A Mindful Governance model for ultra-safe organisations

McDonald, Nick; Callari, Tiziana C.; Belvisi, Daniele; Mattei, Fabio

doi:10.1016/j.ssci.2019.07.031

Cited by 18 publications

(9 citation statements)

References 31 publications

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“…A study was conducted on the EHR in Canada. This study aimed to have the comparison between the perceptions among physicians on the utilization of EHR and with those who did not utilize it in the working environment [19]. In addition, 220 physicians participated in this study and The Unified Theory of Acceptance and Use of Technology (UTAUT) was apparently adopted for this purpose.…”

Section: Electronic Health Recordsmentioning

confidence: 99%

Measuring prevailing practices of healthcare professional on electronic health record through the lens of Iraq

et al. 2021

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Paper based approach to clinical documentation such as handwritten notes among health care providers are cause of errors in medical field. Therefore, health record system needs to be replaced with electronic health record (EHR). Many health professionals in developing countries specifically in Iraq refuse to use the systems implemented for their benefits due to many reasons. Thus, the use of electronic services is important for successful electronic health implementations. Therefore, this study is intended to identify the main factors affecting the intention of use of the electronic health record in Iraq. Health professional staff who work in the main hospital in Dhi-Qar is chosen because this province is the first local province that implemented many electronic projects. The present study examined use of user acceptance of technology, based on the technology acceptance model (TAM). Moreover, the quantitative method approach for data collection using survey from staff who work in the main hospital in Dhi-Qar. Data was analyzed using Structural Equation Modeling using AMOS. The results indicated significant relationship between Ease of Use, Usefulness, Usefulness, Attitude, and Intention of use of EHR. These finding have implementation for decision makers in Iraq government to improve future implementation of e-health services.

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Section: Electronic Health Recordsmentioning

confidence: 99%

Measuring prevailing practices of healthcare professional on electronic health record through the lens of Iraq

et al. 2021

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“…The concept of “Obligation to Act” provides one way of assessing the adequacy of a response to an operational risk. For a response to be adequate, a problem must be seen to be important, the solution must be effective and the pathway to implementing the solution must be viable [ 17 ]. Unless these conditions are met, it is unlikely there will be meaningful change.…”

Section: Introductionmentioning

confidence: 99%

“…Here, we propose our own model to supplement an existing STSA methodology called the CUBE. The CUBE framework has been developed over several years across numerous programmes of research in aviation and healthcare safety [ 31 , 32 , 35 , 36 , 37 , 38 ] in order to leverage STSA in support of organisational change. The framework was designed to support an analysis that could span a set of diverse theoretical approaches and perspectives.…”

Section: Introductionmentioning

confidence: 99%

“…The concept of Mindful Governance of Operational Risk [ 17 ] was developed as a way of operationalising a conceptual approach to mindful organising put forward by Weick [ 39 ]. Weick’s approach argued for a set of general dispositions of individuals and collectively of organisations (e.g., preoccupation with failure, reluctance to simplify, and sensitivity to operations).…”

Section: Introductionmentioning

confidence: 99%

“…However, for “mindful organising” to occur, there needs to be an actual flow, transformation and management of information, not just the right mindset. Therefore, the development of the initial concept of Mindful Governance was accompanied by the development of practical tools for gathering narratives from operational staff and demonstrating methods for analysing complex patterns of operational data [ 17 , 48 ]. Subsequently, the development focus moved towards implementation of change and improvement following the assessment of risk [ 49 , 50 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems

McDonald

McKenna

Vining

et al. 2021

IJERPH

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Three key challenges to a whole-system approach to process improvement in health systems are the complexity of socio-technical activity, the capacity to change purposefully, and the consequent capacity to proactively manage and govern the system. The literature on healthcare improvement demonstrates the persistence of these problems. In this project, the Access-Risk-Knowledge (ARK) Platform, which supports the implementation of improvement projects, was deployed across three healthcare organisations to address risk management for the prevention and control of healthcare-associated infections (HCAIs). In each organisation, quality and safety experts initiated an ARK project and participated in a follow-up survey and focus group. The platform was then evaluated against a set of fifteen needs related to complex system transformation. While the results highlighted concerns about the platform’s usability, feedback was generally positive regarding its effectiveness and potential value in supporting HCAI risk management. The ARK Platform addresses the majority of identified needs for system transformation; other needs were validated in the trial or are undergoing development. This trial provided a starting point for a knowledge-based solution to enhance organisational governance and develop shared knowledge through a Community of Practice that will contribute to sustaining and generalising that change.

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Developing a Framework for Trustworthy AI-Supported Knowledge Management in the Governance of Risk and Change

Vining

McDonald

McKenna

et al. 2022

HCI International 2022 - Late Breaking Papers. Design, User Experience and Interaction

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This paper proposes a framework for developing a trustworthy artificial intelligence (AI) supported knowledge management system (KMS) by integrating existing approaches to trustworthy AI, trust in data, and trust in organisations. We argue that improvement in three core dimensions (data governance, validation of evidence, and reciprocal obligation to act) will lead to the development of trust in the three domains of the data, the AI technology, and the organisation. The framework was informed by a case study implementing the Access-Risk-Knowledge (ARK) platform for mindful risk governance across three collaborating healthcare organisations. Subsequently, the framework was applied within each organisation with the aim of measuring trust to this point and generating objectives for future ARK platform development. The resulting discussion of ARK and the framework has implications for the development of KMSs, the development of trustworthy AI, and the management of risk and change in complex socio-technical systems.

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A Mindful Governance model for ultra-safe organisations

Cited by 18 publications

References 31 publications

Measuring prevailing practices of healthcare professional on electronic health record through the lens of Iraq

Measuring prevailing practices of healthcare professional on electronic health record through the lens of Iraq

Evaluation of an Access-Risk-Knowledge (ARK) Platform for Governance of Risk and Change in Complex Socio-Technical Systems

Developing a Framework for Trustworthy AI-Supported Knowledge Management in the Governance of Risk and Change

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