Medical software is regarded as both a success and a risk factor for quality and efficiency
of medical care. First, reasons are given in what respects the medical industry is special: it is highly
complex and variable, exposed to risks of privacy/confidentiality but also of denied access to authorized
personnel, and medical users are a highly qualified and demanding population. Then some software technology
and engineering approaches are presented that partially master these challenges. They include various divide
and conquer strategies, process and change management approaches and quality assurance approaches. Benchmark
institutions and comprehensive solutions are also presented. Finally, some challenges are presented that
call for approaches other than technical to achieve user “buy in”, handle the outer limits of
complexity, variability and change. Here, methods from psychology, economics and game theory complement
domain knowledge and exploratory experimentation with new technologies.
Zusammenfassung Medizinische Software wird sowohl als Erfolgs- als auch als Risikofaktor für die Qualit?t
und Effizienz medizinischer Versorgung gesehen. In diesem Artikel werden zun?chst Gründe aufgeführt,
inwiefern der medizinische Sektor sich von anderen abhebt: Er ist hoch komplex und variantenreich und den
Risiken stark ausgesetzt, die sich aus Vertraulichkeit und Schutzbedürftigkeit der Daten einerseits
und andereseits aus deren Nicht-Verfügbarkeit für autorisiertes Personal ergeben. Auch sind medizinische
Nutzer hoch und vielf?ltig qualifiziert und entsprechend anspruchsvoll. Es werden dann Verfahren aus
Software-Technologie und -Engineering vorgestellt, welche diese Herausforderungen z.T. meistern. Darunter
befinden sich „Teile-und-Herrsche“-artige Partitionierungsverfahren, Prozess- und ?nderungsmanagement-
sowie Qualit?tssicherungsmethoden. Einige richtungweisend erfolgreiche Institutionen und L?sungen
werden erl?utert. Schlie?lich wird auf Herausforderungen hingewiesen, bei denen andere als technische
Zug?nge naheliegen, damit anspruchsvolle Nutzer „einsteigen“ und grenzwertig schwierige
Anforderungen an Komplexit?t, Variabilit?t und ?nderungsintensit?t handhabbar werden.
Dabei erg?nzen Methoden aus Psychologie, Wirtschaftswissenschaften und Spieltheorie ein vertieftes
Wissen über den medizinischen Gegenstandsbereich und das Experimentieren mit neuen Technologien.
This study describes a content analysis aimed at identifying the distribution of empirical research strategies and techniques reported in high-profile LIS journal literature published in 2005. For each article, researchers identified the overall research strategy, the data collection technique, and whether the type of analysis was quantitative or qualitative. The taxonomies used in the analysis were those based on Järvelin and Vakkari's [Järvelin, K., & Vakkari, P. (1990). Content analysis of research articles in library and information science. Library & Information Science Research, 12, 395-422] study in order to compare the results with the earlier findings derived from the 1975 and 1985 literature. The survey approach remains the predominant research strategy in both library science and information science. However, there was a marked increase in experimentation. There were more modest increases in the use of qualitative approaches, except for historical research, which showed a marked decline. This study's findings will inform development of methods courses in doctoral programs, which aim to cover the most commonly used strategies and techniques in contemporary LIS research. Revised taxonomies, which include previously unspecified strategies and techniques such as ethnography and transaction log analysis, are suggested for future content analyses of LIS research. 相似文献
The relationship between environmental design, communication, and organizational culture is examined to provide performance improvement practitioners with an analytical tool that helps determine appropriate interventions. Organizations are comprised of people who communicate and socially construct artifacts, norms, values, and assumptions that guide how they conduct business. That is, employees interact to create, maintain, and reify their organizational culture. One artifact of organisational culture that should be apparent to human performance technologists is the environmental design of the office in which the organization operates. While some performance improvement interventions focus on the orientation of humans to their physical surroundings (ie., ergonomics), our analysis focuses on the communication patterns and organizational culture imbedded in the physical environment. We posit that performance technologists should look beyond the explicit environment and analyze organizational culture to begin understanding the implicit nature of how employees perform. A case study is provided to illustrate how three levels of organizational culture can be used to analyze an environment in which employees work to determine appropriate performance improvement solutions. 相似文献
This study replicates, with additions, research done by Garnett and Treagust. Garnett and Treagust's interview questions for galvanic and electrolytic cells were used with modifications; concentration cell questions were asked in a similar manner. These questions were administered to 16 introductory college chemistry students after electrochemistry instruction. Student misconceptions most commonly encountered included notions that electrons flow through the salt bridge and electrolyte solutions to complete the circuit, plus and minus signs assigned to the electrodes represent net electronic charges, and water is unreactive in the electrolysis of aqueous solutions. New misconceptions identified included notions that half-cell potentials are absolute and can be used to predict the spontaneity of individual half-cells, and electrochemical cell potentials are independent of ion concentrations. Most students demonstrating misconceptions were still able to calculate cell potentials correctly, which is consistent with research suggesting that students capable of solving quantitative examination problems often lack an understanding of the underlying concepts. Probable origins of these student misconceptions were attributed to students being unaware of the relative nature of electrochemical potentials and chemistry textbooks making misleading and incorrect statements. A minor technical flaw in the Garnett and Treagust study is also addressed. J Res Sci Teach 34: 377–398, 1997. 相似文献
Socio-technical governance has been of long-standing interest to science and technology studies and science policy studies. Recent calls for midstream modulation direct attention to a more complicated model of innovation, and a new place for social scientists to intervene in research, design and development. This paper develops and expands this earlier work to demonstrate how a suite of concepts from science and technology studies and innovation studies can be used as a heuristic tool to conduct real-time evaluation and reflection during the process of innovation – upstream, midstream, and downstream. The result of this new protocol is inclusivity mainstreaming: determining if and how marginalized peoples and perspectives are being maximally incorporated into the model of innovation, while highlighting common problems of inequality that need to be addressed.