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Abuhussain, M (2020) An assessment of the Saudi Residential Buildings Envelope Code under the current and future climate change scenarios: the case for Jeddah in the hot and humid climate region, Unpublished PhD Thesis, , University of Liverpool.

Akade, S A (2017) Understanding the impact of culture on project execution in a developing country: an action research study of six international oil and gas companies in Nigeria, Unpublished PhD Thesis, School of Management, University of Liverpool.

Akinnola, P (2021) Improving project performance on construction projects through stakeholder management-an action research inquiry, Unpublished PhD Thesis, , University of Liverpool.

Aksenova, G (2020) The dark side of ecosystem orchestration: an empirical investigation of building information management in the digital built environment sector, Unpublished PhD Thesis, , University of Liverpool.

Al Hawsah, M O (2020) The impact of project sponsors' decisions on the success of projects: An action research study, Unpublished PhD Thesis, , University of Liverpool.

Al-Ashaikh, M H (1996) Project management in the public sector of Saudi Arabia, problems and solutions, Unpublished PhD Thesis, , University of Liverpool.

Al-Gathafi, M M (2005) Riskness of time and cost overruns and the effectiveness of risk response measure strategies in the Libyan construction industry, Unpublished PhD Thesis, Department of Architecture and Building Engineering, University of Liverpool.

Al-Hachami, Z (2020) Decision making in the oil and gas construction project management: structured VS discretionary, Unpublished PhD Thesis, , University of Liverpool.

Al-Omari, T (2004) Stochastic regression modelling of cost and duration overrun of construction projects implemented in Kuwait, Unpublished PhD Thesis, Department of Architecture and Building Engineering, University of Liverpool.

Alattyih, W (2015) Value creation and risk assessment for green building design in Saudi Arabia, Unpublished PhD Thesis, , University of Liverpool.

Aljarman, M (2016) Emerging risk from the application of building information modelling through the life cycle of projects, Unpublished PhD Thesis, Department of Architecture, University of Liverpool.

Alzaed, A (2012) User centered passive building design, Unpublished PhD Thesis, School of Architecture, University of Liverpool.

Alzahrani, A (2015) Uncovering the emerging risks from climate change scenarios and related climate change risk management in the building sector in the UK, Unpublished PhD Thesis, , University of Liverpool.

Alzahrani, S (2015) Dynamic simulation of the impact of risk events and risk cost in KSA PPP projects, Unpublished PhD Thesis, School of Engineering, University of Liverpool.

Bassanino, M N (1999) The perception of computer generated architectural images, Unpublished PhD Thesis, , The University of Liverpool (United Kingdom).

Binsarra, F A (2016) Uncovering the structure and the dynamic of information propagation in building, Unpublished PhD Thesis, School of Architecture, University of Liverpool.

Blyth, K A (2002) A computer model that forecasts the cash flow of building projects at the tender stage using stage payments, Unpublished PhD Thesis, School of Architecture and Building Engineering, University of Liverpool.

Elhag, T M S (2004) Tender price modelling: artificial neural networks and regression techniques, Unpublished PhD Thesis, School of Architecture & Building Engineering, University of Liverpool.

Evans, R C (2002) Dynamic cash flow forecasting model for construction contractors, Unpublished PhD Thesis, Department of Architecture and Building Engineering, University of Liverpool.

Feldbauer, R R (2019) Mindful project management: a framework to enhance underperformance managing large hospital builds by incorporating principles adapted from High Reliability Organizations, Unpublished PhD Thesis, School of Management, University of Liverpool.

  • Type: Thesis
  • Keywords: action research; construction project; healthcare; hospital; liability; nuclear power; professional; project management; quantitative analysis; reliability; replacement; safety; skills
  • ISBN/ISSN:
  • URL: https://doi.org/10.17638/03043721
  • Abstract:
    The aim of this research is to present and discuss enhancing management of complex hospital construction builds by adapting mindful principles found in High Reliability Organizations (HRO) as soft skills to supplement traditional project management tools and techniques. Significant hospital building construction projects to support initiatives such as improving and replacing aging facilities, improving patient access, adding new technology and services, increasing market share, etc., has resulted in seemingly unabated hospital construction with $1 billion+ projects becoming commonplace worldwide (Robeznieks, 2010). For example, multiple hospital systems across the globe have $1 billion+ (US dollars) hospital new construction, with two recently announced expansions in excess of $2 billion+ (Paavola, 2017). This researcher recently worked for a 12-hospital healthcare system in the Middle East that had three separate $1billion+ replacement hospital builds under construction simultaneously. These large building projects have become a global challenge for healthcare organizations, as significant cost overruns and considerable schedule delays, among other issues, has resulted in far too many being seen as ineffectively managed by the organization. A survey of US-based healthcare executives found that nearly 40% of their construction projects had budget and/or schedule issues (Burmahl et al, 2017, p.21), which is further evidenced by a seemingly interminable public reporting of cost and/or schedule overruns or related issues related to large hospital construction projects. The literature confirms that modern projects have become increasingly complex, with large hospital construction projects being among the most complex. Yet, traditional project management tools and methods employed to manage large construction projects are engineering-based linear processes designed to manage projects with a clearly defined scope and foreseen or limited risk. With complex projects, however, the environment is dynamic therefore unforeseen or unexpected issues are unavoidable. High Reliability Organizations (HRO) have achieved operational and safety success in extreme hazard environments such as nuclear power plants by employing increased anticipation and quick adaption and resolution of unexpected events. Researchers Weick and Sutcliffe identified five mindful principles based on cognitive processes used by HROs for managing the unexpected - failure, simplification, operations, resilience and expertise (2001, 2007, 2015). Concepts from HROs are being studied and adapted in organizations and by professional fields not traditionally defined as HROs, such as healthcare, where HRO concepts are being applied to improve clinical quality and patient safety outcomes exacerbated by increasingly complex medical issues, technology, clinical processes, etc. Through an action research study consisting of data collection of expert panel members in an initial Pilot Study followed by Real-Time Delphi Study, with qualitative and quantitative analysis of the data, a conceptual framework was designed to enhance managing large hospital builds. The framework, coined by this researcher as Mindful Project Management, was determined applicable and useful to improve managing major hospital building projects regardless of location or country of origin. The action research study thus resulted in providing theory-in-practice value in the form of a framework for practitioners to implement soft skills derived from high reliability principles, concepts and practices to enhance managing large hospital building projects.

Gee, S (2019) The development of an innovative, lean, mobile factory system to manufacture timber frame closed panels in temporary locations for use in the Assembly of Houses in the Affordable Rented Sector, Unpublished PhD Thesis, School of Architecture, University of Liverpool.

Gholami, E (2017) Exploiting BIM in energy efficient domestic retrofit: evaluation of benefits and barriers, Unpublished PhD Thesis, Department of Architecture, University of Liverpool.

Gkeredakis, E (2009) Explaining the distinctiveness of coordination through an in-depth study of a major construction project, Unpublished PhD Thesis, Management School, University of Liverpool.

Hepworth, A (2021) Decision-making in immature projects organisational environment: A mental model approach that influences conscientious critical thinking, Unpublished PhD Thesis, , University of Liverpool.

Ibrahim, A M (2019) A method to support leadership effectiveness in a construction project organisation in Nigeria, Unpublished PhD Thesis, School of Management, University of Liverpool.

Jervis, E (2015) Lowering CO2 emissions: a framework for overcoming institutional pressures and diffusing low carbon strategy throughout the construction supply chain, Unpublished PhD Thesis, School of Management, University of Liverpool.

Khodadadyan, A (2021) Living and future tools for risk assessment: an examination of the possibilities for fusion, Unpublished PhD Thesis, , University of Liverpool.

Kirkham, R J (2002) A stochastic whole life cycle cost model for a national health service acute care hospital building, Unpublished PhD Thesis, , University of Liverpool.

Kori, S i (2017) BIM business value creation for SME architectural firms in Nigeria using intellectual capital development, Unpublished PhD Thesis, School of Architecture, University of Liverpool.

Makwiranzou, C (2019) Building trust and managing risk between the client, consultant, and contractor in traditional and relational construction projects, Unpublished PhD Thesis, School of Management, University of Liverpool.

Morton, R R (1982) The speculative housebuilding industry in the nineteen seventies, Unpublished PhD Thesis, School of Architecture, University of Liverpool.

Munir, M (2020) Development of a building information modelling asset value realisation model, Unpublished PhD Thesis, School of Architecture, University of Liverpool.

Nizam Shaikh, R (2019) BIM-based investigation of total energy consumption in delivering buildings as a product, Unpublished PhD Thesis, , University of Liverpool.

Raimi, T (2017) Achieving customer satisfaction in a private housing organisation in Nigeria, Unpublished PhD Thesis, , University of Liverpool.

Salih, A (2020) Project management information system introduction: Challenges and remedies in a construction context, Unpublished PhD Thesis, , University of Liverpool.

Savva, C (2023) Lessons that can be learnt using action research strategies within TfL, Unpublished PhD Thesis, , The University of Liverpool (United Kingdom).

Sujan, S F (2020) A holistic and systemic model of collaboration in the AED industry, Unpublished PhD Thesis, , University of Liverpool.

Sutton, R M (2019) The development of a sustainable construction design process, Unpublished PhD Thesis, School of Engineering, University of Liverpool.

Tomlinson, J (1998) A premises occupancy cost forecasting model, Unpublished PhD Thesis, , The University of Liverpool.

Wanous, M (2000) A neurofuzzy expert system for competitive tendering in civil engineering, Unpublished PhD Thesis, Department of Architecture and Building Engineering, University of Liverpool.

Wellings, F (2005) The rise of the national housebuilder: A history of British housebuilders through the twentieth century, Unpublished PhD Thesis, , University of Liverpool.

Xi, J (2013) Evaluating the functional performance of small-scale public demountable buildings, Unpublished PhD Thesis, , University of Liverpool.

Zou, Y (2017) Building information modelling and knowledge-based risk management system, Unpublished PhD Thesis, School of Engineering, University of Liverpool.