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Improving Quality Assurance of Radiology Equipment Using Process Modelling and Multi-actor System Analysis / Förbättring av kvalitetsledning för radiologisk utrustning med hjälp av processmodellering och multi-aktör systemanalysDashti, David January 2021 (has links)
With the introduction of RIS and PACS technologies in clinical radiology, the field has become increasingly technology dependent. The quality assurance in radiology have however yet to catch on. With many quality assurance programs mainly focusing on the clinical side of radiology whilst little attention is paid to the technical aspects. This thesis serves to change that, by investigating quality assurance of radiology equipment in the workflow of hospital physicists and biomedical engineers at Södersjukhuset emergency hospital. To improve said workflows, process modelling and multi-actor system analysis was utilized in combination with the on-site inventory system Medusa. In order to model the workflows, the process modelling technique flowchart was used. To add additional information into the flowcharts, multi-actor system analysis was employed. This was done for the workflow of both scheduled and unscheduled maintenance of radiology equipment. Initially resulting in a pair of pre-study models which modelled the after the existing workflows. From said pair of pre-study models, both redundancies and main objectives for improvement were deduced. This in combination with an extensive semistructured literature review, led to a list of requirements. Two pairs of improved models were then created with the list of requirements in mind. All the models were then evaluated, including the pair of pre-study models, in workshops held with hospital physicists, biomedical engineers and respective leadership staff. These workshops contained both an open discussion and a questionnaire, asking the participants to rate the alignment of the models with the different requirements in the list. Based on the results from the workshops, one of the proposed pairs of improved models were then chosen as the final solution of an improved workflow. A workflow in which redundancies were reduced, traceability capabilities added in form of digital storage, and alignment with legislative demands from SSM assured. A step in the digitalization of Södersjukhuset. Utilizing digital technology to improve quality assurance in the workflow of radiology equipment. / I samband med introduktionen av RIS och PACS teknologi i klinisk radiologi, så har fältet blivit mer teknikdrivet. Kvalitetledning av radiologisk utrustning har däremot inte förändrats. Då de flesta kvalitetslednings program har primärt fokus på den kliniska sidan av radiologi och förbiser de tekniska aspekterna. Detta examensarbete försöker bemöta detta, genom att utreda kvalitetsledningen av radiologisk utrustning hos arbetsflödena av sjukhusfysiker och medicintekniska ingenjörer på Södersjukhuset. För att förbättra arbetsflödena, så användes processmodellering och analys av multi-aktörsystem i kombination med det lokala inventariesystemet Medusa. För att skapa en modell av arbetsflödet så användes processmodelleringstekniken flowchart. För att lägga till ytterligare information i flödena så utfördes en multi-aktörsystem analys. Detta utfördes för både förebyggande- och avhjälpande underhåll av radiologisk utrustning. Vilket resulterade i ett par av förstudiemodeller som modellerade det nuvarande arbetsflödet. Baserat på detta par av förstudiemodeller, så kunde både överflödigheter och huvudsakliga förbättringsmål härledas. Detta i kombination med en semistrukturerad litteraturundersökning, ledde till en lista med krav på modellerna. Sedan så skapades två par av modeller som förslag till förbättrat arbetsflöde, baserat på listan med krav. För att utvärdera alla modeller, inklusive förstudiemodellerna, så hölls workshops med sjukhusfysiker, medicintekniska ingenjörer och respektive chefspersonal. Dessa workshops innehöll både en öppen diskussion och ett formulär, som bad deltagarna att utvärdera de olika paren av modeller gentemot de olika kraven som hade formulerats i listan. Baserat på resultaten från dessa workshops, så valdes en av de två förslagna paren av modeller för förbättrat arbetsflöde, som en slutgiltig lösning. Ett arbetsflöde där överflödigheter har motarbetats, spårbarhet förbättrats med hjälp av digital lagring, och sammanstämning med regulatoriska krav från SSM har säkerställts. Ett steg i digitaliseringen av Södersjukhuset, genom att utnyttja digital teknik för att förbättra kvalitetledningen av radiologisk utrustning.
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TraceME: Traceability-based Method for Conceptual Model EvolutionRuiz Carmona, Luz Marcela 23 May 2016 (has links)
[EN] Renewing software systems is one of the most cost-effective ways to protect software investment, which saves time, money and ensures uninterrupted access to technical support and product upgrades. There are several motivations to promote investment and scientific effort for specifying systems by means of conceptual models and supporting its evolution. In order to contribute to the requirements engineering field with automated software production methods, we design TraceME to cover the spectrum of activities from requirements to code focusing on organisational evolution. In this sense, the spectrum of activities involves various information system perspectives of analysis that need to be integrated. In this complex setting, traceability and conceptual models are key concepts. Mechanisms to trace software specifications from requirements to code are important to justify evolution processes; versions of information systems should be traced in order to get the connection between old and new specifications. Moreover, it is necessary to find mechanisms to facilitate change specifications, measurement, and interpretation.
To design this thesis we follow Design Science by Roel Wieringa. Design Science gives us the hints on how to conduct the research, be rigorous, and put in practice scientific rules. Besides Design Science has been a key factor for structuring our research, we acknowledge the application of this framework since it has helps us to report clearly our findings.
We build TraceME by making a method engineering effort, which shapes its fragmented nature in chunks. The architecture of TraceME opens a wide window of opportunities for its application in real world situations. To facilitate industrial adoption, we develop open source tools to support the implementation of the TraceME chunks. For example, one case study and one action-research protocols have been executed in two different organisations in Spain.
The validation of TraceME has taken place in laboratory demonstrations, controlled experiments, action research and case study experiences in industry. Thanks to the validations various lessons learnt have been gathered and greatly influenced the maturity of the method. For example: the importance to consider end-users' perceptions for discovering needs to mitigate, and the significance to get knowledge from the application of TraceME in different contexts. The evidences from the validations demonstrate that TraceME is feasible to be applied to support evolution projects. In addition, future research is needed for promoting the implementation of TraceME. We envision short term and future-term work that motivate us to tackle the challenge to support evolution projects. / [ES] La evolución de sistemas software es una de las actividades mas importantes que permiten minimizar el tiempo de puesta en producción de actualizaciones y nuevos desarrollos, reducir los costos que implica desarrollar una aplicación desde cero, y además asegura el acceso ininterrumpido de servicios.
Existen variadas motivaciones para promover la investigación y desarrollo de soluciones para especificar y evolucionar sistemas de información mediante modelos conceptuales. Para contribuir al campo de la ingeniería de requisitos con métodos automáticos de producción de software, hemos diseñado el método TraceME para cubrir el espectro de actividades desde requisitos a código con un enfoque de evolución organizacional. De este modo, el espectro de actividades involucra diferentes perspectivas de análisis de sistemas de información que necesitan ser integradas. En este escenario tan complejo, la trazabilidad y los modelos conceptuales son conceptos clave. Es necesario disponer de mecanismos para trazar especificaciones de software desde requisitos a código con el fin de justificar procesos de evolución. Las versiones de los sistemas de información deben ser trazables con el fin de establecer la conexión entre especificaciones obsoletas y actuales. Adicionalmente, es necesario encontrar mecanismos para facilitar la especificación del cambio, su medición e interpretación.
Para diseñar esta tesis hemos seguido el marco de Design Science de Roel Wieringa. Design Science nos ha proporcionado las claves para conducir esta investigación, ser rigurosos y poner en práctica reglas científicas. Además de que Design Science ha sido un factor clave para estructurar nuestra investigación, reconocemos que la aplicación de este marco nos ha ayudado a reportar claramente nuestros hallazgos.
Hemos aplicado ingeniería de métodos para diseñar y construir TraceME. Gracias a esto, la naturaleza de TraceME es conformada mediante fragmentos de método. La arquitectura de TraceME abre una amplia ventana de oportunidades para su aplicación en situaciones de la vida real. Para facilitar la adopción industrial de TraceME, hemos desarrollado herramientas de software libre para dar soporte a los fragmentos de TraceME. Por ejemplo, un caso de estudio y una experiencia de action research han sido ejecutadas en dos organizaciones en España.
La validación de TraceME ha sido llevada a cabo mediante demostraciones de laboratorio, experimentos controlados, un caso de estudio y una experiencia de action research en industria. Como resultado, TraceME ha sido mejorado considerablemente; además hemos descubierto investigaciones a realizar a corto, mediano y largo plazo con el fin de implementar TraceME en la industria. Las evidencias obtenidas como resultado de las validaciones demuestra la factibilidad de TraceME para ser aplicado en proyectos de evolución organizacional. El trabajo futuro nos motiva a afrontar los retos que conlleva el soporte de proyectos de evolución de sistemas de información. / [CA] L'evolució dels sistemes programari és una de les activitats més importants que permeten minimitzar el temps de posada en producció d'actualitzacions i nous desenvolupaments, reduir els costos que involucra desenvolupar una aplicació des de cero, a més d' assegurar l'accés ininterromput de serveis.
Existixen diverses motivacions per promoure la investigació i desenvolupament de solucions per a especificar i evolucionar sistemes de informació mitjançant models conceptuals. Per tal de contribuir al camp de l'enginyeria de requisits amb mètodes automàtics de producció de programari, hem dissenyat el mètode TraceME per cobrir l'espectre d'activitats des de requisits a codi en un enfocament d'evolució organitzacional. Així, l'espectre d'activitats involucra diferents perspectives d'anàlisi de sistemes d'informació que necessiten ser integrades. En aquest escenari tan complex, la traçabilitat i els models conceptuals són conceptes clau. És necessari disposar de mecanismes per traçar especificacions de programari des de requisits a codi amb la fi de justificar processos d'evolució. Les versions dels sistemes d'informació deuen ser traçables amb la fi d'establir la connexió entre especificacions obsoletes i actuals. Addicionalment, és necessari trobar mecanismes per facilitar l'especificació del canvi, la seua mesura i interpretació.
Per tal de dissenyar aquesta tesi, hem seguit el marc de Design Science de Roel Wieringa. Design Science ens ha proporcionat les claus per conduir aquesta investigació, ser rigorosos i posar en pràctica regles científiques. A més a més, Design Science ha sigut un factor clau per estructurar la nostra investigació, reconeixem que l'aplicació de aquest marc ens a ajudat a reportar clarament els nostres resultats.
Hem aplicat enginyeria de mètodes per dissenyar i construir TraceME. Gràcies a açò, la natura de TraceME es conforma mitjançant fragments de mètodes. L'arquitectura de TraceME obri una ampla finestra d'oportunitats per a la seua aplicació en situacions de la vida real. Per facilitar l'adopció industrial de TraceME, hem desenvolupat ferramentes de programari lliure per tal de donar suport als fragments de TraceME. Per exemple, un cas d'estudi i una experiència de action research han sigut executades en dos organitzacions a Espanya.
La validació de TraceME ha sigut portada a cap mitjançant demostracions de laboratori, experiments controlats , un cas d'estudi i una experiència de action research en l'industria. Com a resultat, TraceME ha sigut millorada considerablement; a més a més, hem descobert investigacions a realitzar a curt, mig i llarg termini amb la fi d'implementar TraceME a l'industria. Les evidències obtingudes com a resultat de les validacions, demostren la factibilitat de TraceME per ser aplicat en projectes d'evolució organitzacional. El treball futur presenta nous reptes que ens motiven a afrontar el suport de projectes d'evolució de sistemes d'informació. / Ruiz Carmona, LM. (2016). TraceME: Traceability-based Method for Conceptual Model Evolution [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/64553
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Towards a reusable process model structure for higher education institutionsVan der Merwe, Aletta Johanna 30 June 2005 (has links)
One of the tools used during re-engineering of an environment is the process model as modelling
tool. The identification of process models within an institution is a difficult and tedious task. A problem is that often process model structures is identified for one specific project and not stored for future reuse. The ideal for institutions is to reuse process model structures within the institution. This study focused on the generic structures within the higher education application domain where the hypothesis for this study was that a generic educational process model structure for higher education institutions can be established; a process management flow procedure can be used to manage the flow within an educational process model; and that aneducational process model can be stored and reused in re-engineering efforts.
The study was divided into three research questions, where the first focused on the identification of generic process model structures, the second on the usability of the process model structures within a re-engineering effort, and the last on the preservation of a process model structure. For the first research question, the identification of process model structures, three institutions were used for data collection. It was necessary to develop a requirements elicitation procedure for data collection. The structure derived was confirmed at a fourth institution. For the second research question, which focuses on the usability of process model structures, an ordinal measurement was defined to measure the usefulness of the process model structures in a reengineering
effort. A re-engineering procedure was developed for re-engineering the application domain, called the process management flow procedure, and used for a re-engineering effort at
one institution. Lastly, for the third research question the preservation of the process model
structures, the abstraction of the process model structure was investigated as well as the
feasibility of implementing the process model structures physically using existing repository
software.
The conclusion after the investigation of the three research questions was that the hypothesis
was confirmed that there is indeed a set of process model structures within the higher education institution that are generic, preservable and reusable in a re-engineering effort. / Computing / Ph. D. (Computer Science)
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Towards a reusable process model structure for higher education institutionsVan der Merwe, Aletta Johanna 30 June 2005 (has links)
One of the tools used during re-engineering of an environment is the process model as modelling
tool. The identification of process models within an institution is a difficult and tedious task. A problem is that often process model structures is identified for one specific project and not stored for future reuse. The ideal for institutions is to reuse process model structures within the institution. This study focused on the generic structures within the higher education application domain where the hypothesis for this study was that a generic educational process model structure for higher education institutions can be established; a process management flow procedure can be used to manage the flow within an educational process model; and that aneducational process model can be stored and reused in re-engineering efforts.
The study was divided into three research questions, where the first focused on the identification of generic process model structures, the second on the usability of the process model structures within a re-engineering effort, and the last on the preservation of a process model structure. For the first research question, the identification of process model structures, three institutions were used for data collection. It was necessary to develop a requirements elicitation procedure for data collection. The structure derived was confirmed at a fourth institution. For the second research question, which focuses on the usability of process model structures, an ordinal measurement was defined to measure the usefulness of the process model structures in a reengineering
effort. A re-engineering procedure was developed for re-engineering the application domain, called the process management flow procedure, and used for a re-engineering effort at
one institution. Lastly, for the third research question the preservation of the process model
structures, the abstraction of the process model structure was investigated as well as the
feasibility of implementing the process model structures physically using existing repository
software.
The conclusion after the investigation of the three research questions was that the hypothesis
was confirmed that there is indeed a set of process model structures within the higher education institution that are generic, preservable and reusable in a re-engineering effort. / Computing / Ph. D. (Computer Science)
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