There have been repeated calls for academic institutions to develop policies and procedures to manage institutional conflicts of interest (ICOI) arising from technology transfer activities. While prior research has examined adoption of ICOI policies by medical schools and universities, little is known about how these institutions handle ICOI in practice, hindering the development of evidence-based recommendations to improve ICOI management. To address this gap, we conducted semi-structured interviews with 25 senior administrators responsible for research integrity and conflict of interest issues at academic institutions. Data were analyzed using a descriptive qualitative content analysis approach, combining flexible coding to index the interview data with close examination, interpretation, and synthesis of coded content. Participants identified communication and information sharing between conflict of interest (COI) and technology transfer (TT) offices as a critical factor in the effective management of ICOI and suggested several strategies to strengthen coordination between these offices. These findings suggest that academic research institutions could strengthen COI programs by taking measures to improve communication and information sharing between COI and TT offices.

The historiographical debate about the influence of guilds on economic development and innovation lacks consensus. Scholars are divided: some argue that guilds fostered a positive environment for technological innovation through privileges that ensured profits for inventors, while others underline the guilds\' role in stifling innovation to protect their interests. This article undertakes a comparative analysis of ribbon manufacturing in early modern Italy, a sector known for its technology transfer across Europe. It finds that the nature of the guild and its specific privileges crucially determined technology transfer and innovation acceptance. In addition, the redistribution of profits within guilds was vital to the innovative process. The article concludes that the key to technology transfer and innovation lay in preserving the guilds\' profit monopolies and internal stability.

The management and governance of our surface waters is core to life and prosperity on our planet. However, monitoring data are not available to many potential users and the disparate nature of water bodies makes consistent monitoring across so many systems difficult. While satellite Earth observation (EO) offers solutions, there are numerous challenges that limit the use of satellite EO for water monitoring. To understand the perceptions of using satellite EO for water quality monitoring, a survey was conducted within academia and the water quality management sector. Study objectives were to assess community understanding of satellite EO water quality data, identify barriers in the adoption of satellite EO data, and analyse trust in satellite EO data. Most (40 %) participants were beginners with little understanding of satellite EO. Participants indicated problems with satellite EO data accessibility (31 %) and interpretability (26 %). Results showed a high level of trust with satellite EO data and higher trust with in-situ EO data. This study highlighted the gap between water science, applied social science, and policy. A transdisciplinary approach to managing water resources is needed to bridge water disciplines and take a key role in areas such as social issues, knowledge brokering, and translation.

Obesity is a chronic disease, and while weight loss is achievable, long-term weight loss maintenance is difficult and relapse common for people living with obesity. Aiming to meet the need for innovative approaches, digital behavior change interventions show promise in supporting health behavior change to maintain weight after initial weight loss. Implementation of such interventions should however be part of the design and development processes from project initiation to facilitate uptake and impact. Based on the development and implementation process of eCHANGE, an evidence-informed application-based self-management intervention for weight loss maintenance, this manuscript provides suggestions and guidance into; (1) How a service design approach can be used from initiation to implementation of digital interventions, and (2) How a technology transfer process can accelerate implementation of research-based innovation from idea to market.

In Science-The Endless Frontier, Vannevar Bush wrote that reaping the potential benefits of science conducted at federal laboratories requires the discoveries made in the laboratories be transferred to society. In federal laboratories, Offices of Research and Technology Applications (ORTAs) are tasked with transferring laboratory-developed technologies to the market, allowing society to reap the benefits provided by scientific investments. In fiscal year 2016, the Technology Partnerships Office of the National Institute of Standards and Technology (NIST) conducted a first-of-its-kind survey of the ORTAs of more than 50 federal laboratories to obtain information on their organization and operation. We present descriptive analyses of the responses to this survey in two topical areas: organizational characteristics and technology transfer characteristics. We disaggregated the data across the dimension of budget size to describe similarities and differences in responses across the budget categories. Among the relationships we observed, we found that ORTAs with larger technology transfer budgets report higher frequencies of conducting internal technology transfer activities, such as patent prosecution (e.g., drafting patents, filing patent applications, and responding to actions from the patent office) and market analysis. Additionally, we provide context to the data by summarizing the relevant research on ORTAs at universities, and we present potential inferences that may be drawn from that body of research and applied to the data on ORTAs at federal laboratories.

This paper presents new evidence on knowledge flows in the Beijing-Tianjin-Hebei region of China, involving 43 cities (districts) in the Beijing-Tianjin-Hebei region, based on the invention patent transfer data from the State Intellectual Property Office of China. First, the characteristics of technology flows in the Beijing-Tianjin-Hebei region are analyzed in terms of changes in the number of flows, types of flowing subjects and spatial distribution characteristics. Then, a multi-level patent technology flow network in the Beijing-Tianjin-Hebei region was constructed, and the structural characteristics and node characteristics of each level network were explored separately. The key findings of the study are as follows. (1) The number of patented technology flows has been growing over time, showing obvious phase characteristics during the study period. As a whole, the intra-city (district) technology flow in the Beijing-Tianjin-Hebei region is higher than the inter-city (district). (2) The multi-level patent technology flow network in the Beijing-Tianjin-Hebei region shows dynamic characteristics, with more and more mobile subjects participating in the patent technology flow network, some network nodes becoming closer to each other, and the trend of small group technology flow increasing significantly. (3) Enterprises are the core hub of the patent technology flow network in Beijing-Tianjin-Hebei region. Individual invention patent technology transfer also occupies a high proportion and the participation of universities and colleges in the patent technology flow network in the Beijing-Tianjin-Hebei region is gradually increasing. (4) Over time, the flow of patent technology in the 43 cities (districts) in the Beijing-Tianjin-Hebei region has gradually become active and no longer relies excessively on a particular city (district) for patent technology transfer.

Digital health technologies (DHTs) at the intersection of health, medical informatics, and business aim to enhance patient care through personalised digital approaches. Ensuring the efficacy and reliability of these innovations demands rigorous clinical validation. A PubMed literature review (January 2006 to July 2023) identified 1250 papers, highlighting growing academic interest. A focused narrative review (January 2018 to July 2023) delved into challenges, highlighting issues such as diverse regulatory landscapes, adoption issues in complex healthcare systems, and a plethora of evaluation frameworks lacking pragmatic guidance. Existing frameworks often omit crucial criteria, neglect empirical evidence, and clinical effectiveness is rarely included as a criterion for DHT quality. The paper underscores the urgency of addressing challenges in accreditation, adoption, business models, and integration to safeguard the quality, efficacy, and safety of DHTs. A pivotal illustration of collaborative efforts to address these challenges is exemplified by the Digital Health Validation Center, dedicated to generating clinical evidence of innovative healthcare technologies and facilitating seamless technology transfer. In conclusion, it is necessary to harmonise evaluation approaches and frameworks, improve regulatory clarity, and commit to collaboration to integrate rigorous clinical validation and empirical evidence throughout the DHT life cycle.

BACKGROUND: There is growing evidence that telemedicine can improve the access to and quality of health care for nursing home residents. However, it is still unclear how to best manage and guide the implementation process to ensure long-term adoption, especially in the context of a decline in telemedicine use after the COVID-19 crisis.
OBJECTIVE: This study aims to identify and address major challenges for the implementation of televisits among residents in a nursing home, their caring nurses, and their treating general practitioners (GPs). It also evaluated the impact of televisits on the nurses\' workload and their nursing practice.
METHODS: A telemedical system with integrated medical devices was introduced in 2 nursing homes and their cooperating GP offices in rural Germany. The implementation process was closely monitored from the initial decision to introduce telemedicine in November 2019 to its long-term routine use until March 2023. Regular evaluation was based on a mixed methods approach combining rigorous qualitative approaches with quantitative measurements.
RESULTS: In the first phase during the COVID-19 pandemic, both nursing homes achieved short-term adoption. In the postpandemic phase, an action-oriented approach made it possible to identify barriers and take control actions for long-term adoption. The implementation of asynchronous visits, strong leadership, and sustained training of the nurses were critical elements in achieving long-term implementation in 1 nursing home. The implementation led to enhanced clinical skills, higher professional recognition, and less psychological distress among the nursing staff. Televisits resulted in a modest increase in time demands for the nursing staff compared to organizing in-person home visits with the GPs.
CONCLUSIONS: Focusing on health care workflow and change management aspects depending on the individual setting is of utmost importance to achieve successful long-term implementation of telemedicine.

Technology transfer (TT) is a necessary, yet complex process to convey and disseminate scientific knowledge to the commercial sector. However, multiple barriers in TT can impede commercialization and innovative progress. To cultivate a deeper understanding, we conducted five interviews with strategic, elite leaders in different areas of TT in the United States. Experts shared their perspectives on the current state of TT, what needs improvement, and potential solutions to enhance the TT landscape, with a focus on biotechnology and medical devices. The formation of strong management teams, a comprehension of the regulatory, reimbursement, and funding pathways and policies, and thorough market assessments were noted as key aspects for venture success. Collaboration with Technology Transfer Offices (TTOs), industry experts, and strategic partners are also essential to support academic innovators and guide them throughout the complex commercialization process. There is agreement that a venture should have a defined vision and clear goals with a robust business case for the innovation; early involvement of TTOs is essential. Comprehension of the complexities and key facets of TT, while also streamlining the process, will better position biomedical innovators for success.

It is important to use evidence-based programs and practices (EBPs) to address major public health issues. However, those who use EBPs in real-world settings often require support in bridging the research-to-practice gap. In the US, one of the largest systems that provides such support is the Substance Abuse and Mental Health Services Administration\'s (SAMHSA\'s) Technology Transfer Center (TTC) Network. As part of a large external evaluation of the Network, this study examined how TTCs determine which EBPs to promote and how to promote them. Using semi-structured interviews and pre-testing, we developed a \"Determinants of Technology Transfer\" survey that was completed by 100% of TTCs in the Network. Because the study period overlapped with the onset of the COVID-19 pandemic, we also conducted a retrospective pre/post-pandemic comparison of determinants. TTCs reported relying on a broad group of factors when selecting EBPs to disseminate and the methods to do so. Stakeholder and target audience input and needs were consistently the most important determinant (both before and during COVID-19), while some other determinants fluctuated around the pandemic (e.g., public health mandates, instructions in the funding opportunity announcements). We discuss implications of the findings for technology transfer and frame the analyses in terms of the Interactive Systems Framework for Dissemination and Implementation.