Abstract:
OBJECTIVE:The purpose of this paper is to demonstrate how current visual representations of organizational and technological processes do not fully account for the variability present in everyday practices. We further demonstrate how narrative networks can augment these representations to indicate potential areas for successful or problematic adoption of new technologies and potential needs for additional training. METHODS:We conducted a qualitative study of the processes and routines at a major academic medical center slated to be supported by the development and installation of a new comprehensive HIT system. We used qualitative data collection techniques including observations of the activities to be supported by the new system and interviews with department heads, researchers, and both clinical and non-clinical staff. We conducted a narrative network analysis of these data by choosing exemplar processes to be modeled, selecting and analyzing narrative fragments, and developing visual representations of the interconnection of these narratives. RESULTS:Narrative networks enable us to view the variety of ways work has been and can be performed in practice, influencing our ability to design for innovation in use. DISCUSSION:Narrative networks are a means for analyzing and visualizing organizational routines in concert with more traditional requirements engineering, workflow modeling, and quality improvement outcome measurement. This type of analysis can support a deeper and more nuanced understanding of how and why certain routines continue to exist, change, or stop entirely. At the same time, it can illuminate areas in which adoption may be slow, more training or communication may be needed, and routines preferred by the leadership are subverted by routines preferred by the staff.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Hayes GR,Lee CP,Dourish Pdoi
10.1016/j.ijmedinf.2011.01.005subject
Has Abstractpub_date
2011-08-01 00:00:00pages
e161-77issue
8eissn
1386-5056issn
1872-8243pii
S1386-5056(11)00028-1journal_volume
80pub_type
杂志文章abstract:PURPOSE:Health workers have numerous concerns about hospital IS (HIS) usage. Addressing these concerns requires understanding the system attributes most important to their satisfaction and productivity. Following a recent HIS implementation, our objective was to identify priorities for managerial intervention based on ...
journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:To describe the range of patients' beliefs, attitudes, expectations, and experiences of remote monitoring for chronic conditions across different healthcare contexts and populations. DESIGN:We searched MEDLINE, Embase, PsychINFO, and CINAHL, Google Scholar, and reference lists of related studies through to ...
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
abstract::Nonlinear analysis techniques are necessary to understand the complexity of the EMG. The purpose of the present study was to determine the fractal dimension of surface EMG obtained from the biceps brachii of normal subjects during isokinetic flexion-extension of the arm. The measurements were obtained with different l...
journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(97)00029-4
更新日期:1997-07-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2007.08.007
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abstract::The effectiveness of an induction algorithm for making decisions was investigated using a complete set of diagnoses and corresponding outcomes for all possible distinct cases of thyroid disorders. Investigation of both diagnoses and outcomes followed a late discovery of a misunderstanding between the knowledge enginee...
journal_title:International journal of medical informatics
pub_type: 杂志文章
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abstract:BACKGROUND:Chatbots are systems that are able to converse and interact with human users using spoken, written, and visual languages. Chatbots have the potential to be useful tools for individuals with mental disorders, especially those who are reluctant to seek mental health advice due to stigmatization. While numerous...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2014.07.004
更新日期:2014-11-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.10.003
更新日期:2009-04-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2004.04.021
更新日期:2005-03-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2012.07.012
更新日期:2012-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2015.06.003
更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s1386-5056(03)00092-3
更新日期:2003-08-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2015.02.003
更新日期:2015-06-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(98)00170-1
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVE:This study reviewed the competency and threshold standards for allied health professionals to identify the inclusion of digital health competencies. MATERIALS AND METHODS:A nine-stage, sequential meta-synthesis of professional standards was undertaken. Statements relevant to digital health were extracted, ca...
journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2020.104296
更新日期:2020-12-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2013.02.002
更新日期:2013-08-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 历史文章,杂志文章
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journal_title:International journal of medical informatics
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doi:10.1016/j.ijmedinf.2012.07.006
更新日期:2012-10-01 00:00:00
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journal_title:International journal of medical informatics
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更新日期:2016-08-01 00:00:00
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更新日期:2019-09-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(97)00106-8
更新日期:1998-02-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(98)00090-2
更新日期:1998-07-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.04.001
更新日期:2008-11-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2007-02-01 00:00:00
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pub_type: 杂志文章
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