scholarly journals Taking data seriously: the value of actor-network theory in rethinking patient experience data

2017 ◽  
Vol 22 (2) ◽  
pp. 134-136 ◽  
Author(s):  
Amit Desai ◽  
Giulia Zoccatelli ◽  
Mary Adams ◽  
Davina Allen ◽  
Sally Brearley ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Care ◽  
Patient Experience ◽  
Network Theory ◽  
Actor Network Theory ◽  
Actor Network ◽  
Quality Of Patient Care

Hospitals are awash with patient experience data, much of it collected with the ostensible purpose of improving the quality of patient care. However, there has been comparatively little consideration of the nature and capacities of data itself. Using insights from actor-network theory, we propose that paying attention to patient experience data as having agency in particular hospital interactions allows us to better trace how and in what circumstances data lead (or fail to lead) to quality improvement.

494 Streamlining the Minor Operations Process - The Effect of Better Documentation

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Schrire ◽  
C Estela
Keyword(s):  
Patient Care ◽  
Plastic Surgery ◽  
Patient Experience ◽  
Patient Flow ◽  
Vital Part ◽  
Rapid Turnover ◽  
Quality Of Patient Care ◽  
New Form ◽  
Minor Operations

Abstract Introduction Plastic Surgery Minor Operations is a fast paced, rapid turnover operative environment. It is reliant on effective communication, accurate surgery, and time efficiency. It was noticed in our department that there was confusion regarding booking and operative intentions leading to delays in surgery and over-running lists. This was worsening patient experience and leading to delays in patient care. Method In response to the delays and confusion in booking, a new booking form was created, so all patients have a standardised booking containing the necessary information. This form was disseminated across all the booking clinics and formed a vital part of the pre-operative check in process. Results The audit was carried out at the time of introduction, and then re-audited a year later to see if the form has improved care for patients. Results showed that with the new booking form, people were not having to cancel or rearrange patients. Patient booking forms were sufficient, and a copy of the clinic letter no longer required for the operation to proceed or for clarity. It was noted that more senior advice was sought. Conclusions The new form has improved patient flow and quality of patient care, whilst streamlining the booking process.

Uncertainties Revisited

2019 ◽  
pp. 216-237
Author(s):  
Liesbeth Huybrechts ◽  
Katrien Dreessen ◽  
Selina Schepers
Keyword(s):  
Network Theory ◽  
Actor Network Theory ◽  
Social Processes ◽  
Actor Network ◽  
Uncertainty Model ◽  
The Social ◽  
Matters Of Concern ◽  
Uncertainty Models ◽  
Do So

In this chapter, the authors use actor-network theory (ANT) to explore the relations between uncertainties in co-design processes and the quality of participation. To do so, the authors investigate Latour's discussion uncertainties in relation to social processes: the nature of actors, actions, objects, facts/matters of concern, and the study of the social. To engage with the discussion on uncertainties in co-design and, more specific in infrastructuring, this chapter clusters the diversity of articulations of the role and place of uncertainty in co-design into four uncertainty models: (1) the neoliberal, (2) the management, (3) the disruptive, and (4) the open uncertainty model. To deepen the reflections on the latter, the authors evaluate the relations between the role and place of uncertainty in two infrastructuring processes in the domain of healthcare and the quality of these processes. In the final reflections, the authors elaborate on how ANT supported in developing a “lens” to assess how uncertainties hinder or contribute to the quality of participation.

What is clinical audit’s purpose: quality assurance or quality improvement?

2011 ◽  
Vol 2 (2) ◽  
pp. 79-83
Author(s):  
Nancy Dixon
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Patient Care ◽  
Clinical Audit ◽  
Audit Process ◽  
Quality Improvement Process ◽  
Quality Assurance Process ◽  
Quality Of Patient Care ◽  
Assurance Process

Clinical audit has become a key activity for healthcare organisations and professionals in England. The clinical audit process is frequently described as a cycle of steps that includes making changes in practice. However, some evidence suggests that clinical audit is not effective in producing improvements in the quality of patient care. The explanation may be that clinicians and managers are seeing clinical audit as a quality assurance process, which implies making small adjustments in practice to conform to standards, rather than as a quality improvement process.

Early Effects of Home Health Value-Based Purchasing on Quality Star Ratings

2020 ◽  
pp. 107755872095229
Author(s):  
Salom M. Teshale ◽  
Margot L. Schwartz ◽  
Kali S. Thomas ◽  
Tracy M. Mroz
Keyword(s):  
Patient Care ◽  
Patient Experience ◽  
Quality Measures ◽  
Home Health ◽  
Value Based Purchasing ◽  
Health Value ◽  
Quality Of Patient Care ◽  
Health Agencies ◽  
Home Health Agencies

The Home Health Value-Based Purchasing Model (HHVBP) is a new Medicare model wherein home health agencies compete to achieve higher reimbursements by demonstrating improved value according to clinical and patient experience-related quality measures. Many measures used in HHVBP overlap with measures used in quality star ratings for home health agencies. Thus, improvements in quality measures used in HHVBP may also be reflected in changes in star ratings. However, it is unclear whether agencies competing in HHVBP improve their Centers for Medicare & Medicaid Services star ratings compared with those not competing. Using publicly available data from Centers for Medicare & Medicaid Services, we evaluated the effect of HHVBP on quality of patient care and patient experience composite star ratings over a 2-year period using a difference-in-differences analysis. We found evidence for a small, statistically significant increase in quality of patient care star ratings for agencies participating in HHVBP, and no effect on patient experience ratings.

scholarly journals The utilization of village-information system for integrated social welfare data management: actor-network theory approach in Gunungkidul regency

2021 ◽  
Vol 11 (1) ◽  
pp. 13
Author(s):  
Elanto Wijoyono
Keyword(s):  
Information System ◽  
Social Welfare ◽  
Data Management ◽  
Network Theory ◽  
Poverty Alleviation ◽  
National Level ◽  
Actor Network Theory ◽  
Actor Network ◽  
Social Affairs

As the main reference to poverty alleviation in Indonesia, the policy of integrated welfare data management by the Ministry of Social Affairs still contains many inaccuracies. This has an impact on beneficiary groups as the target of the implementation of national programs on poverty reduction. This study shows how Integrated Social Welfare Data management by the local government in Gunungkidul Regency, Special Region of Yogyakarta, can solve the inaccuracy. The analysis was conducted with qualitative methods, based on actor-network theory. Data collection, verification, and validation are processed by integrating Village Information System (SID BERDAYA) and Regency Information System (SIKAB) in Gunungkidul at the local level, with the Social Welfare Information System - Next Generation (SIKS-NG) by the Ministry of Social Affairs in national level. This integration is needed to improve the quality of data accuracy and validity. Strengthening the participation and transparency of social interaction between government agencies at every level (from the village level to the national level) and the community people are important since communities are the beneficiaries. These processes will develop a reflective scheme, to make sure the quality of planning and development program on poverty alleviation is running with accurate and valid data.

Counter-Expertise

2020 ◽  
Vol 57 (2) ◽  
pp. 48-57
Author(s):  
Asya A. Filatova ◽  
Keyword(s):  
Network Theory ◽  
Actor Network Theory ◽  
Living Conditions ◽  
Actor Network ◽  
Black Boxes ◽  
Grassroots Initiatives ◽  
Scientific Facts ◽  
The Way

The term “counter-expertise” has recently become a part of the STS theoretical tools, although main topics covered by this term have been the STS subjects for several decades. These themes concern the norms and practices of laypeople participation in assessing the quality of their living conditions. This assessing often clashes with official expertise. First of all, the problem of counterexpertise is considered in the context of the democratization of science, a participatory turn and activism. In this article, using the vocabulary of B. Latour's actor-network theory, I try to demonstrate the way counter-experts use, open and close the so-called “black boxes” of science. The counter-experts’ attitude about scientific facts is a matter of principle, for it actualizes the problem of demarcation of counter-expertise from various kinds of grassroots initiatives, which are usually interpreted as unscientific and socially destructive.

STRUCTURING A SUCCESSFUL INFORMATION TECHNOLOGY TRANSFER PROCESS: A CASE STUDY FROM THE PERSPECTIVES OF ACTOR NETWORK THEORY

2010 ◽  
Author(s):  
Huda Ibrahim ◽  
Hasmiah Kasimin
Keyword(s):  
Information Technology ◽  
Technology Transfer ◽  
Transfer Process ◽  
Network Theory ◽  
Actor Network Theory ◽  
Developed Countries ◽  
Local Market ◽  
Private Company ◽  
Actor Network ◽  
Technology Transfer Process

An effi cient and effective information technology transfer from developed countries to Malaysia is an important issue as a prerequisite to support the ICT needs of the country to become not only a ICT user but also a ICT producer. One of the factors that infl uences successful information technology transfer is managing the process of how technology transfer occurs in one environment. It involves managing interaction between all parties concerned which requires an organized strategy and action toward accomplishing technology transfer objective in an integrated and effective mode. Using a conceptual framework based on the Actor Network Theory (ANT), this paper will analyse a successful information technology transfer process at a private company which is also a supplier of information technology (IT) products to the local market. This framework will explain how the company has come up with a successful technology transfer in a local environment. Our study shows that the company had given interest to its relationships with all the parties involved in the transfer process. The technology transfer programme and the strategy formulated take into account the characteristics of technology and all those involved.  

The Action of Christian Buildings on their Chinese Environment

2017 ◽  
Vol 23 (2) ◽  
pp. 100-121
Author(s):  
Michel Chambon
Keyword(s):  
Network Theory ◽  
Actor Network Theory ◽  
Active Part ◽  
Architectural Style ◽  
Actor Network

This article explores the ways in which Christians are building churches in contemporary Nanping, China. At first glance, their architectural style appears simply neo-Gothic, but these buildings indeed enact a rich web of significances that acts upon local Christians and beyond. Building on Actor-Network Theory and exploring the multiple ties in which they are embedded, I argue that these buildings are agents acting in their own right, which take an active part in the process of making the presence of the Christian God tangible.

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