Educational change and ICT: an exploration of priorities 2 and 3 of the DfES e-strategy in schools and colleges: the current landscape and implementation issues

Landscape review of integrated online support for learners and collaborative approaches to personalised learning activities

A conceptual framework and protocol for defining clinical decision support objectives applicable to medical specialties.

BackgroundThe U.S. Centers for Medicare and Medicaid Services established the Electronic Health Record (EHR) Incentive Program in 2009 to stimulate the adoption of EHRs. One component of the program requires eligible providers to implement clinical decision support (CDS) interventions that can improve performance on one or more quality measures pre-selected for each specialty. Because the unique decision-making challenges and existing HIT capabilities vary widely across specialties, the development of meaningful objectives for CDS within such programs must be supported by deliberative analysis.DesignWe developed a conceptual framework and protocol that combines evidence review with expert opinion to elicit clinically meaningful objectives for CDS directly from specialists. The framework links objectives for CDS to specialty-specific performance gaps while ensuring that a workable set of CDS opportunities are available to providers to address each performance gap. Performance gaps may include those with well-established quality measures but also priorities identified by specialists based on their clinical experience. Moreover, objectives are not constrained to performance gaps with existing CDS technologies, but rather may include those for which CDS tools might reasonably be expected to be developed in the near term, for example, by the beginning of Stage 3 of the EHR Incentive program. The protocol uses a modified Delphi expert panel process to elicit and prioritize CDS meaningful use objectives. Experts first rate the importance of performance gaps, beginning with a candidate list generated through an environmental scan and supplemented through nominations by panelists. For the highest priority performance gaps, panelists then rate the extent to which existing or future CDS interventions, characterized jointly as "CDS opportunities," might impact each performance gap and the extent to which each CDS opportunity is compatible with specialists' clinical workflows. The protocol was tested by expert panels representing four clinical specialties: oncology, orthopedic surgery, interventional cardiology, and pediatrics

From piles to tiles: designing for overview and control in case handling systems

Poor overview and control of workload in electronic case handling systems is a potential health risk factor which affects the users. Case handling systems must therefore be designed to give the users a better overview and maximum control over their workload. In an earlier study, we developed a prototype interface for managing cases, based on the piles metaphor. This paper introduces a second prototype, which is designed to incorporate the findings of an evaluation of the piles metaphor prototype. In this second prototype cases are visualized as “tiles”, reflecting the number and complexity of the cases. This paper also describes some the results of the evaluation of the tiles prototype

Assessment of cockpit interface concepts for data link retrofit

The problem is examined of retrofitting older generation aircraft with data link capability. The approach taken analyzes requirements for the cockpit interface, based on review of prior research and opinions obtained from subject matter experts. With this background, essential functions and constraints for a retrofit installation are defined. After an assessment of the technology available to meet the functions and constraints, candidate design concepts are developed. The most promising design concept is described in detail. Finally, needs for further research and development are identified

NASA control research overview

An overview of NASA research activities related to the control of aeronautical vehicles is presented. A groundwork is laid by showing the organization at NASA Headquarters for supporting programs and providing funding. Then a synopsis of many of the ongoing activities is presented, some of which will be presented in greater detail elsewhere. A major goal of the workshop is to provide a showcase of ongoing NASA sponsored research. Then, through the panel sessions and conversations with workshop participants, it is hoped to glean a focus for future directions in aircraft controls research

Composing features by managing inconsistent requirements

One approach to system development is to decompose the requirements into features and specify the individual features before composing them. A major limitation of deferring feature composition is that inconsistency between the solutions to individual features may not be uncovered early in the development, leading to unwanted feature interactions. Syntactic inconsistencies arising from the way software artefacts are described can be addressed by the use of explicit, shared, domain knowledge. However, behavioural inconsistencies are more challenging: they may occur within the requirements associated with two or more features as well as at the level of individual features. Whilst approaches exist that address behavioural inconsistencies at design time, these are overrestrictive in ruling out all possible conflicts and may weaken the requirements further than is desirable. In this paper, we present a lightweight approach to dealing with behavioural inconsistencies at run-time. Requirement Composition operators are introduced that specify a run-time prioritisation to be used on occurrence of a feature interaction. This prioritisation can be static or dynamic. Dynamic prioritisation favours some requirement according to some run-time criterion, for example, the extent to which it is already generating behaviour