33 research outputs found

    Shepherd Or Servant: Centralization And Decentralization In Information Technology Governance

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    Information Technology (IT) governance deals with how decision-making authority concerning IT is distributed across the firm.  Based upon that distribution of authority, different behaviors and consequent decisions can be observed.  A fundamental question is the degree of centralization and decentralization of that authority and the ability to standardize.  Standardization often has benefits, but there can be negative repercussions if the standard does not take into account localized needs.  The dominant governance mechanism has changed as technology and available tradeoffs have changed

    A Review On Evaluation And Benefits Of Decision Support Systems

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    This review paper identifies benefits from various Decision Support Systems (DSSs) and introduces a range of examples from the literature. Those examples are organized according to the driving technological architecture of the DSS. Benefits may impact a decision or the decision-making process. Some techniques for assessing the benefits of a particular DSS were also surveyed

    Effects Of Environmental Uncertainty On Perception Of Information Systems Issues

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    The current study reports the results of a survey of CEOs and senior information systems managers to examine the relationship between perceived environmental uncertainty (PEU) and IS issues that have appeared repeatedly in MIS Quarterly.  Senior Information Systems managers in high-PEU firms ranked a number of issues differently than those in low-PEU firms.  Additionally, information systems issues overall are more important on average in high-PEU firms than in low-PEU firms. Also, high PEU results in some issues concerning external information to be deemed more important.  A comparison of factor analyses for the two groups indicates firms reporting high levels of PEU view external IS issues differently than those firms with low levels of PEU; external IS issues load on a separate construct for high-PEU firms.  That construct is not found in low-PEU firms

    Does "IT Doesn't Matter" Matter?: A Study Of Innovation And Information Systems Issues

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    A new analysis of secondary data examines Carr’s controversial Harvard Business Review article of 2003 by considering the relative importance of top information systems issues according to the level of innovation in an industry. Although the majority of the subsequent literature argues that Carr was wrong, our analysis provides evidence suggesting that Carr may have been right

    Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

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    Background: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. Methods: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. Findings: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96–1·28). Interpretation: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. Funding: National Institute for Health Research Health Services and Delivery Research Programme

    Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

    Get PDF
    BACKGROUND: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. METHODS: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. FINDINGS: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96-1·28). INTERPRETATION: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. FUNDING: National Institute for Health Research Health Services and Delivery Research Programme

    FRAMEWORKS AND FORMALISMS FOR DECISION SUPPORT AND ORGANIZATIONAL MODELING (PROBLEM-SOLVING, INFORMATION PROCESSING, PLANNING)

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    Four formalisms for describing organizations or decision support systems are developed. The first formalism is used to express the activities of the organization. The second is used to express the planning process by which the organization generates its activities. The third is a knowledge representation for organizational modeling. The fourth provides a framework for the design of a decision support system. The formalisms are studied to determine their suitability for modeling information processing carried out in parallel

    Meta-Modeling Concepts and Tools for Model Management: A Systems Approach

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