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To get started, you need to pick one or two papers from the syllabus. For example, if you are especially interested in standardization, you pick the paper by Sahay and Braa.?
The papers on the syllabus typically deal with challenges and opportunities in relation to health data and its use, in quite abstract and theoretical terms. The point with this assignment is to make these theoretical insights concrete by exemplifying them with a synthetic case.?
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- Continue with the group you have from assignment 2.
- Everyone in the group should survey the syllabus individually. You should then discuss in the group what the different texts deal with.
- Go into depth into one or two papers. Discuss what the theme is and the key learnings from it are.
- Create a synthetic case. Synthetic in this context means that it is not real, but is used as an illustration of the theories, concepts and learnings from the case. You need to brainstorm as a group on what to use as example. You should use GPT UiO (gpt.uio.no) or other UIO-approved generative AI tools to help you describe your case. Do not upload the paper, but brainstorm together with the tool. In this phase, you need to be creative!
- Now you should return to the syllabus: analyze and discuss the case using the paper you chose. Are there also additional papers from the syllabus you can take into the analysis?
- Create a presentation (approximately 10-15 minutes) where you present the case and analysis.
Remember to add references when you refer to literature, also when it is included in the syllabus. The last slide of the presentation should have you references.
Example case, based on standardization and data work:
Context: This case unfolds within a home care service provider that relies on an outdated, yet critical, legacyinformation system to manage patient care records. The legacy system, developed several decadesago, has become deeply ingrained in the organization's operations and infrastructure. Despite itsreliability for basic functions, the system's age and the cost of potential upgrades or replacementshave deterred significant modernization efforts.
The Challenge: Home care nurses play a pivotal role in the provision of care, often visiting patients in their homes toassess their needs and provide necessary services. A crucial part of their duty involves documentingany specific patient requirements or risks in the healthcare information system, ensuring acomprehensive care plan is in place. However, a gap between required documentation practices and the functionality of the system has recently become visible to central home care leaders: theinability to register a patient's need for assistance in the event of a fire.
When the home care nurses have complained, they have been told that the system's inflexibility andthe cost of development hinders adding new functionalities. In home care district “Apple”, the headnurse has, therefore, devised a workaround. Nurses are instructed to input this critical safetyinformation into an existing field within the system that is designated for a completely differentpurpose. This field, originally intended to document another aspect of patient care, now doubles asa makeshift repository for fire assistance needs.
This unconventional solution has led to several complications. Firstly, the repurposing of the systemfield has introduced ambiguity and inconsistency in patient records. Information crucial to patientsafety is obscured by being placed in an unrelated field, making it difficult for other healthcareproviders to recognize and act upon this need.
Moreover, the lack of formal training and standardized procedures for using this workaround hasexacerbated the problem. New and existing nurses in the Apple district receive minimal guidance onhow to correctly enter and retrieve this vital information, leading to variability in how it'sdocumented and increasing the risk of oversight. This inconsistency not only compromises patientsafety but also places a strain on the nurses, who must remember the correct process amidst theirother duties.