Cyber Systems in Healthcare Organizations
Advanced cyber-systems hold tremendous promise for transforming modern hospitals, potentially improving their capacity, safety, and operational efficiency by extending limited human ability for memory, judgement, and situational awareness. Yet technologies are not exogenous “interventions” into organizational systems. Instead, they are shaped by and then in turn shape the social system, as people interpret and enact the technologies based on their professional identities or the power dynamics activated by the technology implementation process. Also, at present these systems are technically limited in their ability to support situational awareness and data-driven decision-making. This research project aims to advance understanding of cyber-technology enactment and to advance the frontier of dynamic learning and decision-making in health care organizations. We plan to use ethnographic field research methods and operations research analytics to study and improve two health-care cyber-systems: real-time locating services (RTLS) at the Stanford South Bay Cancer Center and a new Hospital Operations Center (HOC) at the Stanford Hospital.
Lauren Ann Destino, Melissa Valentine, Farnoosh H. Sheikhi, Amy J. Starmer, Christopher P. Landrigan, Lee Sanders. “Inpatient Hospital Factors and Resident Time With Patients and Families.” Pediatrics Apr 2017, e20163011; DOI: 10.1542/peds.2016-3011