Beyond handover: supporting awareness for continuous coverage

Abstract Hospitals are required to operate as a continuous system because patient care cannot be temporarily suspended and handover is seen as a key method for enabling this. This paper reports a study of handover in a medical admissions unit. We draw on the notion of awareness as conceptualised within the Computer Supported Cooperative Work literature to explore the role played by a variety of cognitive artifacts in supporting continuous coverage. While such awareness is typically characterised as being ‘effortless’, our study reveals that maintaining awareness in a context such as the medical admissions unit is effortful due to invisible work. We suggest that the notion of awareness is beneficial for exploring the practices of continuous coverage because it moves attention away from the moment of handover, instead encouraging consideration of the variety of practices through which clinicians display their work to, and monitor the work of, colleagues on different shifts. We argue that efforts to support continuous coverage should focus on improving awareness by increasing the visibility of information

A Situational Alignment Framework for PACS

This paper reports the outcomes of a study on an integrated situational alignment framework for picture archiving and communication systems (PACS) labeled as PISA. Following the design research cycle, complementary validation methods and pilot cases were used to assess the proposed framework and its operationalized survey. In this paper, the authors outline (a) the process of the framework’ development, (b) the validation process with its underlying iterative steps, (c) the outcomes of pilot cases, and (d) improvement opportunities to refine and further validate the PISA framework. Results of this study support empirical application of the framework to hospital enterprises in order to gain insights into their PACS maturity and alignment. We argue that the framework can be applied as a valuable tool for assessments, monitoring and benchmarking purposes and strategic PACS planning

Evaluating the Benefits of Aphasia Intervention Delivered in Virtual Reality: Results of a Quasi-Randomised Study

Introduction This study evaluated an intervention for people with aphasia delivered in a novel virtual reality platform called EVA Park. EVA Park contains a number of functional and fantastic locations and allows for interactive communication between multiple users. Twenty people with aphasia had 5 weeks’ intervention, during which they received daily language stimulation sessions in EVA Park from a support worker. The study employed a quasi randomised design, which compared a group that received immediate intervention with a waitlist control group. Outcome measures explored the effects of intervention on communication and language skills, communicative confidence and feelings of social isolation. Compliance with the intervention was also explored through attrition and usage data. Results There was excellent compliance with the intervention, with no participants lost to follow up and most (18/20) receiving at least 88% of the intended treatment dose. Intervention brought about significant gains on a measure of functional communication. Gains were achieved by both groups of participants, once intervention was received, and were well maintained. Changes on the measures of communicative confidence and feelings of social isolation were not achieved. Results are discussed with reference to previous aphasia therapy findings

What Every Business Student Needs to Know About Information Systems

Whether Information Systems should or should not be part of the core business school curriculum is a recurring discussion in many universities. In this article, a task force of 40 prominent information systems scholars address the issue. They conclude that information systems is absolutely an essential body of knowledge for business school students to acquire as well as a key element of the business school\u27s long-run strategic positioning within the university. Originally prepared in response to draft accreditation guidelines prepared by AACSB International, the article includes a compilation of the concepts that the authors believe to be the core information systems knowledge that all business school students should be familiar with

The impact of big data analytics on firms’ high value business performance

Big Data Analytics (BDA) is an emerging phenomenon with the reported potential to transform how firms manage and enhance high value businesses performance. The purpose of our study is to investigate the impact of BDA on operations management in the manufacturing sector, which is an acknowledged infrequently researched context. Using an interpretive qualitative approach, this empirical study leverages a comparative case study of three manufacturing companies with varying levels of BDA usage (experimental, moderate and heavy). The information technology (IT) business value literature and a resource based view informed the development of our research propositions and the conceptual framework that illuminated the relationships between BDA capability and organizational readiness and design. Our findings indicate that BDA capability (in terms of data sourcing, access, integration, and delivery, analytical capabilities, and people’s expertise) along with organizational readiness and design factors (such as BDA strategy, top management support, financial resources, and employee engagement) facilitated better utilization of BDA in manufacturing decision making, and thus enhanced high value business performance. Our results also highlight important managerial implications related to the impact of BDA on empowerment of employees, and how BDA can be integrated into organizations to augment rather than replace management capabilities. Our research will be of benefit to academics and practitioners in further aiding our understanding of BDA utilization in transforming operations and production management. It adds to the body of limited empirically based knowledge by highlighting the real business value resulting from applying BDA in manufacturing firms and thus encouraging beneficial economic societal changes

Against Structured Approaches: Information Requirements Analysis as a Socially Mediated Process

Information systems (IS) development approaches are considered with particular reference to information requirements analysis. The majority can be classified as adopting a unitary, objective perspective. This fails to fully recognise the interpretative, inter-subjective nature of information and the importance of informal as well as formal data processing systems. This paper aims to contribute to the discussion on tools and methods for systems development by providing a contrasting perspective on information requirements analysis as a process which is socially mediated. A framework is developed which places information requirements in the context strategic IS development. This features social communication networks centrally in this process and raises implications for practice in IS development. 1. Background There has been considerable emphasis in the literature on information systems (IS) development on using structured approaches as a means of identifying information requirements for systems development. An assumption underpinning such approaches is that formal, Information Technology-based data processing systems are the medium through which information requirements can be best met (c.f. Avison and Fitzgerald, [1]. This is so, despite the fact that authors in the IS field [2] and in the field of organization theory [3] have long emphasised the significance of the informal, political and interpretative aspects of information. The aim of this paper is to contribute to the discussion of automated tools in IS development by providing a contrasting perspective on information requirements analysis as being socially mediated and thereby requiring awareness of the socio-political aspects of the IS development process and associated techniques. The paper argues that such a perspective might usefully complement the more formal, automated tools an

Information systems and culture: applying 'states of growth' concepts to development administration

This paper examines how cultural factors influence the rate at which individuals adopt technology to assist them in their duties. In order to achieve this, we review usage of the stages of growth model of information systems development in organisations which has been applied in the context of western and non-western organisations in various parts of the world. We then apply the model to the context of development administration where information technology interventions are becoming pervasive but where the inherent traditional cultural characteristics are fundamentally at variance with those of information technology practitioners. The case study we present is that of the implementation of information systems in the Karachi Development Authority (KDA). The findings highlight the utility and limitations of the stages of growth model in terms of its ability to accommodate the inherent cultural characteristics of KDA. While such knowledge will have value for information technology practitioners within their own societies, we contend that it will become even more valuable for practitioners from western cultures in applying technology solutions to development administration