implementing potential intervention policies against smallpox. By including contact patterns and spatial information extracted from governmental registers, we strive to make the simulation model more realistic than traditional transmission models, and thus better suited as a policy tool. MicroPox, the probabilistic large-scale microsimulation model described in this article uses real but anonymized data for the entire Swedish population. Since the unique data set contains family relations and workplace data for all Swedes, we have been able to incorporate many of their close social contacts, the type of contacts that are important for the transmission of smallpox. The level of detail of the data makes it possible to capture a large amount of the heterogeneity of the contact structure; most people have a small number of contacts, while a few have a large number. As the data set also contains geographic coordinates for all workplaces and dwellings, we were able to make the model spatially explicit. Besides a description of the model, the article also describes a preliminary experiment in which 50 initially infected persons spread the disease among 2,500,000 people, mainly located in Stockholm, Sweden.

  • 12.
    Brouwers, Lisa
    et al.
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikation: Infrastruktur och tjänster, Programvaru- och datorsystem, SCS.
    Cakici, Baki
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikation: Infrastruktur och tjänster, Programvaru- och datorsystem, SCS.
    Camitz, Martin
    Karolinska Institutet, MEB.
    Tegnell, Anders
    Socialstyrelsen.
    Boman, Magnus
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikation: Infrastruktur och tjänster, Programvaru- och datorsystem, SCS.
    Economic consequences to society of pandemic H1N1 influenza 2009: preliminary results for Sweden2009Inngår i: Eurosurveillance, ISSN 1025-496X, E-ISSN 1560-7917, Vol. 14, nr 37, s. 19333-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Experiments using a microsimulation platform show that vaccination against pandemic H1N1 influenza is highly cost-effective. Swedish society may reduce the costs of pandemic by about SEK 2.5 billion (approximately EUR 250 million) if at least 60 per cent of the population is vaccinated, even if costs related to death cases are excluded. The cost reduction primarily results from reduced absenteeism. These results are preliminary and based on comprehensive assumptions about the infectiousness and morbidity of the pandemic, which are uncertain in the current situation.

  • 13.
    Brouwers, Lisa
    et al.
    KTH, Tidigare Institutioner, Data- och systemvetenskap, DSV.
    Ekenberg, Love
    KTH, Tidigare Institutioner, Data- och systemvetenskap, DSV.
    Hansson, Karin
    KTH, Tidigare Institutioner, Data- och systemvetenskap, DSV.
    Danielson, Mats
    Multi-criteria decision-making of policy strategies with public-private re-insurance systems2004Inngår i: Risk, Decision, and Policy, ISSN 1357-5309, E-ISSN 1466-4534, Vol. 9, nr 1, s. 23-45Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article describes an integrated flood catastrophe model as well as some results of a case study made in the Upper Tisza region in north-eastern Hungary: the Palad-Csecsei basin. The background data was provided through the Hungarian Academy of Sciences and complemented by interviews with different stakeholders in the region. Based on these data, for which a large degree of uncertainty is prevailing, we demonstrate how an implementation of a simulation and decision analytical model can provide insights into the effects of imposing different policy options for a flood risk management program in the region. We focus herein primarily on general options for designing a public-private insurance and reinsurance system for Hungary. Obviously, this is a multi-criteria and multi-stakeholder problem and cannot be solved using standard approaches. It should, however, be emphasised that the main purpose of this article is not to provide any definite recommendations, but rather to explore a set of policy packages that could gain a consensus among the stakeholders.

  • 14.
    Cakici, Baki
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikation: Infrastruktur och tjänster, Programvaru- och datorsystem, SCS.
    Disease surveillance systems2011Licentiatavhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Recent advances in information and communication technologies have made the development and operation of complex disease surveillance systems technically feasible, and many systems have been proposed to interpret diverse data sources for health-related signals. Implementing these systems for daily use and efficiently interpreting their output, however, remains a technical challenge.

    This thesis presents a method for understanding disease surveillance systems structurally, examines four existing systems, and discusses the implications of developing such systems. The discussion is followed by two papers. The first paper describes the design of a national outbreak detection system for daily disease surveillance. It is currently in use at the Swedish Institute for Communicable Disease Control. The source code has been licenced under GNU v3 and is freely available. The second paper discusses methodological issues in computational epidemiology, and presents the lessons learned from a software development project in which a spatially explicit micro-meso-macro model for the entire Swedish population was built based on registry data.

  • 15.
    De Maria, Carmelo
    et al.
    Univ Pisa, Res Ctr E Piaggio, Largo Lucio Lazzarino 1, I-56122 Pisa, Italy.;Univ Pisa, Dept Ingn Informaz, Pisa, Italy..
    Di Pietro, Licia
    Univ Pisa, Res Ctr E Piaggio, Largo Lucio Lazzarino 1, I-56122 Pisa, Italy..
    Lantada, Andres Diaz
    Univ Politecn Madrid, Mech Engn Dept, Madrid, Spain..
    Madete, June
    Kenyatta Univ, Dept Elect & Elect Engn, Nairobi, Kenya..
    Makobore, Philippa Ngaju
    Ugandan Ind Res Inst, Kampala, Uganda..
    Mridha, Mannan
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Hälsoinformatik och logistik.
    Ravizza, Alice
    BioInd Pk Silvano Fumero, Turin, Italy..
    Torop, Janno
    Univ Tartu, Inst Technol, Tartu, Estonia..
    Ahluwalia, Arti
    Univ Pisa, Res Ctr E Piaggio, Largo Lucio Lazzarino 1, I-56122 Pisa, Italy.;Univ Pisa, Dept Ingn Informaz, Pisa, Italy..
    Safe innovation: On medical device legislation in Europe and Africa2018Inngår i: Health Policy and Technology, ISSN 2211-8837, E-ISSN 2211-8845, Vol. 7, nr 2, s. 156-165Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The principal motivation for regulating medical devices is to protect patients and users. Complying with regulations may result in an increase in development, manufacturing and service costs for medical companies and ultimately for healthcare providers and patients, limiting the access to adequate medical equipment. On the other hand, poor regulatory control has resulted in the use of substandard devices. This study aims at comparing the certification route that manufactures have to respect for marketing a medical device in some African Countries and in European Union. Methods: We examined and compared the current and future regulations on medical devices in the European Union and in some countries in Africa. Contextually we proposed future approaches to open design strategies supported by emerging technologies as a means to enhance economically sustainable healthcare system driven by innovation. Results: African medical device regulations have an affinity to European directives, despite the fact that the latter are particularly strict. Several states have also implemented or harmonized directives to medical device regulation, or have expressed interest in establishing them in their legislation. Open Source Medical Devices hold a great promise to reduce costs but do need a high level of supervision, to control their quality and to guarantee their respect for safety standards. Conclusion: Harmonization across the two continents could be leveraged to optimize the costs of device manufacture and sale. Regulated open design strategies can enhance economically sustainable innovation. (C) 2018 Fellowship of Postgraduate Medicine.

  • 16.
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Imbalanced logics of communicating with media in open management of health care service in Sweden: the managers perspectives and approaches2014Konferansepaper (Annet vitenskapelig)
  • 17.
    Dellve, Lotta
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Andreasson, Jörgen
    KTH.
    Eriksson, Andrea
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Strömgren, Marcus
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Williamsson, Anna
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Nyorientering av svensk sjukvård: Verksamhetstjänande implementeringslogiker bygger mer hållbart engagemang och utveckling - i praktiken2016Rapport (Annet vitenskapelig)
  • 18.
    Dellve, Lotta
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Eriksson, Andrea
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Fredman, Margareta
    Kullén Engström, Agneta
    Lean i hälso- och sjukvården2013Inngår i: Lean i Arbetslivet / [ed] Per Sederblad, Stockholm: Liber, 2013, 1, s. 142-161Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 19.
    Dellve, Lotta
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Galvin, Kathleen
    Hull University, UK.
    Crafting life-world led leadership2014Konferansepaper (Annet vitenskapelig)
  • 20.
    Dellve, Lotta
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Williamsson, Anna
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Strömgren, Marcus
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Holden, Richard
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Eriksson, Andrea
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress2015Inngår i: International Journal of Human Factors and Ergonomics, ISSN 2045-7812, Vol. 3, nr 3-4, s. 235-253Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Healthcare organisations in Sweden are reorienting toward horizontal organisation around care processes. This paper's aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at hospital strategic and operative levels, are associated with working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were studied using questionnaires to employees (n = 1,303) and interviews at strategic and operative levels at baseline and follow-up. The process redesign implementation strategies varied between the strategic and operative levels. There were associations between a higher degree of LP at operative level and increased work resources and decreased work demands. Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There was evidence of more beneficial or improved working conditions in relation to higher degree of LP at operative levels.

  • 21.
    Ekstedt, Mirjam
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation.
    Dahlgren, Anna
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation. Karolinska institutet, Sweden.
    Säker vård även i hemmet en framtida utmaning2015Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112, nr 22, s. 1-2Artikkel i tidsskrift (Fagfellevurdert)
  • 22.
    Ekstedt, Mirjam
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation.
    Stenberg, Una
    Olsson, Mariann
    Ruland, Cornelia M.
    Health Care Professionals' Perspectives of the Experiences of Family Caregivers During In-Patient Cancer Care2014Inngår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 20, nr 4, s. 462-486Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Being a family member of a patient who is being treated in an acute care setting for cancer often involves a number of challenges. Our study describes Norwegian cancer care health professionals' perceptions of family members who served as family caregivers (FCs) and their need for support during the in-hospital cancer treatment of their ill family member. Focus group discussions were conducted with a multidisciplinary team of 24 experienced social workers, physicians, and nurses who were closely involved in the patients' in-hospital cancer treatment and care. Drawing on qualitative hermeneutic analysis, four main themes describe health professionals' perceptions of FCs during the patient's in-hospital cancer care: an asset and additional burden, infinitely strong and struggling with helplessness, being an outsider in the center of care, and being in different temporalities. We conclude that it is a challenge for health care professionals to support the family and create room for FC's needs in acute cancer care. System changes are needed in health care, so that the patient/FC dyad is viewed as a unit of care in a dual process of caregiving, which would enable FCs to be given space and inclusion in care, with their own needs simultaneously considered alongside those of the patient.

  • 23.
    Elinder, Goran
    et al.
    Karolinska Inst, Dept Pediat, Stockholm, Sweden..
    Eriksson, Anders
    Umea Univ, Dept Community Med & Rehabil, Forens Med, Umea, Sweden.;Natl Board Forens Med, Stockholm, Sweden..
    Hallberg, Boubou
    Karolinska Inst, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Pediat & Neonatol, Stockholm, Sweden..
    Lynoe, Niels
    Karolinska Inst, Med Eth, Stockholm, Sweden..
    Sundgren, Pia Maly
    Lund Univ, Diagnost Radiol, Lund, Sweden.;Skane Univ Hosp, Dept Neuroradiol, Lund, Sweden..
    Rosen, Mans
    Karolinska Inst, Hlth Technol Assessment, Stockholm, Sweden..
    Engstrom, Ingemar
    Univ Orebro, Univ Hlth Care Res Ctr, Fac Med & Hlth, Child & Adolecent Psychiat, Orebro, Sweden..
    Erlandsson, Björn-Erik
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH), Medicinteknik och hälsosystem, Människa och Kommunikation.
    Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking2018Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 107, s. 3-23Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    The Swedish Agency for Health Technology Assessment and Assesment of Social Services (SBU) is an independent national authority, tasked by the government with assessing methods used in health, medical and dental services and social service interventions from a broad perspective, covering medical, economic, ethical and social aspects. The language in SBU's reports are adjusted to a wide audience. SBU's Board of Directors has approved the conclusions in this report. The systematic review showed the following graded results: There is limited scientific evidence that the triad (Three components of a whole. The triad associated with SBS usually comprises subdural haematoma, retinal haemorrhages and encephalopathy.) and therefore, its components can be associated with traumatic shaking (low-quality evidence). There is insufficient scientific evidence on which to assess the diagnostic accuracy of the triad in identifying traumatic shaking (very low-quality evidence). Limited scientific evidence (low-quality evidence) represents a combined assessment of studies of high or moderate quality which disclose factors that markedly weaken the evidence. It is important to note that limited scientific evidence for the reliability of a method or an effect does not imply complete lack of scientific support. Insufficient scientific evidence (very low-quality evidence) represents either a lack of studies or situations when available studies are of low quality or show contradictory results. Evaluation of the evidence was not based on formal grading of the evidence according to GRADE but on an evaluation of the total scientific basis.

  • 24.
    Eriksson, Andrea
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Samverkan i förbättringsarbete inom sjukvård2014Inngår i: Om samverkan: för utveckling av hälsa och välfärd / [ed] Runo Axelsson och Susanna Bihari Axelsson, Lund: Studentlitteratur, 2014, 1, s. 91-106Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 25.
    Eriksson, Andrea
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Strömgren, Marcus
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Experiences of Implementing Occupational Health Services Driven Intervention Methods for Sustainable Leadership in Health Care2016Inngår i: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 28, s. 50-51Artikkel i tidsskrift (Annet vitenskapelig)
  • 26.
    Eriksson, Andrea
    et al.
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Strömgren, Marcus
    Dellve, Lotta
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Experiences of implementing OHS driven intervention methods for sustainable leadership in health care2015Konferansepaper (Fagfellevurdert)
  • 27.
    Escat, Alexandre
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH).
    Conception and development of a preliminary analysis of the operating room performance2018Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    Operating room performance is becoming more and more important for the hospital’s finance and the patient’s well-being. Thus, hospitals need to develop dashboards that can assess the actual performance of its core service, to be able to decide how to improve it. The point of this thesis is to build a common audit tool which can be used in regular hospitals. To build so, a literature review has been made, gathering all the relevant organizational and performance indicators. Since only a few of them need to be selected, a group of experts has been gathered via the Delphi method to decide which indicators to keep and which ones to reject, for the implementation in the tool. Out of forty-two indicators found in the literature, only fifteen will be considered and implemented into graphs. These graphs will form the preliminary audit from which hospital and consultants can base their performance assessment of the operating room, by pinpointing what their analysis should focus on. This tool has been tested in a real hospital to identify a few improvements that the tool requires and the few technical mistakes the tool possessed. The tool can save time for the consultants and for the hospital. Saving time in the healthcare sector ultimately means having more time for the patients, which, in the end, enhances their experience and well-being. It allows some flexibility as well and can be adapted even more to the needs of the studied hospitals. Moreover, compared to simple dashboards, this tool will give more useful indicators and help hospital’s management to take some decisions and reconsider others - again, for the best outcome for the patients

  • 28.
    Fölster, Stefan
    et al.
    KTH, Skolan för industriell teknik och management (ITM), Industriell ekonomi och organisation (Inst.), Entreprenörskap och Innovation. Reforminstitutet.
    Nordenström, J.
    Replik från Stefan fölster och jörgen nordenström: Framåtblickande läkare kan återta initiativet2015Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112, nr 23-24Artikkel i tidsskrift (Fagfellevurdert)
  • 29.
    Granlund, Anna
    et al.
    Mälardalens högskola, Innovation och produktrealisering.
    Wiktorsson, Magnus
    Mälardalens högskola, Innovation och produktrealisering.
    Automation in Healthcare Internal Logistics: A Case Study on Practice and Potential2013Inngår i: International Journal of Innovation and Technology Management (IJITM), ISSN 0219-8770, Vol. 10, nr 2Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The current demographic development puts even greater demands on the healthcare sector which already struggle with scarce resources and constant pressure of cost reductions. This paper aims at through a multiple case study describe how automation of hospital internal logistics can be a tool in improving the efficiency. The results include several potential implementations for patient transports, waste handling and small goods transports. However, organizational issues as lack of ownership and a strategic view render difficulties and needs to be dealt with. The authors conclude that transfer of knowledge and technology used in manufacturing industry would be beneficial. 

  • 30.
    Grünloh, Christiane
    et al.
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Medieteknik och interaktionsdesign, MID. Institute of Informatics, Technische Hochschule Köln, University of Applied Sciences, Gummersbach, Germany.
    Myreteg, Gunilla
    Uppsala University, Department of Business Studies.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction..
    Rexhepi, Hanife
    University of Skövde, School of Informatics. The Informatics Research Centre.
    “Why Do They Need to Check Me?” Patient Participation Through eHealth and the Doctor-Patient Relationship: Qualitative Study2018Inngår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 20, nr 1, artikkel-id e11Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Roles in the doctor-patient relationship are changing and patient participation in health care is increasingly emphasized. Electronic health (eHealth) services such as patient accessible electronic health records (PAEHRs) have been implemented to support patient participation. Little is known about practical use of PAEHR and its effect on roles of doctors and patients. Objective: This qualitative study aimed to investigate how physicians view the idea of patient participation, in particular in relation to the PAEHR system. Hereby, the paper aims to contribute to a deeper understanding of physicians’ constructions of PAEHR, roles in the doctor-patient relationship, and levels and limits of involvement. Methods: A total of 12 semistructured interviews were conducted with physicians in different fields. Interviews were transcribed, translated, and a theoretically informed thematic analysis was performed. Results: Two important aspects were identified that are related to the doctor-patient relationship: roles and involvement. The physicians viewed their role as being the ones to take on the responsibility, determining treatment options, and to be someone who should be trusted. In relation to the patient’s role, lack of skills (technical or regarding medical jargon), motives to read, and patients’ characteristics were aspects identified in the interviews. Patients were often referred to as static entities disregarding their potential to develop skills and knowledge over time. Involvement captures aspects that support or hinder patients to take an active role in their care. Conclusions: Literature of at least two decades suggests an overall agreement that the paternalistic approach in health care is inappropriate, and a collaborative process with patients should be adopted. Although the physicians in this study stated that they, in principle, were in favor of patient participation, the analysis found little support in their descriptions of their daily practice that participation is actualized. As seen from the results, paternalistic practices are still present, even if professionals might not be aware of this. This can create a conflict between patients who strive to become more informed and their questions being interpreted as signs of critique and mistrust toward the physician. We thus believe that the full potential of PAEHRs is not reached yet and argue that the concept of patient empowerment is problematic as it triggers an interpretation of “power” in health care as a zero-sum, which is not helpful for the maintenance of the relationship between the actors. Patient involvement is often discussed merely in relation to decision making; however, this study emphasizes the need to include also sensemaking and learning activities. This would provide an alternative understanding of patients asking questions, not in terms of “monitoring the doctor” but to make sense of the situation.

  • 31. Gustafson, P.
    et al.
    Ahlberg, J.
    Ekstedt, Mirjam
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Systemsäkerhet och organisation. Karolinska Institutet, Sweden.
    Lindh, M.
    Härenstam, K. P.
    Rutberg, H.
    Säkrare svensk sjukvård kräver sammanhållet och uthålligt arbete2015Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112, nr 25-26Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Despite a development in Swedish patient safety work in recent years, unambiguous results are missing. Here we propose some activities that will result in improved patient safety. Patients and employees are a strong driving force, and should be given a more important role. The level of education in patient safety must be raised in all levels in the system. Efective systems for learning, sharing and follow-up need to be reinforced. The understanding on how the health-care system adapts to varying circumstances, resilience, needs development. The knowledge basis of what constitutes and creates safety in psychiatry, paediatric care, primary care, and in care of the elderly must be developed.

  • 32.
    Hansson, Sven Ove
    KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Filosofi och teknikhistoria, Filosofi.
    Medical Ethics and New Public Management in Sweden2014Inngår i: Cambridge Quarterly of Healthcare Ethics, ISSN 0963-1801, E-ISSN 1469-2147, Vol. 23, nr 3, s. 261-267Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In order to shorten queues to healthcare, the Swedish government has introduced a yearly "queue billion" that is paid out to the county councils in proportion to how successful they are in reducing queues. However, only the queues for first visits are covered. Evidence has accumulated that queues for return visits have become longer. This affects the chronically and severely ill. Swedish physicians, and the Swedish Medical Association, have strongly criticized the queue billion and have claimed that it conflicts with medical ethics. Instead they demand that their professional judgments on priority setting and medical urgency be respected. This discussion provides an interesting illustration of some of the limitations of new public management and also more generally of the complicated relationships between medical ethics and public policy.

  • 33.
    Hidefjäll, Patrik
    KTH, Skolan för teknik och hälsa (STH).
    Ensuring The Value Of A Medical Device Innovation Prior To Market Launch2012Inngår i: Value in Health, ISSN 1098-3015, E-ISSN 1524-4733, Vol. 15, nr 7, s. A490-A490Artikkel i tidsskrift (Annet vitenskapelig)
  • 34.
    Hidefjäll, Patrik
    KTH, Skolan för teknik och hälsa (STH).
    Stakeholder Involvement In Health Technology Assessment (HTA) Of Novel Medical Devices2012Inngår i: Value in Health, ISSN 1098-3015, E-ISSN 1524-4733, Vol. 15, nr 7, s. A324-A324Artikkel i tidsskrift (Annet vitenskapelig)
  • 35.
    Howick, Jeremy
    et al.
    University of Oxford.
    Mebius, Alexander
    Filosofi och historia, KTH, Skolan för arkitektur och samhällsbyggnad (ABE), Filosofi och teknikhistoria, Filosofi. University of Oxford, UK.
    Randomized trials and observational studies: the current philosophical controversy2016Inngår i: Handbook of the Philosophy of Medicine / [ed] Schramme, Thomas and Steven Edwards, Springer, 2016, s. 873-886Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    The supposed superiority of randomized over non-randomized studies is used to justify claims about therapeutic effectiveness of medical interventions and also inclusion criteria for many systematic reviews of therapeutic interventions. However, the view that randomized trials provide better evidence has been challenged by philosophers of science. In addition, empirical evidence for average differences between randomized trials and observational studies (which we would expect if one method were superior) has proven difficult to find. This chapter reviews the controversy surrounding the relative merits of randomized trials and observational studies. It is concluded that while (well-conducted) observational can often provide the same level of evidential support as randomized trials, merits of (well-conducted) randomized trials warrant claims about their superiority, especially where results from the two methods are contradictory.

  • 36. Kondori, F. A.
    et al.
    Liu, L.
    Li, Haibo
    KTH, Skolan för datavetenskap och kommunikation (CSC), Medieteknik och interaktionsdesign, MID.
    Telelife: An immersive media experience for rehabilitation2014Inngår i: 2014 Asia-Pacific Signal and Information Processing Association Annual Summit and Conference, APSIPA 2014, IEEE conference proceedings, 2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In recent years, emergence of telerehabilitation systems for home-based therapy has altered healthcare systems. Telerehabilitation enables therapists to observe patients status via Internet, thus a patient does not have to visit rehabilitation facilities for every rehabilitation session. Despite the fact that telerehabilitation provides great opportunities, there are two major issues that affect effectiveness of telerehabilitation: relegation of the patient at home, and loss of direct supervision of the therapist. Since patients have no actual interaction with other persons during the rehabilitation period, they will become isolated and gradually lose their social skills. Moreover, without direct supervision of therapists, rehabilitation exercises can be performed with bad compensation strategies that lead to a poor quality recovery. To resolve these issues, we propose telelife, a new concept for future rehabilitation systems. The idea is to use media technology to create a totally new immersive media experience for rehabilitation. In telerehabilitation patients locally execute exercises, and therapists remotely monitor patients' status. In telelife patients, however, remotely perform exercises and therapists locally monitor. Thus, not only telelife enables rehabilitation at distance, but also improves the patients' social competences, and provides direct supervision of therapists. In this paper we introduce telelife to enhance telerehabilitation, and investigate technical challenges and possible methods to achieve telelife.

  • 37.
    Kondori, Farid Abedan
    et al.
    Umea Univ, Dept Appl Phys & Elect, Umea, Sweden..
    Liu, Li
    Umea Univ, Dept Appl Phys & Elect, Umea, Sweden..
    Li, Haibo
    KTH, Skolan för elektroteknik och datavetenskap (EECS), Medieteknik och interaktionsdesign, MID.
    Telelife: An Immersive Media Experience for Rehabilitation2014Inngår i: 2014 ASIA-PACIFIC SIGNAL AND INFORMATION PROCESSING ASSOCIATION ANNUAL SUMMIT AND CONFERENCE (APSIPA), IEEE , 2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In recent years, emergence of telerehabilitation systems for home-based therapy has altered healthcare systems. Telerehabilitation enables therapists to observe patients status via Internet, thus a patient does not have to visit rehabilitation facilities for every rehabilitation session. Despite the fact that telerehabilitation provides great opportunities, there are two major issues that affect effectiveness of telerehabilitation: relegation of the patient at home, and loss of direct supervision of the therapist. Since patients have no actual interaction with other persons during the rehabilitation period, they will become isolated and gradually lose their social skills. Moreover, without direct supervision of therapists, rehabilitation exercises can be performed with bad compensation strategies that lead to a poor quality recovery. To resolve these issues, we propose telelife, a new concept for future rehabilitation systems. The idea is to use media technology to create a totally new immersive media experience for rehabilitation. In telerehabilitation patients locally execute exercises, and therapists remotely monitor patients' status. In telelife patients, however, remotely perform exercises and therapists locally monitor. Thus, not only telelife enables rehabilitation at distance, but also improves the patients' social competences, and provides direct supervision of therapists. In this paper we introduce telelife to enhance telerehabilitation, and investigate technical challenges and possible methods to achieve telelife.

  • 38.
    Lagerstedt, Marianne
    KTH, Skolan för teknik och hälsa (STH), Medicinsk teknik.
    Mot nätverkssjukvård i komplex miljö: - behov av en vetenskaplig syn på ledning för säker vård och effektiv resursanvändning2016Doktoravhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    Since 2008 advanced home healthcare agencies (ASiH) in a larger Swedish county council has underwent a transformation, to become part of a coming concept: networked healthcare (NVS). NVS means that intermediate multi-organizational healthcare (IMV) will be produced often in the home, and from 2013 to an increasing number of patients in different age groups with different diagnoses and medical conditions - in large variability of needs. At the same time IMV has proved to be not simply practical to implement in a resource-efficient and patientsafe way. Based on theories from Command and Control Science the safetyproblem that arise in connection with IMV is a sign of the less known increasing need of the direction and coordination support that IMV requires.

    With a casestudy based research approach with interactive elements, different qualitative methods has been used in two phases between 2008 - 2013. The first phase is characterized by a phenomenological approach, while the second phase has a critical hermeneutic approach. Research methods includes fieldvisits with informal discussions, in-depth interviews, validation with respondents and two different methodologies for textanalysis.

    The main result shows that practical aggravating circumstances for safe care consists of lesser known and from 2013 increasing problems with direction and coordination, through expanded advanced IMV in the home as a part of NVS concept. This also as a result of inadequate and inappropriate direction and coordination support for IMV.

    The thesis concludes that the NVS represents a resource intensive health care concept, which requires a new view on the management issue and a network-related methodology for direction and coordination. This is to promote ethical, equitable, patientsafe and dignified advanced IMV so an optimized use of resources can be implemented, through shared responsibility and coordination in patientuniquely designed networkconstellations as a given work model.

  • 39.
    Larsson, Tore J
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Accident information and priorities for injury prevention1990Doktoravhandling, med artikler (Annet vitenskapelig)
  • 40.
    Larsson, Tore J
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Occupational Trauma: Measurement, intervention and control1999Inngår i: Work Life 2000 Conference: Invited paper, Springer , 1999, s. 164-182Konferansepaper (Fagfellevurdert)
  • 41.
    Larsson, Tore J
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Safety Management - Technology and health: Invited keynote lecture2004Inngår i: Health and Safety at Public Works, 2004Konferansepaper (Fagfellevurdert)
  • 42.
    Larsson, Tore J
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    The Politics of Risk2007Konferansepaper (Fagfellevurdert)
  • 43.
    Larsson, Tore J
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    To target prevention and support the management of occupational risk: Invited Keynote Lecture2005Inngår i: Bold Perspectives, Shared Objectives, 2005Konferansepaper (Fagfellevurdert)
    Abstract [en]

    ABSTRACT

    The prevention of occupationally related trauma and disease requires reliable measurement systems in order to target the relevant exposures and injury problems and prioritise resources. Social and workers' compensation insurance data, with exposure, coverage, accident process, medical severity and other outcome information, represents the most credible basis for decisions on preventative action.

    The registration and measurement system for occupational trauma and disease, based on the ACC New Zealand paradigm, has been developed by the Swedish Labour Market Insurances, and is also the basis for the new EU occupational injury registration system

    Some different target areas for occupational injury prevention, and examples of successful intervention activities, are reported from Swedish and Australian systems.

    To support the industrial management of safety requires good and industry-relevant measurement systems for occupational risk and the consequences of occupational trauma and disease. The development of such specific recording and measurement systems in Swedish branches of industry is based on union-employer consensus about occupational risk and a joint approach to safety management. Aggregate statistical information is of limited use for applied prevention; the accident and injury data must be more specific and detailed in order to be turned into credible decision support systems (DSS).

    Some different examples of industry-based safety management and decision support systems from Sweden are presented.

    Results from a study on the relation between best-of-sector industrial safety management and shareholder value on the ASX are also presented.

    1

  • 44.
    Larsson, Tore J
    et al.
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Normark, M
    AFA Insurances Sweden.
    Oldertz, Cecilia
    AFA Insurances Sweden.
    Tezic, K
    AFA Insurances Sweden.
    Allvarliga arbetsskador och långvarig sjukfrånvaro 2011: Severe work-related injury and long-term absence from work in 2011 (In Swedish)2011Rapport (Annet vitenskapelig)
  • 45.
    Larsson, Tore J
    et al.
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Oldertz, Cecilia
    AFA Insurances, Sweden.
    Hazardous Exposures and Injury Types Associated with the Use of Industrial Lift Trucks in Sweden 2005-20072011Inngår i: Safety Science Monitor, ISSN 1443-8844, Vol. 15, nr 3Artikkel i tidsskrift (Fagfellevurdert)
  • 46.
    Larsson, Tore J
    et al.
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB.
    Wilson, Kay
    Centralgalaxen Bygg, Sweden.
    Leray, Henri
    Centralgalaxen Bygg, Sweden.
    The Challenge of Health and Safety Promotion at Work: Balance training for fitness and falls prevention among Swedish construction workers2010Inngår i: Safety Science Monitor, ISSN 1443-8844, Vol. 14, nr 2Artikkel i tidsskrift (Fagfellevurdert)
  • 47.
    Larsson, Tore Johan
    et al.
    KTH, Skolan för teknik och hälsa (STH), Centra, Centrum för hälsa och byggande, CHB. KTH, Skolan för teknik och hälsa (STH), Design, arbetsmiljö, säkerhet och hälsa, DASH.
    Hagvide, Mona-Lisa
    Svanborg, Maria
    Borell, Lena
    Falls prevention through community intervention: A Swedish example2009Inngår i: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 48, nr 2, s. 204-208Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In order to control and reduce fall-related injuries, particularly among women over the age of 55, a safety management and falls prevention campaign was structured and implemented during 2006-2007 in the small industrial town of Sodertalje, Sweden. A local campaign was launched to recruit falls prevention agents, to inform key target groups in the local community, and to educate older people about fall risks. A survey showed that the campaign had a greater impact among professionals with a special relation to fall risk than among the general population. Medical records were used in the evaluation of the outcomes. The results show that between 2005 and 2007 there was a drop of fractures related to falls in the council: an overall drop of 16.7% in the population; among men 55 or older a drop of 12%, among women 55 or older a drop of 15%, among home-dwelling women 55 or older a drop of 5.7% and among women in special accommodation a drop of 44.4%. Expressed in terms of years lost to disability (YLD), the overall drop in hip fractures treated at the local hospital between 2005 and 2007 was 48%. A comparison with National medical records for the same period shows the drop for the intervention area to be much larger than that for Sweden as a whole, although the effect was not statistically significant. The study demonstrates the advantages of a broad, community-based approach to injury prevention.

  • 48.
    Laya, Andrés
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikationssystem, CoS, Radio Systems Laboratory (RS Lab).
    Challenges Adopting Internet-of-Things for Healthcare in SwedenManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    PURPOSE: To review how public and private organizations innovate at the convergence of the ICT and the healthcare industries with services based on connected devices in Sweden.

     

    DESIGN/METHODOLOGY/APPROACH: Country case study, using aggregation of primary and secondary data about challenges associated to the adoption of new solutions in the public health and social care systems; taking a business ecosystem approach.

     

    FINDINGS: There are four key challenges affecting innovation based on connected devices and distinctive development patterns of services based on connected devices. For each development pattern, the paper identifies different ways to handle the existing challenges, and it is followed by different types of actors in the business ecosystem.

     

    ORIGINALITY/VALUE: The key contribution of this study is to show how innovative initiatives are addressing the existing challenges by following one of the three distinctive development patterns in Sweden—the public sector, the private sector, or the wellbeing sector.

  • 49.
    Laya, Andrés
    et al.
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikationssystem, CoS, Radio Systems Laboratory (RS Lab).
    Markendahl, Jan
    KTH, Skolan för informations- och kommunikationsteknik (ICT), Kommunikationssystem, CoS, Radio Systems Laboratory (RS Lab).
    Lundberg, Stefan
    KTH, Skolan för teknik och hälsa (STH), Hälso- och systemvetenskap, Ergonomi.
    Network-Centric Business Models for Health, Social Care and Wellbeing Solutions in the Internet of ThingsManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    In this multiple case study we analyze solutions based on connected devices in the context of health, social care and wellbeing. Based on the consideration that a solution is a combination of services and products, we build on the notion that business models can be studied at a firm- and a network-level. These two levels are used to motivate the reasons why solutions emerging at the intersection of the healthcare and the ICT industries benefit from collaboration among different actors. We conclude that the firm- and the network-level development of business models provide alignment in the business network and are useful to establish the relation that technological component have with overall solutions. Our findings suggest that some component bring novelty in the final offer with affecting the ongoing operation, while other component aim at improving the internal working processes, with minimal effects on the final offer to end users. We discuss the benefits of a network-level perspective for each case.

  • 50.
    Lindblad, Marléne
    et al.
    KTH, Skolan för kemi, bioteknologi och hälsa (CBH).
    Flink, M.
    Ekstedt, M.
    Exploring patient safety in Swedish specialized home healthcare -an interview study with multidisciplinary teams and clinical managers.Manuskript (preprint) (Annet vitenskapelig)
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