Rfid-based business process and workflow management in healthcare:design and implementation

The healthcare system in the United States is considered one of the most complex systems and has encountered challenges related to patient safety concerns, escalating costs, and unpredictable outcomes. Many of these problems share a common cause - a lack of efficient business process management and visibility into the real-time location, status, and condition of medical resources. The goal of this research is to propose a newly integrated system to model, automate, and monitor healthcare business processes using an automatic data collection technology to record the timing and location of activities and identify their various resources. This dissertation makes several contributions to the design and implementation of RFID-based business process and workflow management in healthcare. First, I propose a road map to implement RFID in hospitals with performance matrixes for technology evaluation, key criteria for resolution level setting, and business rules for information extraction. Second, RFID-based business process management (BPM) concepts and workflow technologies are used to transform the reprocessing procedures in a Sterile Processing Department (SPD) for the purpose of reducing infections caused by unclean reusable medical equipment. In the proposed pattern for healthcare business process management, the importance of execution status control is emphasized as a key component to handle complex and dynamic healthcare processes. A five-level framework for service-oriented business process management is designed for SPDs to share information, integrate distributed systems, and manage heterogeneous resources among multiple stakeholders. This research proposes a healthcare workflow system as a deliverable solution to manage the execution phase of reprocessing procedures, which supports the design, execution, monitoring, and automation of services supplied in SPDs. RFID techniques are adopted to collect relative real-time data for SPD performance management. Finally, by identifying key architectural requirements, the subsystems of a service-oriented architecture for the SPD workflow prototyping system, SPDFLOW, are discussed in detail. This research is the first attempt to explore healthcare workflow technologies in the SPD domain to improve the quality of reusable medical equipment and ensure patient safety

Framework for collaborative knowledge management in organizations

Nowadays organizations have been pushed to speed up the rate of industrial transformation to high value products and services. The capability to agilely respond to new market demands became a strategic pillar for innovation, and knowledge management could support organizations to achieve that goal. However, current knowledge management approaches tend to be over complex or too academic, with interfaces difficult to manage, even more if cooperative handling is required. Nevertheless, in an ideal framework, both tacit and explicit knowledge management should be addressed to achieve knowledge handling with precise and semantically meaningful definitions. Moreover, with the increase of Internet usage, the amount of available information explodes. It leads to the observed progress in the creation of mechanisms to retrieve useful knowledge from the huge existent amount of information sources. However, a same knowledge representation of a thing could mean differently to different people and applications. Contributing towards this direction, this thesis proposes a framework capable of gathering the knowledge held by domain experts and domain sources through a knowledge management system and transform it into explicit ontologies. This enables to build tools with advanced reasoning capacities with the aim to support enterprises decision-making processes. The author also intends to address the problem of knowledge transference within an among organizations. This will be done through a module (part of the proposed framework) for domain’s lexicon establishment which purpose is to represent and unify the understanding of the domain’s used semantic

Situationsbewusste Informationsdienste für das arbeitsbegleitende Lernen

Zunehmend werden Lernen und Arbeiten als miteinander verwobene Aktivitäten verstanden, was von existierenden Ansätzen nur unzureichend unterstützt wird, da sie kaum die Arbeitssituation berücksichtigen, in der sie benutzt werden. In dieser Arbeit geht es darum, eine Methodik für die Lernunterstützung zu erarbeiten und auf technischer Ebene situationsbewusste Informationsdienste mittels Kompetenzontologien und Kontextmanagement zu konzipieren und in realen Unternehmensumgebungen zu evaluieren

Ontologising Interaction Behavior for Service-Oriented Enterprise Healthcare Integration

peer-reviewe

Walking and well-being: landscape, affect, rhythm

This thesis is an ethnographic exploration of group walking practices in the Hampshire countryside, investigating the embodied, affective and social practice of the shared walk and its relation to the individual pursuit of wellness. Responding to the growing literature in qualitative health geography using ‘therapeutic landscape’ as a conceptual framework, group walking practices are approached in this thesis from a perspective of more-than-representational theories of social practice that aims to address group dynamics and the role of social relations for the establishment of therapeutic spaces. While also drawing attention to the embodied and affective nature of experience, this thesis opens a discussion between health geography and cultural geographies on the issues of the body, mobility and collective experience. Further, the thesis aims to place the study findings within the wider cultural phenomena of ‘walking for health’ through an exploration of practices of assemblage. Deleuzian assemblage theory, both as a pragmatic analytical tool and an ontological position, offers a new approach to thinking health and place relationally, arguing for a distribution of agencies and providing a framework for tracing their emergent effects across complex networks.The thesis finds its empirical focus in ethnographic fieldwork with five walking groups as well as individual mobile interviews. The findings discussed in the thesis firstly pertain to the significance of social relations for well-being, exploring the kinds of socialities that are produced while walking together, and arguing that the shared walk has the potential to establish a place-specific social aesthetic that can be experienced as restorative. Secondly, the rural walkscape as a therapeutic landscape is analysed as a specific outcome of place-based rhythms, implicated in the performativity and mobility of the body in the creation of a restorative place/practice. It is found that the shared walk is characterised by specific rhythmic qualities and that walking as a health practice is subject to a range of norms, regulations and performative styles.The findings and conceptual development in this thesis contribute to an interrogation of the complex processes through which therapeutic landscapes are established, practiced and experienced. The thesis also contributes to more-than representational geographies of embodiment, affect and landscape, which are intimately tied up in the production and performance of both wellness and place

Cultural Representations of Gender Vulnerability and Resistance

This Open Access book considers the cultural representation of gender violence, vulnerability and resistance with a focus on the transnational dimension of our contemporary visual and literary cultures in English. Contributors address concepts such as vulnerability, resilience, precarity and resistance in the Anglophone world through an analysis of memoirs, films, TV series, and crime and literary fiction across India, Ireland, Canada, Australia, the US, and the UK. Chapters explore literary and media displays of precarious conditions to examine whether these are exacerbated when intersecting with gender and ethnic identities, thus resulting in structural forms of vulnerability that generate and justify oppression, as well as forms of individual or collective resistance and/or resilience. Substantial insights are drawn from Animal Studies, Critical Race Studies, Human Rights Studies, Post-Humanism and Postcolonialism. This book will be of interest to scholars in Gender Studies, Media Studies, Sociology, Culture, Literature and History. Grant FFI2017-84555-C2-1-P (research Project “Bodies in Transit: Genders, Mobilities, Interdependencies”) funded by MCIN/AEI/ 10.13039/501100011033 and by “ERDF A way of making Europe.

Cultural Representations of Gender Vulnerability and Resistance

This Open Access book considers the cultural representation of gender violence, vulnerability and resistance with a focus on the transnational dimension of our contemporary visual and literary cultures in English. Contributors address concepts such as vulnerability, resilience, precarity and resistance in the Anglophone world through an analysis of memoirs, films, TV series, and crime and literary fiction across India, Ireland, Canada, Australia, the US, and the UK. Chapters explore literary and media displays of precarious conditions to examine whether these are exacerbated when intersecting with gender and ethnic identities, thus resulting in structural forms of vulnerability that generate and justify oppression, as well as forms of individual or collective resistance and/or resilience. Substantial insights are drawn from Animal Studies, Critical Race Studies, Human Rights Studies, Post-Humanism and Postcolonialism. This book will be of interest to scholars in Gender Studies, Media Studies, Sociology, Culture, Literature and History. Grant FFI2017-84555-C2-1-P (research Project “Bodies in Transit: Genders, Mobilities, Interdependencies”) funded by MCIN/AEI/ 10.13039/501100011033 and by “ERDF A way of making Europe.

The Pinboard and the Paradox of Pain: An Experiment of Post-Epistemological Method in Representing the Lived Experience of Persistent Pain

This thesis is about the crisis in representation that accompanies the attempt to account for lived experience, with particular reference to bodily pain in social science. The diagnosis of this problem of experience identifies epistemology as an inappropriate means of knowing that initiates a translational paradox unable to satisfy the simultaneous demands of making lived experience familiar in representational form yet retaining the foreignness of the original experience at the same time. This problem of simultaneity is not a problem, however, if it is built into a way of knowing, something that escapes epistemological conditions of possibility with its either/or of singularities. To know in such ‘double vision’, or fractionally, characterises post-epistemological thinking. This thesis draws on a relatively underdeveloped method for practicing a fractional means of knowing from post- actor-network theory, that of the pinboard, and explores how it might be usefully applied to the problem of experience. The thesis constitutes an experiment in producing a social science account of the lived experience of chronic pain using this method as an alternative to conventional epistemological techniques that initiate the problem of experience. Through initial theoretical discussion, followed by reflection on its practical application involving the construction of fractional accounts of lived experience for five participants experiencing chronic pain (interviewed individually over several sessions), the pinboard is developed as a technique that seeks to maintain ‘double vision’ whilst inherently resisting attempts to resolve the juxtaposition it makes visible, enacting and engaging in an ontological politics with conventional methods of social analysis. This includes discussion of how the method might be transported from methodological knowledge spaces to effectively intervene on such conventional methods

States of precarity: Negotiating home(s) beyond detention

PhDIn the second quarter of 2013, 7,944 people were detained in the UK ‘for the purposes of immigration control’ (Home Office, 2013). While 1,138 of those detained were women, major shortcomings are identified in their treatment and calls made for a more gender sensitive asylum system. Although 35% of these women went on to be released there is a lack of research that investigates the on-going legacy of detention and the consequences for the sense of belonging, social integration and wellbeing of ex-detainees. This thesis draws on in-depth narrative interviews with 16 migrant women in the UK who were detained and then released from UK Immigration Removal Centres and five charity workers. Within migration scholarship the paradigm of exclusion has been traditionally adopted to understand how states seek to protect borders, keeping unwanted individuals out or contained. A spatial examination of respondents’ critical geographies of home reveals however that despite their release from detention these women continued to negotiate multiple and fluctuating boundaries. It is argued therefore that this paradigm obscures a nuanced perspective and proposes instead a discourse of precarity. Not only can the ‘state of precarity’ implicit within narratives of detention seep into and define the everyday geographies of home beyond release, respondents’ everyday negotiations with home remained central to the construction and proliferation of everyday precarity. This is achieved through a home-infused geopolitical rhetoric and interventions in the name of immigration enforcement which were revealed through (in)secure spaces of home. An exploration of emotional and embodied geographies also exposes erosive implications for feelings of belonging and health and wellbeing. A discourse of precarity therefore allows for a differentiation and critical inquiry of subjective gendered positions, citizenship and importantly, emergent accounts of resilience, reworking and resistance on predominantly social trajectories.ESR