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Continuous deployment has been practiced for many years by companies developing web‐ and cloud‐based applications. To succeed with continuous deployment, these companies have a strong collaboration culture between the operations and development teams. In addition, these companies use AI, analytics, and big data to assist with time‐consuming postdeployment activities such as continuous monitoring and fault identification. Thus, the term AIOps has evolved to highlight the importance and difficulty of maintaining highly available applications in a complex and dynamic environment. In contrast, software‐intensive embedded systems often provide customer product‐related services, such as maintenance, optimization, and support. These services are critical for these companies as they provide significant revenue and increase customer satisfaction. Therefore, the objective of our study is to gain an in‐depth understanding of the impact of continuous deployment on product‐related services provided by software‐intensive embedded systems companies. In addition, we aim to understand how AIOps can support continuous deployment in the context of software‐intensive embedded systems. To address this objective, we conducted a case study at a large and multinational telecommunications systems provider focusing on the radio access network (RAN) systems for 4G and 5G networks. The company provides RAN products and three complementing services: rollout, optimization, and customer support. The results from the case study show that the boundaries between product‐related services become blurry with continuous deployment. In addition, product‐related services, which were conducted in sequence by independent projects, converge with continuous deployment and become part of the same project. Further, AIOps platforms play an important role in reducing costs and increasing postdeployment activities' efficiency and speed. These results show that continuous deployment has a profound impact on the software‐intensive system's provider service organization. The service organization becomes the connection between the R&D organization and the customer. In order to cope with the increased speed of releases, deployment and postdeployment activities need to be largely automated. AIOps platforms are seen as a critical enabler in managing the increasing complexity without increasing human involvement. [ABSTRACT FROM AUTHOR]

Introduction: Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands. Methods: This mixed-methods consensus study consisted of three phases. The first phase consisted of semi-structured interviews with relevant stakeholders. Thematic analysis of qualitative data derived from these interviews was used to identify main themes, which were subsequently discussed in several online focus groups in the second phase. Output from these discussions was used to shape statements for an online Delphi consensus study among relevant stakeholders in EMS research. Consensus was met if 80% of respondents agreed or disagreed on a particular statement. Results: Forty-nine stakeholders participated in the study; qualitative thematic analysis of the interviews and focus group discussions identified four main themes: (1) data registration and data sharing, (2) laws and regulations, (3) financial aspects and funding, and (4) organization and culture. Qualitative data from the first two phases of the study were used to construct 33 statements for an online Delphi study. Consensus was reached on 21 (64%) statements. Eleven (52%) of these statements pertained to the storage and use of EMS patient data. Conclusion: Barriers for prehospital EMS research in the Netherlands include issues regarding the use of patient data, privacy and legislation, funding and research culture in EMS organizations. Opportunities to increase scientific productivity in EMS research include the development of a national strategy for EMS data and the incorporation of EMS topics in research agendas of national medical professional associations. [ABSTRACT FROM AUTHOR]

The aims of this study were to retrospectively assess the occurrence of complications or need for secondary wrist procedures after the Sauvé-Kapandji procedure, and to prospectively assess patient-reported outcomes at long-term follow-up. All patients treated with the Sauvé-Kapandji procedure in our tertiary referral hospital between January 2008 and September 2021 were identified and contacted to complete the Quick Disabilities of the Arm, Shoulder, and Hand and the Patient-Rated Wrist/Hand Evaluation outcome measures. In total, 30 patients, with a median follow-up of 82 months, were included in this study. Complications occurred in 6 of 30 patients, which resulted in six secondary wrist procedures. Mean Quick Disabilities of the Arm, Shoulder, and Hand and Patient-Rated Wrist/Hand Evaluation scores were 30.1 and 33.6, respectively. We conclude that in respect of long-term outcomes, the Sauvé-Kapandji procedure can still be deemed to be a useful procedure, especially in patients with few other reconstructive options. Level of evidence: IV., Competing Interests: Declaration of conflicting interestsThe author(s) declared no conflicts of interest in terms of research, authorship, and/or publication of this article.