A (digital) finger on the pulse

Complex Event Processing (CEP) is a computer-based technique used to track, analyse and process data in real-time (as an event happens). It establishes correlations between streams of information and matches to defined behaviour

Tensions and paradoxes in electronic patient record research: a systematic literature review using the meta-narrative method

Background: The extensive and rapidly expanding research literature on electronic patient records (EPRs) presents challenges to systematic reviewers. This literature is heterogeneous and at times conflicting, not least because it covers multiple research traditions with different underlying philosophical assumptions and methodological approaches. Aim: To map, interpret and critique the range of concepts, theories, methods and empirical findings on EPRs, with a particular emphasis on the implementation and use of EPR systems. Method: Using the meta-narrative method of systematic review, and applying search strategies that took us beyond the Medline-indexed literature, we identified over 500 full-text sources. We used ‘conflicting’ findings to address higher-order questions about how the EPR and its implementation were differently conceptualised and studied by different communities of researchers. Main findings: Our final synthesis included 24 previous systematic reviews and 94 additional primary studies, most of the latter from outside the biomedical literature. A number of tensions were evident, particularly in relation to: [1] the EPR (‘container’ or ‘itinerary’); [2] the EPR user (‘information-processer’ or ‘member of socio-technical network’); [3] organizational context (‘the setting within which the EPR is implemented’ or ‘the EPR-in-use’); [4] clinical work (‘decision-making’ or ‘situated practice’); [5] the process of change (‘the logic of determinism’ or ‘the logic of opposition’); [6] implementation success (‘objectively defined’ or ‘socially negotiated’); and [7] complexity and scale (‘the bigger the better’ or ‘small is beautiful’). Findings suggest that integration of EPRs will always require human work to re-contextualize knowledge for different uses; that whilst secondary work (audit, research, billing) may be made more efficient by the EPR, primary clinical work may be made less efficient; that paper, far from being technologically obsolete, currently offers greater ecological flexibility than most forms of electronic record; and that smaller systems may sometimes be more efficient and effective than larger ones. Conclusions: The tensions and paradoxes revealed in this study extend and challenge previous reviews and suggest that the evidence base for some EPR programs is more limited than is often assumed. We offer this paper as a preliminary contribution to a much-needed debate on this evidence and its implications, and suggest avenues for new research

Big data analytics in the healthcare industry: A systematic review and roadmap for practical implementation in Nigeria

Introduction: The introduction of digitization of healthcare data has posed both challenges and opportunities within the industry. Big Data Analytics (BDA) has emerged as a powerful tool, facilitating data-driven decision-making and revolutionizing patient care. Purpose: The research aimed to analyze diverse perspectives on big data in healthcare, assess BDA's application in the sector, examine contexts, synthesize findings, and propose an implementation roadmap and future research directions. Methodology: Using an SLR protocol by Nazir et al. (2019), sources like Google Scholar, IEEE, ScienceDirect, Springer, and Elsevier were searched with 18 queries. Inclusion criteria yielded 37 articles, with five more added through citation searches, totaling 42. Results: The study uncovers diverse healthcare viewpoints on big data's transformative potential, precision medicine, resource optimization, and challenges like security and interoperability. BDA empowers clinical choices, early disease detection, and personalized medicine. Future areas include ethics, interpretable AI, real-time BDA, multi-omics integration, AI-driven drug discovery, mental health, resource constraints, health disparities, secure data sharing, and human-AI collaboration. Conclusion: This study illuminates Big Data Analytics' transformative potential in healthcare, revealing diverse applications and emphasizing ethical complexities. Integrated data analysis is advocated for patient-centric services. Recommendation: Balancing BDA's power with privacy, guidelines, and regulations is vital. Implementing the Nigerian healthcare roadmap can optimize outcomes, address challenges, and enhance efficiency. Future research should focus on ethics, interpretable AI, real-time BDA, and mental health integration

360 Quantified Self

Wearable devices with a wide range of sensors have contributed to the rise of the Quantified Self movement, where individuals log everything ranging from the number of steps they have taken, to their heart rate, to their sleeping patterns. Sensors do not, however, typically sense the social and ambient environment of the users, such as general life style attributes or information about their social network. This means that the users themselves, and the medical practitioners, privy to the wearable sensor data, only have a narrow view of the individual, limited mainly to certain aspects of their physical condition. In this paper we describe a number of use cases for how social media can be used to complement the check-up data and those from sensors to gain a more holistic view on individuals' health, a perspective we call the 360 Quantified Self. Health-related information can be obtained from sources as diverse as food photo sharing, location check-ins, or profile pictures. Additionally, information from a person's ego network can shed light on the social dimension of wellbeing which is widely acknowledged to be of utmost importance, even though they are currently rarely used for medical diagnosis. We articulate a long-term vision describing the desirable list of technical advances and variety of data to achieve an integrated system encompassing Electronic Health Records (EHR), data from wearable devices, alongside information derived from social media data.Comment: QCRI Technical Repor

Big data and smart cities: a public sector organizational learning perspective

Public sector organizations (city authorities) have begun to explore ways to exploit big data to provide smarter solutions for cities. The way organizations learn to use new forms of technology has been widely researched. However, many public sector organisations have found themselves in new territory in trying to deploy and integrate this new form of technology (big data) to another fast moving and relatively new concept (smart city). This paper is a cross-sectional scoping study—from two UK smart city initiatives—on the learning processes experienced by elite (top management) stakeholders in the advent and adoption of these two novel concepts. The findings are an experiential narrative account on learning to exploit big data to address issues by developing solutions through smart city initiatives. The findings revealed a set of moves in relation to the exploration and exploitation of big data through smart city initiatives: (a) knowledge finding; (b) knowledge reframing; (c) inter-organization collaborations and (d) ex-post evaluations. Even though this is a time-sensitive scoping study it gives an account on a current state-of-play on the use of big data in public sector organizations for creating smarter cities. This study has implications for practitioners in the smart city domain and contributes to academia by operationalizing and adapting Crossan et al’s (Acad Manag Rev 24(3): 522–537, 1999) 4I model on organizational learning

Towards the Use of Big Data in Healthcare: a literature review

The interest in new and more advanced technological solutions is paving the way for the diffusion of innovative and revolutionary applications in healthcare organizations. The application of an artificial intelligence system to medical research has the potential to move toward highly advanced e-Health. This analysis aims to explore the main areas of application of big data in healthcare, as well as the restructuring of the technological infrastructure and the integration of traditional data analytical tools and techniques with an elaborate computational technology that is able to enhance and extract useful information for decision-making. We conducted a literature review using the Scopus database over the period 2010-2020. The article selection process involved five steps: the planning and identification of studies, the evaluation of articles, the extraction of results, the summary, and the dissemination of the audit results. We included 93 documents. Our results suggest that effective and patient-centered care cannot disregard the acquisition, management, and analysis of a huge volume and variety of health data. In this way, an immediate and more effective diagnosis could be possible while maximizing healthcare resources. Deriving the benefits associated with digitization and technological innovation, however, requires the restructuring of traditional operational and strategic processes, and the acquisition of new skills

Data-Driven and Artificial Intelligence (AI) Approach for Modelling and Analyzing Healthcare Security Practice: A Systematic Review

Data breaches in healthcare continue to grow exponentially, calling for a rethinking into better approaches of security measures towards mitigating the menace. Traditional approaches including technological measures, have significantly contributed to mitigating data breaches but what is still lacking is the development of the “human firewall,” which is the conscious care security practices of the insiders. As a result, the healthcare security practice analysis, modeling and incentivization project (HSPAMI) is geared towards analyzing healthcare staffs’ security practices in various scenarios including big data. The intention is to determine the gap between staffs’ security practices and required security practices for incentivization measures. To address the state-of-the art, a systematic review was conducted to pinpoint appropriate AI methods and data sources that can be used for effective studies. Out of about 130 articles, which were initially identified in the context of human-generated healthcare data for security measures in healthcare, 15 articles were found to meet the inclusion and exclusion criteria. A thorough assessment and analysis of the included article reveals that, KNN, Bayesian Network and Decision Trees (C4.5) algorithms were mostly applied on Electronic Health Records (EHR) Logs and Network logs with varying input features of healthcare staffs’ security practices. What was found challenging is the performance scores of these algorithms which were not sufficiently outlined in the existing studies