This teaching case reports the development of a Dashboard designed to build a comprehensive pictu... more This teaching case reports the development of a Dashboard designed to build a comprehensive picture (view) of an organization’s customer-base. After more than 40 years of research focused on enhancing managerial support for decision-making through technology, the observation that, developing IT applications that are truly useful for top management is a highly complex and uncertain task, is still as valid as ever. The resulting Business Intelligence and Data Warehousing system supports the delegation and decentralization of decision-making and control in the organization as top managers have guarantees that their subordinates have access to reliable and timely information. This case demonstrates the utilization of IT (Data warehousing and On-Line Analysis Processing) to aid organizational decision-making through trend analysis, resulting in competitive advantage. Therefore, as a result, closer relationships with customers are developed. Additionally, this case can and is actively use...
The desire to obtain competitive advantage is a motivator for implementing Enterprise Resource Pl... more The desire to obtain competitive advantage is a motivator for implementing Enterprise Resource Planning (ERP) Systems (Adam & O’Doherty, 2000). However, while it is accepted that Information Technology (IT) in general may contribute to the improvement of organisational performance (Melville, Kraemer, & Gurbaxani, 2004), the nature and extent of that contribution is poorly understood (Jacobs & Bendoly, 2003; Ravichandran & Lertwongsatien, 2005). Accordingly, Henderson and Venkatraman (1993) assert that it is the application of business and IT capabilities to develop and leverage a firm’s IT resources for organisational transformation, rather than the acquired technological functionality, that secures competitive advantage for firms. Application of the Resource Based View of the firm (Wernerfelt, 1984) and Dynamic Capabilities Theory (DCT) (Teece and Pisano (1998) in particular) may yield insights into whether or not the use of Enterprise Systems enhances organisations’ core capabilit...
Emergency decision makers face a challenge taking rapid and high-risk decisions during an emergen... more Emergency decision makers face a challenge taking rapid and high-risk decisions during an emergency situation, especially when the emergency is cross-border and requires multi-agency cooperation. The emergency decision makers use emergency management (EM) system and sometimes decision support systems (DSS) when responding to a crisis. To date the emergency decision makers have not had access to a system that supports them in all facets of the full EM cycle. This paper describes work in progress designing and building a comprehensive system of systems that intend to be that support for emergency decision makers. The system has successfully demonstrated its value from a technical and user perspective. Future tests will demonstrate if it will enhance decision management in reality-based emergency scenarios.
When the twentieth century German physicist Theodor Kaluza decided to learn to swim, he is famous... more When the twentieth century German physicist Theodor Kaluza decided to learn to swim, he is famously said to have read a book on swimming, then jumped into the sea. For most people, the flaws of such a strategy are obvious; there is a big difference between skill-based knowledge and other forms of understanding. The other article in this issue has demonstrated the scale of innovation potential and complexity surrounding the Internet of Things (IoT). We argue that such scale has resulted in a paralysis among many firms, similar to this strategy of reading about swimming. In our analysis of the survey data, we find evidence that IT professionals foresee adoption of the IoT in almost all application spaces in the near future, but with a few application spaces emerging as quicker wins. Interestingly, we also find evidence that suggests many of those organizations are currently favoring analysis over implementation. We think this paralysis by analysis may be problematic, and explain why by looking at the difference between “know what” and “know how”. We thus conclude the article by proposing three strategies for engaging with the IoT in a more pragmatic fashion: (1) a strategy of experimentation, (2) a strategy of extension, and (3) a strategy of observation.
a b s t r a c t Background: The best performing early warning score is VitalpacTM Early Warning S... more a b s t r a c t Background: The best performing early warning score is VitalpacTM Early Warning Score (ViEWS). How- ever, it is not known how often, to what extent and over what time frame any early warning scores change, and what the implications of these changes are. Setting: Thunder Bay Regional Health Sciences Center, Ontario, Canada. Methods: The changes in the first three complete sets of the six variables required to retrospectively calculate the abbreviated version of ViEWS (that did not include mental status) after admission to hospital of 18,853 acutely ill medical patients, and their relationship to subsequent in-hospital mortality were examined. Results: In the 10.4 SD 20.1 (median 5.0) hours between admission and the second recording the score changed in only 5.9% of patients and these changes were of no prognostic value. By the time of the third recording 34.9 SD 21.7 (median 30.0) hours after admission a change in score was clearly associated with a corresponding chan...
The Middle East region is undergoing significant changes due to the growing number of people migr... more The Middle East region is undergoing significant changes due to the growing number of people migrating to the cities. This has influenced the growth of progressive smart city initiatives and agendas, which seek to improve the quality of people’s lives using technology-enhanced services. From health care to transportation, platforms to support smart living services are being developed and promoted as part of these efforts. Thus far, there has been slow adoption of these new technologies. This paper explores why people resist the very technologies that are being created to improve their lives. We use innovation resistance theory to examine functional barriers that hinder the adoption of smart living services in Saudi Arabia, in order to help inform the policy and marketing efforts of governments seeking to establish smart cities.
This teaching case reports the development of a Dashboard designed to build a comprehensive pictu... more This teaching case reports the development of a Dashboard designed to build a comprehensive picture (view) of an organization’s customer-base. After more than 40 years of research focused on enhancing managerial support for decision-making through technology, the observation that, developing IT applications that are truly useful for top management is a highly complex and uncertain task, is still as valid as ever. The resulting Business Intelligence and Data Warehousing system supports the delegation and decentralization of decision-making and control in the organization as top managers have guarantees that their subordinates have access to reliable and timely information. This case demonstrates the utilization of IT (Data warehousing and On-Line Analysis Processing) to aid organizational decision-making through trend analysis, resulting in competitive advantage. Therefore, as a result, closer relationships with customers are developed. Additionally, this case can and is actively use...
BACKGROUND Health information technology (HIT) and associated data analytics offer significant op... more BACKGROUND Health information technology (HIT) and associated data analytics offer significant opportunities for tackling some of the more complex challenges currently facing the healthcare sector. However, in order to deliver robust healthcare service improvements, it is essential that the design of these solutions considers in parallel the three core pillars of healthcare quality - clinical effectiveness, patient safety, and patient experience. This requires multidisciplinary teams to explore performance goals, medical protocols alongside the various touchpoints which affect clinicians’ interventions and patient experiences. OBJECTIVE In this paper, we present a design tool called the ‘Integrated Patient Journey Map’ (IPJM) which has been developed to assist multidisciplinary teams in designing effective health IT solutions to address these three core pillars of healthcare quality. IPJM is intended to support the analysis of requirements, as well as promote empathy and the emergen...
Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health
Introduction LEANBH (Learning to Evaluate and manage ANtenatal Blood pressure at Home) is a prosp... more Introduction LEANBH (Learning to Evaluate and manage ANtenatal Blood pressure at Home) is a prospective, observational, non-interventional cohort, pilot study of a novel connected health solution aimed at empowering women to self-manage blood pressure (BP) monitoring in pregnancy. Hypertension in pregnancy affects around 5–8% of all pregnancies and misdiagnosis or poorly managed BP in pregnancy negatively affects maternal and neonatal outcomes. Objectives The primary objective of this study was to assess the feasibility and acceptability of home blood pressure monitoring (HBPM) and to compare these BP readings taken at home using the LEANBH architecture to those taken in healthcare settings (hospital and general practice). Patients, materials and methods Healthy primigravida with low risk singleton pregnancies were recruited from Cork University Maternity Hospital, Ireland. Women were equipped with a Microlife WatchBP Home Monitor, an Urisys 1100® Urine Analyzer and the mobile app developed for use throughout pregnancy as part of the Leanbh project. Participants were encouraged to submit BP and urine readings from home as frequently as possible and especially prior to an antenatal visit. All women attended their planned healthcare visits as usual. Mean arterial pressure (MAP) was calculated from the BP readings uploaded to a LEANBH platform throughout pregnancy and analysed using SPSS version 2.0 Mann-Whitney test. Results 51 women volunteered with 46 of them completing the study. 27 women were equipped with the devices with 5 subsequently withdrawing from this group while 24 women were recruited into the control group. A total of 1381 home BP readings and 983 healthcare setting BP readings were recorded with 972 paired (home vs healthcare setting) MAP available for analysis (Figure 1:). The Mann-Whitney test performed showed a significant difference between the home vs healthcare setting MAP with a P value A user error rate of 3.8% was noted among the HBPM group. Conclusion BP taken at home was significantly lower than that taken in a health care setting, suggesting that the incidence of white coat hypertension in this cohort is under reported. The low error rate suggests that HPBM is easy to use. A large randomized control trial is planned to fully evaluate the utility of this technology solution.
Background: 'Failure to rescue' of hospitalized patients with deteriorating physiology on... more Background: 'Failure to rescue' of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative method was to develop consensus recomendations on the utility and effectiveness of checklists as training and operational tools to assist in improving the skills of general ward staff on the effective rescue of patients with abnormal physiology.
This teaching case reports the development of a Dashboard designed to build a comprehensive pictu... more This teaching case reports the development of a Dashboard designed to build a comprehensive picture (view) of an organization’s customer-base. After more than 40 years of research focused on enhancing managerial support for decision-making through technology, the observation that, developing IT applications that are truly useful for top management is a highly complex and uncertain task, is still as valid as ever. The resulting Business Intelligence and Data Warehousing system supports the delegation and decentralization of decision-making and control in the organization as top managers have guarantees that their subordinates have access to reliable and timely information. This case demonstrates the utilization of IT (Data warehousing and On-Line Analysis Processing) to aid organizational decision-making through trend analysis, resulting in competitive advantage. Therefore, as a result, closer relationships with customers are developed. Additionally, this case can and is actively use...
The desire to obtain competitive advantage is a motivator for implementing Enterprise Resource Pl... more The desire to obtain competitive advantage is a motivator for implementing Enterprise Resource Planning (ERP) Systems (Adam & O’Doherty, 2000). However, while it is accepted that Information Technology (IT) in general may contribute to the improvement of organisational performance (Melville, Kraemer, & Gurbaxani, 2004), the nature and extent of that contribution is poorly understood (Jacobs & Bendoly, 2003; Ravichandran & Lertwongsatien, 2005). Accordingly, Henderson and Venkatraman (1993) assert that it is the application of business and IT capabilities to develop and leverage a firm’s IT resources for organisational transformation, rather than the acquired technological functionality, that secures competitive advantage for firms. Application of the Resource Based View of the firm (Wernerfelt, 1984) and Dynamic Capabilities Theory (DCT) (Teece and Pisano (1998) in particular) may yield insights into whether or not the use of Enterprise Systems enhances organisations’ core capabilit...
Emergency decision makers face a challenge taking rapid and high-risk decisions during an emergen... more Emergency decision makers face a challenge taking rapid and high-risk decisions during an emergency situation, especially when the emergency is cross-border and requires multi-agency cooperation. The emergency decision makers use emergency management (EM) system and sometimes decision support systems (DSS) when responding to a crisis. To date the emergency decision makers have not had access to a system that supports them in all facets of the full EM cycle. This paper describes work in progress designing and building a comprehensive system of systems that intend to be that support for emergency decision makers. The system has successfully demonstrated its value from a technical and user perspective. Future tests will demonstrate if it will enhance decision management in reality-based emergency scenarios.
When the twentieth century German physicist Theodor Kaluza decided to learn to swim, he is famous... more When the twentieth century German physicist Theodor Kaluza decided to learn to swim, he is famously said to have read a book on swimming, then jumped into the sea. For most people, the flaws of such a strategy are obvious; there is a big difference between skill-based knowledge and other forms of understanding. The other article in this issue has demonstrated the scale of innovation potential and complexity surrounding the Internet of Things (IoT). We argue that such scale has resulted in a paralysis among many firms, similar to this strategy of reading about swimming. In our analysis of the survey data, we find evidence that IT professionals foresee adoption of the IoT in almost all application spaces in the near future, but with a few application spaces emerging as quicker wins. Interestingly, we also find evidence that suggests many of those organizations are currently favoring analysis over implementation. We think this paralysis by analysis may be problematic, and explain why by looking at the difference between “know what” and “know how”. We thus conclude the article by proposing three strategies for engaging with the IoT in a more pragmatic fashion: (1) a strategy of experimentation, (2) a strategy of extension, and (3) a strategy of observation.
a b s t r a c t Background: The best performing early warning score is VitalpacTM Early Warning S... more a b s t r a c t Background: The best performing early warning score is VitalpacTM Early Warning Score (ViEWS). How- ever, it is not known how often, to what extent and over what time frame any early warning scores change, and what the implications of these changes are. Setting: Thunder Bay Regional Health Sciences Center, Ontario, Canada. Methods: The changes in the first three complete sets of the six variables required to retrospectively calculate the abbreviated version of ViEWS (that did not include mental status) after admission to hospital of 18,853 acutely ill medical patients, and their relationship to subsequent in-hospital mortality were examined. Results: In the 10.4 SD 20.1 (median 5.0) hours between admission and the second recording the score changed in only 5.9% of patients and these changes were of no prognostic value. By the time of the third recording 34.9 SD 21.7 (median 30.0) hours after admission a change in score was clearly associated with a corresponding chan...
The Middle East region is undergoing significant changes due to the growing number of people migr... more The Middle East region is undergoing significant changes due to the growing number of people migrating to the cities. This has influenced the growth of progressive smart city initiatives and agendas, which seek to improve the quality of people’s lives using technology-enhanced services. From health care to transportation, platforms to support smart living services are being developed and promoted as part of these efforts. Thus far, there has been slow adoption of these new technologies. This paper explores why people resist the very technologies that are being created to improve their lives. We use innovation resistance theory to examine functional barriers that hinder the adoption of smart living services in Saudi Arabia, in order to help inform the policy and marketing efforts of governments seeking to establish smart cities.
This teaching case reports the development of a Dashboard designed to build a comprehensive pictu... more This teaching case reports the development of a Dashboard designed to build a comprehensive picture (view) of an organization’s customer-base. After more than 40 years of research focused on enhancing managerial support for decision-making through technology, the observation that, developing IT applications that are truly useful for top management is a highly complex and uncertain task, is still as valid as ever. The resulting Business Intelligence and Data Warehousing system supports the delegation and decentralization of decision-making and control in the organization as top managers have guarantees that their subordinates have access to reliable and timely information. This case demonstrates the utilization of IT (Data warehousing and On-Line Analysis Processing) to aid organizational decision-making through trend analysis, resulting in competitive advantage. Therefore, as a result, closer relationships with customers are developed. Additionally, this case can and is actively use...
BACKGROUND Health information technology (HIT) and associated data analytics offer significant op... more BACKGROUND Health information technology (HIT) and associated data analytics offer significant opportunities for tackling some of the more complex challenges currently facing the healthcare sector. However, in order to deliver robust healthcare service improvements, it is essential that the design of these solutions considers in parallel the three core pillars of healthcare quality - clinical effectiveness, patient safety, and patient experience. This requires multidisciplinary teams to explore performance goals, medical protocols alongside the various touchpoints which affect clinicians’ interventions and patient experiences. OBJECTIVE In this paper, we present a design tool called the ‘Integrated Patient Journey Map’ (IPJM) which has been developed to assist multidisciplinary teams in designing effective health IT solutions to address these three core pillars of healthcare quality. IPJM is intended to support the analysis of requirements, as well as promote empathy and the emergen...
Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health
Introduction LEANBH (Learning to Evaluate and manage ANtenatal Blood pressure at Home) is a prosp... more Introduction LEANBH (Learning to Evaluate and manage ANtenatal Blood pressure at Home) is a prospective, observational, non-interventional cohort, pilot study of a novel connected health solution aimed at empowering women to self-manage blood pressure (BP) monitoring in pregnancy. Hypertension in pregnancy affects around 5–8% of all pregnancies and misdiagnosis or poorly managed BP in pregnancy negatively affects maternal and neonatal outcomes. Objectives The primary objective of this study was to assess the feasibility and acceptability of home blood pressure monitoring (HBPM) and to compare these BP readings taken at home using the LEANBH architecture to those taken in healthcare settings (hospital and general practice). Patients, materials and methods Healthy primigravida with low risk singleton pregnancies were recruited from Cork University Maternity Hospital, Ireland. Women were equipped with a Microlife WatchBP Home Monitor, an Urisys 1100® Urine Analyzer and the mobile app developed for use throughout pregnancy as part of the Leanbh project. Participants were encouraged to submit BP and urine readings from home as frequently as possible and especially prior to an antenatal visit. All women attended their planned healthcare visits as usual. Mean arterial pressure (MAP) was calculated from the BP readings uploaded to a LEANBH platform throughout pregnancy and analysed using SPSS version 2.0 Mann-Whitney test. Results 51 women volunteered with 46 of them completing the study. 27 women were equipped with the devices with 5 subsequently withdrawing from this group while 24 women were recruited into the control group. A total of 1381 home BP readings and 983 healthcare setting BP readings were recorded with 972 paired (home vs healthcare setting) MAP available for analysis (Figure 1:). The Mann-Whitney test performed showed a significant difference between the home vs healthcare setting MAP with a P value A user error rate of 3.8% was noted among the HBPM group. Conclusion BP taken at home was significantly lower than that taken in a health care setting, suggesting that the incidence of white coat hypertension in this cohort is under reported. The low error rate suggests that HPBM is easy to use. A large randomized control trial is planned to fully evaluate the utility of this technology solution.
Background: 'Failure to rescue' of hospitalized patients with deteriorating physiology on... more Background: 'Failure to rescue' of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative method was to develop consensus recomendations on the utility and effectiveness of checklists as training and operational tools to assist in improving the skills of general ward staff on the effective rescue of patients with abnormal physiology.
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