Smart e-Health System for Real-time Tracking and Monitoring of Patients, Staff and Assets for Healthcare Decision Support in Saudi Arabia

Healthcare in Saudi Arabia has been lagging behind the developed countries of the world, due to the insufficient number of healthcare practitioners and the lack of applications of tracking and monitoring technology. These shortages have contributed to problems such as patient misidentification, long patient waiting times, and the inability to locate medical equipment efficiently. The country’s Vision 2030 plan outlines ways to solve the deficient workforce problem by promoting more local health-related educational outlets, and by funding this expanding sector. Consequently, Saudi Arabia needs to adapt to the demanding nature of modern healthcare, which presents major problems that this research aims to help solve. The literature has shown that Information Technology systems have begun to be implemented in some hospitals across Saudi Arabia, but even in those hospitals these technologies are being under-utilised. The intention of this thesis is to provide an appropriate choice for a real-time tracking and monitoring technology in healthcare, in the form of an integrated RFID/ZigBee system. This thesis develops a holistic framework for healthcare institutions, to be followed for customised solutions in improving staff efficiency and productivity, and for better patient care, while minimising long-term costs. This holistic framework incorporates contextual elements from both the Information System Strategy Triangle (ISST) and the Human, Organisation and Technology-fit factors (HOT-fit) frameworks, in a way that ensures the new framework addresses technology, organisational, human and business factors. The holistic model is refined through Communities of Practice (CoPs), one of which was developed and utilised for the research purposes of this thesis, and assisted in the creation of a questionnaire for assessing the requirements and challenges of the KSA healthcare system. This questionnaire was based on 220 usable responses. It also helped to refine the framework for its final version, which included all identified factors relevant to the decision a healthcare institution faces in choosing a health information technology system. Various cases were analysed to improve the hospitals workflow, using the proposed technology and including processes such as relocating staff and medical assets. This led to the need for visualisation and knowledge management, to support real-time data analysis for business intelligence decision making. The end goal of this analysis is to provide interactive platforms to healthcare staff for use in improving efficiency and productivity. The outcomes of these improvements will be to ensure better patient care, lower patient waiting time, reduced healthcare costs, and to allow more time for staff to provide improved patient-centric care in the Saudi healthcare sector. Keywords: e-Health, Health Information Technology, Tracking and Monitoring System, Kingdom of Saudi Arabia, Holistic Framework, Communities of Practice, Knowledge Management, Visualisation, KFM

Medical Informatics

Information technology has been revolutionizing the everyday life of the common man, while medical science has been making rapid strides in understanding disease mechanisms, developing diagnostic techniques and effecting successful treatment regimen, even for those cases which would have been classified as a poor prognosis a decade earlier. The confluence of information technology and biomedicine has brought into its ambit additional dimensions of computerized databases for patient conditions, revolutionizing the way health care and patient information is recorded, processed, interpreted and utilized for improving the quality of life. This book consists of seven chapters dealing with the three primary issues of medical information acquisition from a patient's and health care professional's perspective, translational approaches from a researcher's point of view, and finally the application potential as required by the clinicians/physician. The book covers modern issues in Information Technology, Bioinformatics Methods and Clinical Applications. The chapters describe the basic process of acquisition of information in a health system, recent technological developments in biomedicine and the realistic evaluation of medical informatics

Lean in Healthcare: An Evaluation of Lean Implementation in NHS Lothian

The overarching aim of this thesis is to critically evaluate the implementation of Lean in NHS Lothian, a National Health Service (NHS) Health Board in Scotland. Against challenging financial times, Lean has been endorsed for adoption in the provision of healthcare by The Scottish Government and NHS Scotland and so the objectives are to understand how Lean is implemented in healthcare, the impact on the organisation and what role(s) are held by front-line staff including medical staff, in this implementation. This is an exploratory and descriptive interpretivist case study incorporating content analysis, observational and interview data which is based on a qualitative and inductive approach. The interpretative and inductive nature of the research is used to identify emergent themes and to afford greater insight into the implementation process, outcomes and the role of healthcare staff. The sociology of professions is used to evaluate the role of the medical professional within Lean from the emergent data, with the focus being on behaviours expected and demonstrated in Lean implementations. The findings provide a mapping of the process for implementing Lean. It is also demonstrated that although medical professionals are expected to hold a crucial role in Lean implementations, their identity as a professional with corresponding power and autonomy provides challenges for implementing Lean in hierarchical areas such as healthcare. This professional identity also impacts on project initiation and sustainability as other stakeholders recognise hierarchical constraints. However, evidence grounded in the data illustrates that Lean breaks down hierarchies and has resulted in improved working in services. The implementation of Lean has been programmatic in line with best-practice case examples and has been driven by strategy and target pressures faced by services.This research provides a contribution to knowledge in three key areas: firstly through mapping the approach to Lean implementation which is a contribution to Programme Theory. Secondly medical professionals are explored through the lens of professionalism which has received limited attention to date within Lean; and finally a set of propositions are generated as a framework for Lean implementation in healthcare

Intelligent Circuits and Systems

ICICS-2020 is the third conference initiated by the School of Electronics and Electrical Engineering at Lovely Professional University that explored recent innovations of researchers working for the development of smart and green technologies in the fields of Energy, Electronics, Communications, Computers, and Control. ICICS provides innovators to identify new opportunities for the social and economic benefits of society.　 This conference bridges the gap between academics and R&D institutions, social visionaries, and experts from all strata of society to present their ongoing research activities and foster research relations between them. It provides opportunities for the exchange of new ideas, applications, and experiences in the field of smart technologies and finding global partners for future collaboration. The ICICS-2020 was conducted in two broad categories, Intelligent Circuits & Intelligent Systems and Emerging Technologies in Electrical Engineering

Safety and Reliability - Safe Societies in a Changing World

The contributions cover a wide range of methodologies and application areas for safety and reliability that contribute to safe societies in a changing world. These methodologies and applications include: - foundations of risk and reliability assessment and management - mathematical methods in reliability and safety - risk assessment - risk management - system reliability - uncertainty analysis - digitalization and big data - prognostics and system health management - occupational safety - accident and incident modeling - maintenance modeling and applications - simulation for safety and reliability analysis - dynamic risk and barrier management - organizational factors and safety culture - human factors and human reliability - resilience engineering - structural reliability - natural hazards - security - economic analysis in risk managemen