18 research outputs found

    Implementing telemedicine technologies through an unlearning context in a homecare setting

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    Despite the opportunities the health sector will offer as a result of the design and development of a technology infrastructure, the fact is that hospitals have been slow to adopt telemedicine technologies, largely because very few organisations are prepared to face this challenge. A possible explanation for the efficiency and effectiveness gaps of services provided by Hospital-in-the-Home Units (HHUs) may relate to the advantages and disadvantages of the knowledge processes that these units exhibit as a result of their different structural properties. This paper investigates the approaches that HHUs have used to update the knowledge of physicians and their members' knowledge of technology, and relates them to an unlearning context (UC) and improvement in the quality of health services. These relationships are examined through an empirical investigation of 55 doctors and 62 nurses belonging to 44 HHUs. The research findings suggest that the key benefits of a UC in HHUs are clear. It enables them to identify and replace poor practices and also avoids the reinvention of the wheel; it enables cost reduction by minimising unnecessary work caused by the use of poor methods and it enables improvements adopting new telemedicine technologies.Ministerio de Educación CO2008-0641-C02-02Junta de Andalucía SEJ-608

    Characteristics of Complete and Incomplete Physicians’ Unlearning with Electronic Medical Record

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    This study examines the concept of unlearning, the process of disuse or replacement of an action, procedure or belief in favor of a new one, in the context of healthcare. Little is known about the true nature of unlearning and related learning change processes within the context of healthcare. The study of unlearning continues to be important not only due to the nature of the discipline itself, but physicians are required to support knowledge change for improved care quality. The study argues the introduction of new Health Information Technologies (HITs), such as EMRs, affect the unlearning process in physician providers. We address the following research question: “What are the characteristics of the unlearning process by physicians who are using EMRs?” using a qualitative case study methodology. Interviews, the primary data collection method and coding is mainly used for data analysis. Results show physician unlearning is characterized as either complete unlearning or incomplete unlearning

    Transactions of 2015 International Conference on Health Information Technology Advancement Vol.3, No. 1

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    The Third International Conference on Health Information Technology Advancement Kalamazoo, Michigan, October 30-31, 2015 Conference Chair Bernard Han, Ph.D., HIT Pro Department of Business Information Systems Haworth College of Business Western Michigan University Kalamazoo, MI 49008 Transactions Editor Dr. Huei Lee, Professor Department of Computer Information Systems Eastern Michigan University Ypsilanti, MI 48197 Volume 3, No. 1 Hosted by The Center for Health Information Technology Advancement, WM

    Knowledge management implementation and the tools utilized in healthcare for evidence-based decision making: a systematic review

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    Background: Healthcare is a knowledge driven process and thus knowledge management and the tools to manage knowledge in healthcare sector are gaining attention. The aim of this systematic review is to investigate knowledge management implementation and knowledge management tools used in healthcare for informed decision making.Methods: Three databases, two journals websites and Google Scholar were used as sources for the review. The key terms used to search relevant articles include: “Healthcare and Knowledge Management”; “Knowledge Management Tools in Healthcare” and “Community of Practices in healthcare”.Results: It was found that utilization of knowledge management in healthcare is encouraging. There exist numbers of opportunities for knowledge management implementation, though there are some barriers as well. Some of the opportunities that can transform healthcare are advances in health information and communication technology, clinical decision support systems, electronic health record systems, communities of practice and advanced care planning.Conclusion: Providing the right knowledge at the right time, i.e., at the point of decision making by implementing knowledge management in healthcare is paramount. To do so, it is very important to use appropriate tools for knowledge management and user-friendly system because it can significantly improve the quality and safety of care provided for patients both at hospital and home settings.Keywords: Knowledge management, tools, evidence-based medical practice, healthcare, informed decision makin

    Improving Self-Management in Patients With Chronic Conditions

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    Care Coordination Home Telehealth (CCHT) maintains a positive impact on the delivery of patient care in the primary care clinic at the Department of Veterans Administration Medical Center (VAMC). This quality improvement initiative targets patients with chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease. These patient are frequently seen in the emergency room, and are often admitted to the hospital, where they saturate the outpatient clinics\u27 waiting room with multiple walk-ins. CCHT has, to some extent, reduced walk-ins, emergency room visits, and hospitalization while minimizing the strain on access to care at the VAMC. Sustaining self-management skills of veterans with chronic conditions at the VAMC continues to impose challenges. In this project, retrospective data from 95 randomly selected charts reviewed during a 2-year period were used to compare hospitalizations, emergency room visits, and primary care visits. The findings of the study indicate veterans enrolled in Home Telehealth show positive social change. The social change is evidenced by change in behavior patterns, such as maintaining a healthy diet, performing daily physical activity, and compliance with medication administration. Enrolled veterans had better outcomes regarding hospitalization, emergency room visits, and primary care visits. The data highlighted the need for incorporating disease-specific protocols guiding care coordinators at first point of contact with the veteran patient. Following these protocols may enhance communication style that matches the patient\u27s stage of behavioral change with interventions

    Unlearning in sustainability transitions: Insight from two Dutch community-supported agriculture farms

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    The importance of double-loop learning and associated unlearning for sustainability transitions is increasingly recognised; however, a clear conceptualisation and empirical focus on unlearning is lacking. This paper combines conceptualisations of unlearning in organisation, business and management theory (‘organizational unlearning’) with postcolonial and feminist approaches to teaching and education (‘pedagogical unlearning’) to provide a richer understanding of unlearning in sustainability transitions. Empirical evidence was obtained through qualitative documentation of the conversion to solidarity payment in two Dutch community-supported agriculture (CSA) farms. Solidarity payment increases access to the CSA for low-income members and fosters solidarity with farmers to secure fairer income. Our results indicate the generative function of unlearning during processes of change as well as the strategic and pedagogical relevance of unlearning for this specific case. We conclude with the added value of an approach to sustainability transitions that is equipped for capturing the entangled processes of unlearning and learning

    Η διαχείριση της γνώσης ως παράγοντας βελτίωσης της ποιότητας σε μονάδες υγείας

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    Διπλωματική εργασία--Πανεπιστήμιο Μακεδονίας, Θεσσαλονίκη, 2019.Σκοπός της παρούσας εργασίας είναι η διερεύνηση της διαχείριση της γνώσης ως παράγοντα βελτίωσης ποιότητας στις μονάδες υγείας, καθώς και της γενικότερης σχέσης μεταξύ της διαχείρισης γνώσης και της ποιότητας στους οργανισμούς αυτούς. Το θέμα καλύπτεται μέσα από την ανασκόπηση της ελληνικής και διεθνούς βιβλιογραφίας. Τα αποτελέσματα δείχνουν ότι η διαχείριση της γνώσης και η ποιότητα της φροντίδας είναι δύο αλληλένδετες διαδικασίες. Τα συστήματα που υιοθετούνται από τις μονάδες υγείας για την βελτίωση της ποιότητας μπορούν να συνεισφέρουν στην διαχείριση της γνώσης, αλλά και η διαχείριση της γνώσης έχει πολλές δυνατότητες να συμβάλλει στην βελτίωση της ποιότητας της παρεχόμενης φροντίδας, επηρεάζοντας θετικά πολλές από τις διαστάσεις της. Συγκεκριμένα η προηγούμενη έρευνα έχει δείξει ότι η ανταλλαγή της γνώσης που ανακύπτει καθημερινά στο πλαίσιο της επιστημονικής έρευνας και η οποία ενημερώνει την ιατρική κλινική πρακτική είναι κρίσιμης σημασίας για την παροχή ποιοτικής φροντίδας, δηλαδή για την παροχή φροντίδας που είναι συνεπής με τις τρέχουσες επαγγελματικές γνώσεις. Η διαχείρισης της γνώσης και τα συστήματα που χρησιμοποιούνται στο πλαίσιο της, έχει επίσης δειχθεί ότι μπορούν να μειώσουν τα ιατρικά σφάλματα, να ενισχύσουν την ασφάλεια των ασθενών, να βελτιώσουν την πρόσβαση στην υγεία για τους ασθενείς, καθώς και να συνεισφέρουν στην μείωση του κόστους για τους οργανισμούς υγείας, βελτιώνοντας την αποδοτικότητα τους. Λόγω των δυνατοτήτων της διαχείρισης της γνώσης να βελτιώσει την ποιότητα της παρεχόμενης περίθαλψης, η υιοθέτηση σχετικών συστημάτων και πρακτικών είναι ένα θέμα που θα πρέπει να αντιμετωπίζεται ανάλογα από τους οργανισμούς υγειονομικής περίθαλψης. Υπάρχουν πολλές ευκαιρίες για την εφαρμογή της διαχείρισης της γνώσης στην υγειονομική περίθαλψη, όπως τα εργαλεία διαχείρισης γνώσης που βασίζονται σε τεχνολογίες πληροφορικής και επικοινωνιών, τα οποία αποτελούν μια σημαντική ευκαιρία για τους οργανισμούς, και θα πρέπει να αξιοποιηθούν προς το σκοπό της ενίσχυσης της δημιουργίας και ανταλλαγής γνώσεων και συνακόλουθα της βελτίωσης της παρεχόμενης φροντίδας
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