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Sociotechnical

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https://www.readbyqxmd.com/read/29757710/what-went-right-an-analysis-of-the-protective-factors-in-aviation-near-misses
#1
Brian Thoroman, Natassia Goode, Paul Salmon, Matthew Wooley
Learning from successful safety outcomes, or what went right, is an important emerging component of maintaining safe systems. Accordingly, there are increasing calls to study normal performance in near misses as part of safety management activities. Despite this, there is limited guidance on how to accomplish this in practice. This article presents a study in which using Rasmussen's risk management framework to analyse sixteen serious incidents from the aviation domain. The findings show that a network of protective factors prevents accidents with factors identified across the sociotechnical system...
May 14, 2018: Ergonomics
https://www.readbyqxmd.com/read/29695297/better-governance-better-access-practising-responsible-data-sharing-in-the-metadac-governance-infrastructure
#2
Madeleine J Murtagh, Mwenza T Blell, Olly W Butters, Lorraine Cowley, Edward S Dove, Alissa Goodman, Rebecca L Griggs, Alison Hall, Nina Hallowell, Meena Kumari, Massimo Mangino, Barbara Maughan, Melinda C Mills, Joel T Minion, Tom Murphy, Gillian Prior, Matthew Suderman, Susan M Ring, Nina T Rogers, Stephanie J Roberts, Catherine Van der Straeten, Will Viney, Deborah Wiltshire, Andrew Wong, Neil Walker, Paul R Burton
BACKGROUND: Genomic and biosocial research data about individuals is rapidly proliferating, bringing the potential for novel opportunities for data integration and use. The scale, pace and novelty of these applications raise a number of urgent sociotechnical, ethical and legal questions, including optimal methods of data storage, management and access. Although the open science movement advocates unfettered access to research data, many of the UK's longitudinal cohort studies operate systems of managed data access, in which access is governed by legal and ethical agreements between stewards of research datasets and researchers wishing to make use of them...
April 26, 2018: Human Genomics
https://www.readbyqxmd.com/read/29692945/challenges-in-communication-from-referring-clinicians-to-pathologists-in-the-electronic-health-record-era
#3
Andrea Lynne Barbieri, Oluwole Fadare, Linda Fan, Hardeep Singh, Vinita Parkash
We report on the role played by electronic health record inbox messages (EHRmsg) in a safety event involving pathology. Evolving socio-cultural norms led to the coopting of EHRmsg for alternate use and oversight of a clinician to pathologist request. We retrospectively examined EHR inbox messages to pathologists over a 3 month block. 36 messages from 22 pathologists were assessed. 26 pertained to patient care including requests for report corrections and additional testing. 88% of requests had gone unaddressed...
2018: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/29669709/implementing-an-open-source-electronic-health-record-system-in-kenyan-health-care-facilities-case-study
#4
Naomi Muinga, Steve Magare, Jonathan Monda, Onesmus Kamau, Stuart Houston, Hamish Fraser, John Powell, Mike English, Chris Paton
BACKGROUND: The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country...
April 18, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29669445/-the-biggest-legal-battle-in-uk-casino-history-processes-and-politics-of-cheating-in-sociotechnical-networks
#5
Mark R Johnson
Previous literature on cheating has focused on defining the concept, assigning responsibility to individual players, collaborative social processes or technical faults in a game's rules. By contrast, this paper applies an actor-network perspective to understanding 'cheating' in games, and explores how the concept is rhetorically effective in sociotechnical controversies. The article identifies human and nonhuman actors whose interests and properties were translated in a case study of 'edge sorting' - identifying minor but crucial differences in tessellated patterns on the backs of playing cards, and using these to estimate their values...
April 1, 2018: Social Studies of Science
https://www.readbyqxmd.com/read/29625956/video-outpatient-consultations-a-case-study-of-real-world-implementation-at-macro-meso-and-micro-level
#6
Trish Greenhalgh, Sara Shaw, Joseph Wherton, Shanti Vijayaraghavan, Joanne Morris, Satya Bhattacharya, Philippa Hanson, Desirée Campbell-Richards, Seendy Ramoutar, Anna Collard, Isabel Hodkinson
BACKGROUND: There is much interest in virtual consultations using video technology. Randomized controlled trials have shown video consultations to be acceptable, safe, and effective in selected conditions and circumstances. But this model has rarely been mainstreamed and sustained in real-world settings. OBJECTIVE: The study sought to (1) define good practice and inform implementation of video outpatient consultations and (2) generate transferable knowledge about challenges to scaling up and routinizing this service model...
February 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29521162/sociotechnical-factors-influencing-unsafe-use-of-hospital-information-systems-a-qualitative-study-in-malaysian-government-hospitals
#7
Lizawati Salahuddin, Zuraini Ismail, Ummi Rabaah Hashim, Raja Rina Raja Ikram, Nor Haslinda Ismail, Mohd Hariz Naim Mohayat
The objective of this study is to identify factors influencing unsafe use of hospital information systems in Malaysian government hospitals. Semi-structured interviews with 31 medical doctors in three Malaysian government hospitals implementing total hospital information systems were conducted between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. A total of five themes emerged as the factors influencing unsafe use of a hospital information system: (1) knowledge, (2) system quality, (3) task stressor, (4) organization resources, and (5) teamwork...
March 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29409648/a-systems-approach-using-the-functional-resonance-analysis-method-to-support-fluoride-varnish-application-for-children-attending-general-dental-practice
#8
Al Ross, Andrea Sherriff, Jamie Kidd, Wendy Gnich, Janet Anderson, Leigh Deas, Lorna Macpherson
BACKGROUND: All children attending General Dental Practice in Scotland are recommended to receive twice-yearly applications of sodium fluoride varnish to prevent childhood caries, yet application is variable. Development of complex interventions requires theorizing and modelling to understand context. This study applies the Functional Resonance Analysis Method (FRAM) to produce a sociotechnical systems model and identify opportunities for intervention to support application. METHODS: The FRAM was used to synthesise data which were: routine monitoring of fluoride varnish application in 2015/16; a longitudinal survey with practitioners (n = 1090); in-depth practitioner and key informant interviews (n = 43); and a 'world café' workshop (n = 56)...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29409642/distributed-cognition-on-the-road-using-east-to-explore-future-road-transportation-systems
#9
Victoria A Banks, Neville A Stanton, Gary Burnett, Setia Hermawati
Connected and Autonomous Vehicles (CAV) are set to revolutionise the way in which we use our transportation system. However, we do not fully understand how the integration of wireless and autonomous technology into the road transportation network affects overall network dynamism. This paper uses the theoretical principles underlying Distributed Cognition to explore the dependencies and interdependencies that exist between system agents located within the road environment, traffic management centres and other external agencies in both non-connected and connected transportation systems...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29409637/creating-the-environment-for-driver-distraction-a-thematic-framework-of-sociotechnical-factors
#10
Katie J Parnell, Neville A Stanton, Katherine L Plant
As modern society becomes more reliant on technology, its use within the vehicle is becoming a concern for road safety due to both portable and built-in devices offering sources of distraction. While the effects of distracting technologies are well documented, little is known about the causal factors that lead to the drivers' engagement with technological devices. The relevance of the sociotechnical system within which the behaviour occurs requires further research. This paper presents two experiments, the first aims to assess the drivers self-reported decision to engage with technological tasks while driving and their reasoning for doing so with respect to the wider sociotechnical system...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29409633/factors-influencing-experience-in-crowds-the-organiser-perspective
#11
Victoria Filingeri, Ken Eason, Patrick Waterson, Roger Haslam
Crowds are a commonplace encounter but the experience for participants can be highly variable. Crowds are complex sociotechnical phenomenon, affected by many interacting factors. Little is known, however, about how those responsible for organising crowd situations approach their responsibilities. This study conducted semi-structured interviews (n = 41) with organisers responsible for different aspects of the design, planning, management and operations of events and other crowd situations. The objective was to understand organisers' priorities, along with the consideration given to the experience of crowd participants...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29402181/home-is-where-the-head-is-a-distributed-cognition-account-of-personal-health-information-management-in-the-home-among-those-with-chronic-illness
#12
Nicole E Werner, Anna F Jolliff, Gail Casper, Thomas Martell, Kevin Ponto
Managing chronic illness requires personal health information management (PHIM) to be performed by lay individuals. Paramount to understanding the PHIM process is understanding the sociotechnical system in which it frequently occurs: the home environment. We combined distributed cognition theory and the patient work system model to investigate how characteristics of the home interact with the cognitive work of PHIM. We used a 3D virtual reality CAVE that enabled participants who had been diagnosed with diabetes (N = 20) to describe how they would perform PHIM in the home context...
February 12, 2018: Ergonomics
https://www.readbyqxmd.com/read/29355398/using-twitter-to-access-the-human-right-of-communication-for-people-who-use-augmentative-and-alternative-communication-aac
#13
Bronwyn Hemsley, Stuart Palmer, Stephen Dann, Susan Balandin
PURPOSE: Articles 19, 26 and 27 of the Universal Declaration of Human Rights and Articles 4, 9 and 21 of the Convention on the Rights of Persons with Disabilities promote the human rights of communication, education, use of technology and access to information. Social media is an important form of online communication, and Twitter increases users' visibility, influence and reach online. The aim of this sociotechnical research was to determine the impact of teaching three people who use Augmentative and Alternative Communication (AAC) to use Twitter...
February 2018: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29298581/plurality-in-understandings-of-innovation-sociotechnical-progress-and-sustainable-development-an-analysis-of-oecd-expert-narratives
#14
Paulo Savaget, Liliana Acero
Deterministic theory and discourse on sociotechnical progress ignore the existence of multiple and equally viable pathways towards progress, obscure socioeconomic and environmental conflicting interests and values, and overshadow socially inclusive deliberative choices about policy strategies. Demystifying techno-determinism, by incorporating a plurality of understandings to policy appraisal, becomes a matter of not only democratic accountability but also of analytical rigour. This article analyses the normative and ontological understandings on scientific and technological pathways among a group of experts interviewed at one key Directorate of the Organisation for Economic Cooperation and Development, using Q-methodology...
March 1, 2017: Public Understanding of Science
https://www.readbyqxmd.com/read/29230538/a-robotic-shower-system-acceptance-and-ethical-issues
#15
REVIEW
Barbara Klein, Inga Schlömer
BACKGROUND: Being able to maintain personal hygiene plays a crucial role for independent living in old age or when suffering from disabilities. Within the European project ICT Supported Bath Robots (I‑SUPPORT) an intelligent robotic shower system is being developed, which enables patients to shower independently at home or in institutionalized settings. OBJECTIVE: The aim of this contribution is the identification of ethical issues in the development of a robotic shower system utilizing the model for the ethical evaluation of socio-technical arrangements (MEESTAR)...
January 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29168682/how-should-organizations-promote-equitable-distribution-of-benefits-from-technological-innovation-in-health-care
#16
Satish Nambisan, Priya Nambisan
Technological innovations typically benefit those who have good access to and an understanding of the underlying technologies. As such, technology-centered health care innovations are likely to preferentially benefit users of privileged socioeconomic backgrounds. Which policies and strategies should health care organizations adopt to promote equitable distribution of the benefits from technological innovations? In this essay, we draw on two important concepts-co-creation (the joint creation of value by multiple parties such as a company and its customers) and digitalization (the application of new digital technologies and the ensuing changes in sociotechnical structures and relationships)-and propose a set of policies and strategies that health care organizations could adopt to ensure that benefits from technological innovations are more equitably distributed among all target populations, including resource-poor communities and individuals...
November 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29122200/applying-social-network-analysis-to-the-examination-of-interruptions-in-healthcare
#17
Tara McCurdie, Penelope Sanderson, Leanne M Aitken
Examinations of interruptions in healthcare often focus on a single clinical discipline, and solutions are targeted accordingly. This approach does not take into account the inter-disciplinary dependencies and other sociotechnical aspects that make up the healthcare work system, and suggested solutions may not meet the needs of all stakeholders. In this article a sociotechnical systems perspective is used to uncover the interdependencies between 16 unique work roles that result in interruptions in an intensive care unit (ICU)...
February 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29092808/beyond-adoption-a-new-framework-for-theorizing-and-evaluating-nonadoption-abandonment-and-challenges-to-the-scale-up-spread-and-sustainability-of-health-and-care-technologies
#18
Trisha Greenhalgh, Joseph Wherton, Chrysanthi Papoutsi, Jennifer Lynch, Gemma Hughes, Christine A'Court, Susan Hinder, Nick Fahy, Rob Procter, Sara Shaw
BACKGROUND: Many promising technological innovations in health and social care are characterized by nonadoption or abandonment by individuals or by failed attempts to scale up locally, spread distantly, or sustain the innovation long term at the organization or system level. OBJECTIVE: Our objective was to produce an evidence-based, theory-informed, and pragmatic framework to help predict and evaluate the success of a technology-supported health or social care program...
November 1, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29084356/interdependent-network-recovery-games
#19
Andrew M Smith, Andrés D González, Leonardo Dueñas-Osorio, Raissa M D'Souza
Recovery of interdependent infrastructure networks in the presence of catastrophic failure is crucial to the economy and welfare of society. Recently, centralized methods have been developed to address optimal resource allocation in postdisaster recovery scenarios of interdependent infrastructure systems that minimize total cost. In real-world systems, however, multiple independent, possibly noncooperative, utility network controllers are responsible for making recovery decisions, resulting in suboptimal decentralized processes...
October 30, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/29063547/clinical-information-systems-as-the-backbone-of-a-complex-information-logistics-process-findings-from-the-clinical-information-systems-perspective-for-2016
#20
REVIEW
W O Hackl, T Ganslandt
Objective: To summarize recent research and to propose a selection of best papers published in 2016 in the field of Clinical Information Systems (CIS). Method: The query used to retrieve the articles for the CIS section of the 2016 edition of the IMIA Yearbook of Medical Informatics was reused. It again aimed at identifying relevant publications in the field of CIS from PubMed and Web of Science and comprised search terms from the Medical Subject Headings (MeSH) catalog as well as additional free text search terms...
August 2017: Yearbook of Medical Informatics
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