6 research outputs found

    Transversal interoperability for interdisciplinarity in e-Health:a study of models needed for interoperability in the Danish health system

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    Journal Analysis between 2011 and 2015

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    In 2011, at the Copenhagen Business School (CBS) in Denmark, the Department of Informatics and the Centre for Applied Information and Communication Technology (CAICT) merged to form the Department of Information Technology Management (ITM). In April 2017, this department changed its name to the Department of Digitalization (DIGI). This paper analyses the first five years’ 111 journal (five year is the departments strategic planning period). The purpose of the paper is to investigate to what extent these articles reflect the DIGI’s strategy. We compare previous expectations with present realities in the following areas: (1) articles published in leading journals, (2) organise articles around emergent themes and (3) focus on articles about information and technology. DIGI’s mission is to co-create knowledge with enduring consequences through the study of the interrelationships among people, information, and technology. DIGI’s strategy is to create a context where researchers can realize their potential in a supportive and conducive environment with a set of common values, aspirations, and directions. This can only be achieved by building a work environment founded on mutual trust and respect where the best academics can thrive. The ITM strategy, revised in 2012, outlines three areas that could be used to measure whether the department has achieved its goals or not. The first area relates to our goal “to increase the visibility and impact of our research”. Therefore, each department faculty member is responsible for publishing his/her work in journals that are the most and thereby obtain a high author h-index. The second area reflects our size and potential impact “as one of the largest information system departments in Europe”. Our goals are equally grand. The research should be organized in order to create opportunities for collaboration as well as to keep up with the fast and radical innovation typical for the IT field. One way of achieving this is to organize research around themes rather than traditional research groups. Themes are emergent, topical, popular, inter-disciplinary, and dynamic in nature. They are usually active for 3 – 7 years, after which they either transform into other themes or dissolve altogether. The third area relates to the ambition to focus on “the interaction of people, information, and technology in all of its manifestations” (ITM’s strategy. We study how individuals, groups, organizations, and society can grow and prosper by capitalizing on information technologies. IT should always play a central role in our research. We do not focus solely on technical aspects or on organizational aspects, but rather take a socio-technical perspective and a multidisciplinary approach to address a range of strategic, structural, and operational activities involved in gathering, processing, storing, distributing, and using information and its derivatives in organizations and society. Before presenting the methodology and the results of our literature review, a brief summary of the accumulated knowledge contribution found in Research@CBS. During the period 2011 to 2015, the department had 565 publications in total, of which 115 were journal publications. Later four were excluded (not classified), leaving 111 journal articles to be analysed

    Human Factors Considerations in a Telemedicine-Integrated Ambulance-Based Caregiving Environment for Stroke Care

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    Telemedicine, the use of communications technology to connect patients to medical professionals remotely, can be applied to a variety of settings, for example connecting older adults with their physicians from home, specialists to rural county hospitals or patients to physicians for emergency care. This dissertation focuses on the use of telemedicine for ambulance-based care for stroke patients, including how the design of this system impacts caregivers. The initial study investigated both the usability of a telemedicine system implemented in ambulances for stroke care as well as the possibility of human error when using it. The heuristic evaluation of usability violations found several issues that needed to be addressed, including the lack of clarity in the tab structure and the lack of suggestions for correct data inputs. Similarly, the analysis of possible errors also determined several issues with this system, with the two most common being miscommunication and difficulty in locating data input or selecting an incorrect option. Several remediations strategies were recommended based on this study: improvement of the labelling of the tab structure, consistent formatting, rigid or suggested formatting for data input, automation of task structure and camera movement, and audio/visual improvements to support communication. The second study investigated the experience of caregivers with the ambulance-based stroke telemedicine system, focusing on the support of the distributed cognition of the caregiving teams. Teams comprised of a neurologist, nurse, and paramedic were observed conducting 13 simulated stroke consults, after which each caregiver completed a survey on the perceived workload, usability, and teamwork during the session and an interview about their experience with the telemedicine system. In total, thirty-nine caregivers were interviewed, and the data collected were analyzed for themes. The themes that emerged identified such barriers to and facilitators for using telemedicine for ambulance-based stroke caregiving as training and experience, technical difficulty barriers, and patient care and efficiency improvement facilitators. The findings from this study resulted in design recommendations for supporting healthcare professionals during caregiving, especially ones that support their distributed cognition when using ambulance-based telemedicine for stroke care. The final study evaluated the effect of design recommendations implemented in a new telemedicine system on the neurologist’s workload, situation awareness, and task performance in addition to evaluating the perceived usability of this new design and its support of distributed cognition. For this study based on a within-subjects experimental design, 20 neurologists completed simulated stroke assessments using both the new design and the design investigated in the two previous studies and evaluated each system. Overall, the results found that the neurologists experienced a lower workload, performed better in their task, exhibited higher situation awareness, and rated usability highly in the new design. In addition, most participants thought that the new design better supported distributed cognition principles and preferred the new system for ambulance-based stroke consults
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