41,085 research outputs found
Situational Awareness Support to Enhance Teamwork in Collaborative Environments
Modern collaborative environments often provide an overwhelming amount of visual information on multiple displays. The multitude of personal and shared interaction devices leads to lack of awareness of team members on ongoing activities, and awareness of who is in control of shared artefacts. This research addresses the situational awareness (SA) support of multidisciplinary teams in co-located collaborative environments. This work aims at getting insights into design and evaluation of large displays systems that afford SA and effective teamwork
Improving access to health services – Challenges in Lean application
Purpose: Healthcare organisations face significant productivity pressures and are undergoing major
service transformation. This paper serves to disseminate findings from a Lean healthcare project
using a NHS Single Point of Access environment as the case study. It demonstrates the relevance
and extent that Lean can be applied to this type of healthcare service setting.
Design/methodology/approach: Action research was applied and Lean tools used to establish
current state processes, identify wastes and develop service improvement opportunities based upon
defined customer values.
Findings: The quality of referral information was found to be the root cause of a number of process
wastes and causes of failure for the service. Understanding the relationship and the nature of
interaction between the service‟s customer/supplier led to more effective and sustainable service
improvement opportunities and the co-creation of value. It was also recognised that not all the Lean
principles could be applied to this type of healthcare setting.
Practical implications: The study is useful to organisations using Lean to undertake service
improvement activities. The paper outlines how extending the value stream beyond the organisation
to include suppliers can lead to improved co-production and generation of service value.
Originality/value: The study contributes to service productivity research by demonstrating the
relevance and limitations of Lean application in a new healthcare service setting. The case study
demonstrates the practical challenges of implementing Lean in reciprocal service design models and
adds validity to existing contextual models
Addendum to Informatics for Health 2017: Advancing both science and practice
This article presents presentation and poster abstracts that were mistakenly omitted from the original publication
Knowledge-Intensive Processes: Characteristics, Requirements and Analysis of Contemporary Approaches
Engineering of knowledge-intensive processes (KiPs) is far from being mastered, since they are genuinely knowledge- and data-centric, and require substantial flexibility, at both design- and run-time. In this work, starting from a scientific literature analysis in the area of KiPs and from three real-world domains and application scenarios, we provide a precise characterization of KiPs. Furthermore, we devise some general requirements related to KiPs management and execution. Such requirements contribute to the definition of an evaluation framework to assess current system support for KiPs. To this end, we present a critical analysis on a number of existing process-oriented approaches by discussing their efficacy against the requirements
Adaptive Process Management in Cyber-Physical Domains
The increasing application of process-oriented approaches in new challenging cyber-physical domains beyond business computing (e.g., personalized healthcare, emergency management, factories of the future, home automation, etc.) has led to reconsider the level of flexibility and support required to manage complex processes in such domains. A cyber-physical domain is characterized by the presence of a cyber-physical system coordinating heterogeneous ICT components (PCs, smartphones, sensors, actuators) and involving real world entities (humans, machines, agents, robots, etc.) that perform complex tasks in the “physical” real world to achieve a common goal. The physical world, however, is not entirely predictable, and processes enacted in cyber-physical domains must be robust to unexpected conditions and adaptable to unanticipated exceptions. This demands a more flexible approach in process design and enactment, recognizing that in real-world environments it is not adequate to assume that all possible recovery activities can be predefined for dealing with the exceptions that can ensue. In this chapter, we tackle the above issue and we propose a general approach, a concrete framework and a process management system implementation, called SmartPM, for automatically adapting processes enacted in cyber-physical domains in case of unanticipated exceptions and exogenous events. The adaptation mechanism provided by SmartPM is based on declarative task specifications, execution monitoring for detecting failures and context changes at run-time, and automated planning techniques to self-repair the running process, without requiring to predefine any specific adaptation policy or exception handler at design-time
Electronic Health Records: Cure-all or Chronic Condition?
Computer-based information systems feature in almost every aspect of our
lives, and yet most of us receive handwritten prescriptions when we visit our
doctors and rely on paper-based medical records in our healthcare. Although
electronic health record (EHR) systems have long been promoted as a
cost-effective and efficient alternative to this situation, clear-cut evidence
of their success has not been forthcoming. An examination of some of the
underlying problems that prevent EHR systems from delivering the benefits that
their proponents tout identifies four broad objectives - reducing cost,
reducing errors, improving coordination and improving adherence to standards -
and shows that they are not always met. The three possible causes for this
failure to deliver involve problems with the codification of knowledge, group
and tacit knowledge, and coordination and communication. There is, however,
reason to be optimistic that EHR systems can fulfil a healthy part, if not all,
of their potential
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