150 Chapter 4 10. Disruptive events: The narrow and vertical shape of this ellipse reflects strong concordance among experts ranking its low importance and especially in its uncertainty (Figure 4.2). Thus, experts ranked this theme of low importance and high uncertainty regarding the future demand of RBCs. III. Focus groups In Step 3, experts listed corresponding organizational mitigating measures in relation to opportunities and threats within each theme, which are summarized in Table 4.3. (A more detailed version can be found in the Supplementary.) Table 4.3 Summary of the opportunities and mitigating measures per theme 1. Blood supply organization Opportunities Mitigating measures • Have the right leaders at the right place • Being a driver or key player in innovative processes • Strengthen collaboration with hospitals and academic centers for clinical research • Blood donation becomes personalized • Partner with tech companies • Strengthen/maintain relationships with customers in the hospitals • Keep supply chain organized and supported • Effective donor management • Be daring to explore what is not yet explored • Continue to give freedom/space for the research department to be innovative • Stimulate an innovative mentality among the leaders and the organization • Board of Directors have a well-defined strategy and focus and communicates that clearly to all levels within Sanquin • Ensure sufficient expertise and experience for individuals with decision-making responsibilities in all levels of the organization • Open attitude towards new ideas and initiatives (e.g., scientific donors) • Create an agile and flexible organization structure by enhancing communication and collaboration between divisions/departments • Maintain visibility of Sanquin within society • Explore innovative venues such as bio-banking • Create multidisciplinary research teams for all innovative projects to ensure diversity of backgrounds • Ensure relevance and need of research project with close collaboration with the users/ clients/patients/donors by incorporating the perspectives and the values of the patients and donors • Threats • Wrong people in wrong positions for too long • Lack of (clearly communicating) vision or strategy • Narrow focus on current known factors and processes • Rigid organizational structure that does not account for ready changes in leadership • Attempts at innovation fail • Research suffers due to insufficient resources, lack of political support, or perceived lack of need
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