Evaluating User Satisfaction and Organisational Benefits of Electronic Medication Management System in an Australian Hospital

In this conceptual paper, we speculate on the possibility that a PhD by Artefact and Exegesis (A&E) may be legitimate in the Information Systems (IS) discipline. Research, as creative process and product with the intention of yielding new knowledge, takes many forms across the spectrum of academic disciplines. Other disciplines, particularly in the humanities’ fields of arts and design, have artefacts as a discrete part of their PhD product accompanied by an exegesis of one form or another. It may be that some research in the IS discipline lends itself to the A&E approach. This paper considers A&E PhDs in Humanities and how practice-based research is presented. We explore how A&E might apply to IS research, through comparison with the design science approach. We suggest tentative impacts on candidates, supervisors and examiners then conclude with the issues and open questions raised by our investigations

Statewide cross-sectional survey of emergency departments\u27 adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices

Study objective To evaluate the implementation of the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines and their perceived impact on local policies and practice. Methods The study design was a cross-sectional survey of emergency department (ED) medical directors, or appropriate person identified by the hospital, perception of the impact of the Ohio ED Opioid Prescribing Guidelines on their departments practice. All hospitals with an ED in Ohio were contacted throughout October and November 2016. Distribution followed Dillman’s Tailored Design Method, augmented with telephone recruitment. Hospital chief executive officers were contacted when necessary to encourage ED participation. Descriptive statistics were used to assess the impact of opioid prescribing policies on prescribing practices. Results A 92% response rate was obtained (150/163 EDs). In total, 112 (75%) of the respondents stated that their ED has an opioid prescribing policy, is adopting one or is implementing prescribing guidelines without a specific policy. Of these 112 EDs, 81 (72%) based their policy on the Ohio ED Opioid Prescribing Guidelines. The majority of respondents strongly agreed/agreed that the prescribing guidelines have increased the use of the prescription drug monitoring programme (86%) and have reduced inappropriate opioid prescribing (71%). Conclusion This study showed that the Ohio ED Opioid Prescribing Guidelines have been widely disseminated and that the majority of EDs in Ohio are using them to develop local policies. The majority of respondents believed that the Ohio opioid prescribing guidelines reduced inappropriate opioid prescribing. However, prescribing practices still varied greatly between EDs