7 research outputs found

    For Better or Worse : Imagining Innovation in Smart City Municipal Design

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    The smart city concept recently (ca. 2010) emerged as a corporate-led system-as-a-service (SaaS) tool to meet city needs of accessibility and efficiency. I looked at three Western cities—Reykjavík, San José, and Toronto—to discover what it meant for city managers to meet municipal needs by embracing smart initiatives. Senior-level city managers, consultants, and technologists invoked vocabularies of smartness and innovation, adopting Internet of Things (IoT) and artificial intelligence (AI) as tools to facilitate human resource and service efficiency needs. I found persistent ambiguity in how city managers described and measured outcomes for city smartness. I also found stakeholders used smartness to participate in global knowledge sharing coalitions with public and private entities, amplifying negotiation potential, and producing values of prestige around novel technological innovation. In so doing, public and private stakeholders formed individual and organizational identities around technological innovation, creating invisible tensions between human resource and technology investments, characterized by celebration of innovation work to the detriment of maintenance labors. My findings inform ongoing scholarship by explaining how smart city technologists sold a discourse of innovation that was not entirely compatible with how cities bureaucratically functioned. Such distinction is important to communicate to scholarly audiences unfamiliar with techno-fetishisms, but familiar with urban management critiques. Moreover, my study opens paths to understanding how private interests influence municipal management through more obscured means

    Evidence in the learning organization

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    <p>Abstract</p> <p>Background</p> <p>Organizational leaders in business and medicine have been experiencing a similar dilemma: how to ensure that their organizational members are adopting work innovations in a timely fashion. Organizational leaders in healthcare have attempted to resolve this dilemma by offering specific solutions, such as evidence-based medicine (EBM), but organizations are still not systematically adopting evidence-based practice innovations as rapidly as expected by policy-makers (the knowing-doing gap problem). Some business leaders have adopted a systems-based perspective, called the learning organization (LO), to address a similar dilemma. Three years ago, the Society of General Internal Medicine's Evidence-based Medicine Task Force began an inquiry to integrate the EBM and LO concepts into one model to address the knowing-doing gap problem.</p> <p>Methods</p> <p>During the model development process, the authors searched several databases for relevant LO frameworks and their related concepts by using a broad search strategy. To identify the key LO frameworks and consolidate them into one model, the authors used consensus-based decision-making and a narrative thematic synthesis guided by several qualitative criteria. The authors subjected the model to external, independent review and improved upon its design with this feedback.</p> <p>Results</p> <p>The authors found seven LO frameworks particularly relevant to evidence-based practice innovations in organizations. The authors describe their interpretations of these frameworks for healthcare organizations, the process they used to integrate the LO frameworks with EBM principles, and the resulting Evidence in the Learning Organization (ELO) model. They also provide a health organization scenario to illustrate ELO concepts in application.</p> <p>Conclusion</p> <p>The authors intend, by sharing the LO frameworks and the ELO model, to help organizations identify their capacities to learn and share knowledge about evidence-based practice innovations. The ELO model will need further validation and improvement through its use in organizational settings and applied health services research.</p

    Behavioural Teratogenicity

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