7,421 research outputs found

    Quality systems in health care: A sociotechnical approach

    Get PDF
    In this paper, we explore a sociotechnical approach to construct quality systems as an alternative to the traditional, ISO orientated approach. A sociotechnical approach is characterised as bottom-up, incremental, information technology facilitated and indicator driven. Its purpose is to ground quality assurance in medical practice and to provide meaning to those directly involved (patients, health care providers and medical professionals). Meaning depends on information. According to contemporary theory of meaning, facts become information on quality if the structure of data represents the structure of the quality concept. The structure of the quality concept is exemplified by definitions of the quality of care, most of them comparing actual properties of care with requirements, expectations, standards or guidelines. So, raw data or measurements have to be compared with a normative frame of reference in order to become information on the quality of care. Quality indicators conceptualise this theory of meaning. Therefore, constructing quality systems by developing quality indicators is important for the meaning of quality assurance in health care. It makes a system to a quality system and suits a sociotechnical approach by grounding the formal structure of the system in a social reality

    Using cognitive work analysis to explore activity allocation within military domains

    Get PDF
    Cognitive Work Analysis (CWA) is frequently advocated as an approach for the analysis of complex sociotechnical systems. Much of the current CWA literature within the military domain pays particular attention to its initial phases; Work Domain Analysis and Contextual Task Analysis. Comparably, the analysis of the social and organisational constraints receives much less attention. Through the study of a helicopter Mission Planning System (MPS) software tool, this paper describes an approach for investigating the constraints affecting the distribution of work. The paper uses this model to evaluate the potential benefits of the social and organisational analysis phase within a military context. The analysis shows that, through its focus on constraints the approach provides a unique description of the factors influencing the social organisation within a complex domain. This approach appears to be compatible with existing approaches and serves as a validation of more established social analysis techniques

    Configuring the Networked Citizen

    Get PDF
    Among legal scholars of technology, it has become commonplace to acknowledge that the design of networked information technologies has regulatory effects. For the most part, that discussion has been structured by the taxonomy developed by Lawrence Lessig, which classifies code as one of four principal regulatory modalities, alongside law, markets, and norms. As a result of that framing, questions about the applicability of constitutional protections to technical decisions have taken center stage in legal and policy debates. Some scholars have pondered whether digital architectures unacceptably constrain fundamental liberties, and what public design obligations might follow from such a conclusion. Others have argued that code belongs firmly on the private side of the public/private divide because it originates in the innovative activity of private actors. In a forthcoming book, the author argues that the project of situating code within one or another part of the familiar constitutional landscape too often distracts legal scholars from more important questions about the quality of the regulation that networked digital architectures produce. The gradual, inexorable embedding of networked information technologies has the potential to alter, in largely invisible ways, the interrelated processes of subject formation and culture formation. Within legal scholarship, the prevailing conceptions of subjectivity tend to be highly individualistic, oriented around the activities of speech and voluntary affiliation. Subjectivity also tends to be understood as definitionally independent of culture. Yet subjectivity is importantly collective, formed by the substrate within which individuality emerges. People form their conceptions of the good in part by reading, listening, and watching—by engaging with the products of a common culture—and by interacting with one another. Those activities are socially and culturally mediated, shaped by the preexisting communities into which individuals are born and within which they develop. They are also technically mediated, shaped by the artifacts that individuals encounter in common use. The social and cultural patterns that mediate the activities of self-constitution are being reconfigured by the pervasive adoption of technical protocols and services that manage the activities of content delivery, search, and social interaction. In developed countries, a broad cross-section of the population routinely uses networked information technologies and communications devices in hundreds of mundane, unremarkable ways. We search for information, communicate with each other, and gain access to networked resources and services. For the most part, as long as our devices and technologies work as expected, we give little thought to how they work; those questions are understood to be technical questions. Such questions are better characterized as sociotechnical. As networked digital architectures increasingly mediate the ordinary processes of everyday life, they catalyze gradual yet fundamental social and cultural change. This chapter—originally published in Imagining New Legalities: Privacy and Its Possibilities in the 21st Century, edited by Austin Sarat, Lawrence Douglas, and Martha Merrill Umphrey (2012)—considers two interrelated questions that flow from understanding sociotechnical change as (re)configuring networked subjects. First, it revisits the way that legal and policy debates locate networked information technologies with respect to the public/private divide. The design of networked information technologies and communications devices is conventionally treated as a private matter; indeed, that designation has been the principal stumbling block encountered by constitutional theorists of technology. The classification of code as presumptively private has effects that reach beyond debates about the scope of constitutional guarantees, shaping views about the extent to which regulation of technical design decisions is normatively desirable. This chapter reexamines that discursive process, using lenses supplied by literatures on third-party liability and governance. Second, this chapter considers the relationship between sociotechnical change and understandings of citizenship. The ways that people think, form beliefs, and interact with one another are centrally relevant to the sorts of citizens that they become. The gradual embedding of networked information technologies into the practice of everyday life therefore has important implications for both the meaning and the practice of citizenship in the emerging networked information society. If design decisions are neither merely technical nor presumptively private, then they should be subject to more careful scrutiny with regard to the kind of citizen they produce. In particular, policy-makers cannot avoid engaging with the particular values that are encoded

    Desen: Specification of Sociotechnical Systems via Patterns of Regulation and Control

    Get PDF
    We address the problem of engineering a sociotechnical system (STS) with respect to its stakeholders’ requirements. We motivate a two-tier STS conception comprising a technical tier that provides control mechanisms and describes what actions are allowed by the software components, and a social tier that characterizes the stakeholders’ expectations of each other in terms of norms. We adopt agents as computational entities, each representing a different stakeholder. Unlike previous approaches, our framework, Desen, incorporates the social dimension into the formal verification process. Thus, Desen supports agents potentially violating applicable norms—a consequence of their autonomy. In addition to requirements verification, Desen supports refinement of STS specifications via design patterns to meet stated requirements. We evaluate Desen at three levels. We illustrate how Desen carries out refinement via the application of patterns on a hospital emergency scenario. We show via a human-subject study that a design process based on our patterns is helpful for participants who are inexperienced in conceptual modeling and norms. We provide an agent-based environment to simulate the hospital emergency scenario to compare STS specifications (including participant solutions from the human-subject study) with metrics indicating social welfare and norm compliance, and other domain dependent metrics

    Regulated MAS: Social Perspective

    Get PDF
    This chapter addresses the problem of building normative multi-agent systems in terms of regulatory mechanisms. It describes a static conceptual model through which one can specify normative multi-agent systems along with a dynamic model to capture their operation and evolution. The chapter proposes a typology of applications and presents some open problems. In the last section, the authors express their individual views on these mattersMunindar Singh’s effort was partially supported by the U.S. Army Research Office under grant W911NF-08-1-0105. The content of this paper does not necessarily reflect the position or policy of the U.S. Government; no official endorsement should be inferred or implied. Nicoletta Fornara’s effort is supported by the Hasler Foundation project nr. 11115-KG and by the SER project nr. C08.0114 within the COST Action IC0801 Agreement Technologies. Henrique Lopes Cardoso’s effort is supported by Fundação para a CiĂȘncia e a Tecnologia (FCT), under project PTDC/EIA-EIA/104420/2008. Pablo Noriega’s effort has been partially supported by the Spanish Ministry of Science and Technology through the Agreement Technologies CONSOLIDER project under contract CSD2007-0022, and the Generalitat of Catalunya grant 2009-SGR-1434.Peer Reviewe

    Making Work System Principles Visible and Usable in Systems Analysis and Design

    Get PDF
    • 

    corecore