Performance indicators for the road sector
Seeing the trend for public accountability of road administrations and noting the many reform efforts undertaken in transport sectors around the world, the OECD established a Scientific Expert Group on Performance Indicators for the Road Sector in 1996 to provide its member countries a framework for assessing road administrations' performance. The results of the Expert Group's work is presented in this paper.Fifteen indispensable, forty primary, and thirty-five secondary indicators are proposed to portray the road sector from different perspectives. They are designed to be changed in response to human needs and technological development and supplemented by country specific indicators. In keeping with this approach and in support of one of the maxims of the Expert Group that 'useful performance indicators are those which are used', an application in the form of a Field Test is now in progress by an OECD task force.The Performance Indicators proposed are grounded in a mental model adopted by the Expert Group. This model is management by results model, and is useful as a theoretical tool in the many highly fluid contexts in which restructuring is moving forward. In the model, the products and services are judged by standards or criteria; outcomes – derivatives of products and services through user interface – are judged relative to objectives and user satisfaction. The achievement of objectives, however, is not proposed as the only or even primary basis of evaluation. The situation is more abstract and complex. Therefore, the various uses of Performance Indicators – including the opportunities to assist road administrations in becoming learning organizations – are given much emphasis in the paper. The views and conclusions in the paper are those of the author and should not be attributed to the World Bank or its affiliated organizations.
Management system for transport infrastructure
No network level management models have been developed for new investments in transportation facilities to improve access, increase capacity, or achieve socially desirable goals. Yet investment takes 40 to 80% of the road budget, and its share of other modes is not negligible. Two or three road network design models aimed at this objective have been proposed. A model is described having the dual objective of network design and comprehensive, multimodal transport investment. The proposed model suits the management structure and style of most transport agencies because it is based on hierarchical decision making and considers investment tradeoffs between regions, functional classes of roads, most important modes of transport, and other road expenditures. The model incorporates multiple criteria and multiple objectives, and it focuses comprehensively on policy rather than unimportant technical details of demand and supply models. These important attributes are lacking in other available transport investment models, which are either macroscopic or multimodal but not both.
Gross negligence ‘medical’ manslaughter in Ireland: Legal context and clinician concerns
In recent years, the prospect of the criminal prosecution of medical practitioners for patient safety incidents resulting in fatality which occur in the course of clinical practice has caused heightened anxiety among medical practitioners, particularly in England and Wales, where a number of high-profile cases have raised public consciousness of this issue. The full impact of this landscape on individual practitioners and the delivery of healthcare has yet to be ascertained, although research suggests that medical practice has been impacted. Of particular interest is the phenomenon of defensive medicine which occurs where physicians adopt assurance and/or avoidance behaviours in an attempt to minimise the risk of medical negligence litigation and/or to avoid complaints to regulatory bodies. While defensive medicine is traditionally conceived of in a civil context, the possibility of criminal prosecution for patient safety incidents resulting in fatality may also result in alterations to medical practice. Drawing on the findings of an empirical study (a survey), this research sought to explore the impact, if any, of the threat of criminal prosecution on surgical practice in the Republic of Ireland, including a potential rise in defensive practice.