The OIP is not the next ―silver bullet,‖ nor is it the goal of Ohio’s collective efforts. Rather, it is a prompt for a different and much needed kind of dialogue at all levels – one that can be used to focus and set boundaries for local conversation in ways that allow adults to make collective decisions about where to spend their time, energy and resources in making and sustaining improvements ...

The paper briefly reviews the difficulties encountered in achieving further major improvement in some aspects of the software evolution process. This may, it is suggested, be due, in part, to the fact that the global process is a complex, multi loop multilevel feedback system. After summarising the results of a 1970s study and the laws of software evolution that arose from it, the paper introdu...

The oil well drilling process is the selected representative of a challenging industrial process. The drilling process is becoming more complex as oil fields mature and technology evolves. At the same time, the amount of information is increasing in volume and frequency. Although technology is advancing, failures occur at almost the same rate as before, leading to loss of valuable time. Wheneve...

During a three-year period, Christiana Care has observed significant and sustained improvements in technology-enabled project outcomes. Just in the patient throughput area, Christiana Care has seen an 11 percent reduction in length of stay in the emergency department (ED), a 23 percent reduction in patients leaving ED without treatment and a 28 percent reduction in bed-clean turnaround time, al...