Developing transboundary river basin monitoring programmes using the DPSIR indicator framework.

Policymakers are often dissatisfied by the lack of what they consider useful information to support water management. Analysis of this 'water information gap' shows that this is caused by a lack of proper communication between information users and information producers. To improve this communication the process of specification of information needs has been structured. Earlier experiences showed that this not only entailed developing a structure to manage the process, but also developing a structure to guide the breakdown of policy objectives into information needs. Such a structure to organise the problem supports policy makers and monitoring specialists in their communication. This paper describes three pilot projects where the DPSIR indicator framework was used to organise the problem. It is concluded that the DPSIR framework is useful for improving the communication between information users and information producers and is helpful in breaking down policy objectives into information needs in a structured way. The structured approach in this way assists in narrowing the water information gap. Use of the DPSIR framework however leads to a bias towards water management problems and does not provide for all the relevant information needs.

A methodology to bridge the water information gap.

The metaphor of the water information gap is used to describe the discontent between information users and information producers about the use of and need for specific information. This paper describes the rugby-ball methodology for specification of information needs that was developed on the basis of an analysis of the water information gap and insights from the literature on policy- and decision-analysis, problem-structuring, and information management. The methodology consists of a process-architecture to manage the process of assessing information needs and a structure to organise the information needs related to water policy objectives. The methodology was developed and enhanced through a Reflection-in-Action process in which interaction between ideas and practice leads to improved results. The paper describes the methodology and its development, and concludes both on the development process and on the abilities of the methodology to narrow the water information gap.

Specifying information needs for Dutch National Policy evaluation.

There is mutual dissatisfaction among policy makers and monitoring specialists about producing what is considered useful information for policy development, implementation and evaluation. Insufficient or inappropriate communication between information users and producers is considered to be a main cause for this water information gap. This paper tests the rugby-ball methodology that has been designed to bridge the gap. The rugby-ball methodology consist of a five step plan that helps policy makers and monitoring specialists to communicate in a proper way and to come to a joint process of defining information needs. The methodology is first tested in a study to assess the information needs for the 4th National Policy Document on Water Management in the Netherlands. From the study it is concluded that the rugby-ball methodology is an important step in bridging the water information gap by better defining what useful information is. The methodology is also improved on the basis of this study by including a structure to support the breakdown of policy objectives into information needs.

Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.

CONTEXT: Health care applications of autoidentification technologies, such as radio frequency identification (RFID), have been proposed to improve patient safety and also the tracking and tracing of medical equipment. However, electromagnetic interference (EMI) by RFID on medical devices has never been reported. OBJECTIVE: To assess and classify incidents of EMI by RFID on critical care equipment. DESIGN AND SETTING: Without a patient being connected, EMI by 2 RFID systems (active 125 kHz and passive 868 MHz) was assessed under controlled conditions during May 2006, in the proximity of 41 medical devices (in 17 categories, 22 different manufacturers) at the Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands. Assessment took place according to an international test protocol. Incidents of EMI were classified according to a critical care adverse events scale as hazardous, significant, or light. RESULTS: In 123 EMI tests (3 per medical device), RFID induced 34 EMI incidents: 22 were classified as hazardous, 2 as significant, and 10 as light. The passive 868-MHz RFID signal induced a higher number of incidents (26 incidents in 41 EMI tests; 63%) compared with the active 125-kHz RFID signal (8 incidents in 41 EMI tests; 20%); difference 44% (95% confidence interval, 27%-53%; P < .001). The passive 868-MHz RFID signal induced EMI in 26 medical devices, including 8 that were also affected by the active 125-kHz RFID signal (26 in 41 devices; 63%). The median distance between the RFID reader and the medical device in all EMI incidents was 30 cm (range, 0.1-600 cm). CONCLUSIONS: In a controlled nonclinical setting, RFID induced potentially hazardous incidents in medical devices. Implementation of RFID in the critical care environment should require on-site EMI tests and updates of international standards.

Value functions for environmental pollutants: A technique for enhancing the assessment of expert judgements.

This paper presents a new procedure to assess value functions for environmental pollutants. It has been particularly designed for eliciting expert-based value functions for pollutant substances. The main features of the model are the possibility to integrate direct and indirect assessment techniques, the possibility to make explicit assessment uncertainties and to avoid forcing quantitative judgements. The main aim of the procedure is to improve the reliability of the assessment but also to make the expert's task easier by using qualitative judgements more frequently. The procedure has been developed especially for soil pollutants, for which an application is described.