scholarly journals Capturing implementation knowledge: applying focused ethnography to study how implementers generate and manage knowledge in the scale-up of obesity prevention programs

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Kathleen P. Conte ◽  
Abeera Shahid ◽  
Sisse Grøn ◽  
Victoria Loblay ◽  
Amanda Green ◽  
...  
Keyword(s):  
Information Management ◽  
Population Health ◽  
Obesity Prevention ◽  
Management System ◽  
Large Scale ◽  
Prevention Programs ◽  
Information Management System ◽  
Evidence Based ◽  
Electronic Information ◽  
Obesity Prevention Programs

Abstract Background Bespoke electronic information management systems are being used for large-scale implementation delivery of population health programs. They record sites reached, coordinate activity, and track target achievement. However, many systems have been abandoned or failed to integrate into practice. We investigated the unusual endurance of an electronic information management system that has supported the successful statewide implementation of two evidence-based childhood obesity prevention programs for over 5 years. Upwards of 80% of implementation targets are being achieved. Methods We undertook co-designed partnership research with policymakers, practitioners, and IT designers. Our working hypothesis was that the science of getting evidence-based programs into practice rests on an in-depth understanding of the role programs play in the ongoing system of local relationships and multiple accountabilities. We conducted a 12-month multisite ethnography of 14 implementation teams, including their use of an electronic information management system, the Population Health Information Management System (PHIMS). Results All teams used PHIMS, but also drew on additional informal tools and technologies to manage, curate, and store critical information for implementation. We identified six functions these tools performed: (1) relationship management, (2) monitoring progress towards target achievement, (3) guiding and troubleshooting PHIMS use, (4) supporting teamwork, (5) evaluation, and (6) recording extra work at sites not related to program implementation. Informal tools enabled practitioners to create locally derived implementation knowledge and provided a conduit between knowledge generation and entry into PHIMS. Conclusions Implementation involves knowing and formalizing what to do, as well as how to do it. Our ethnography revealed the importance of hitherto uncharted knowledge about how practitioners develop implementation knowledge about how to do implementation locally, within the context of scaling up. Harnessing this knowledge for local use required adaptive and flexible systems which were enabled by informal tools and technologies. The use of informal tools also complemented and supported PHIMS use suggesting that both informal and standardized systems are required to support coordinated, large-scale implementation. While the content of the supplementary knowledge required to deliver the program was specific to context, functions like managing relationships with sites and helping others in the team may be applicable elsewhere.

scholarly journals Efficient Authentication for Internet of Things Devices in Information Management Systems

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Xiaofeng Wu ◽  
Fangyuan Ren ◽  
Yiming Li ◽  
Zhenwei Chen ◽  
Xiaoling Tao
Keyword(s):  
Internet Of Things ◽  
Information Management ◽  
Management System ◽  
Large Scale ◽  
Rapid Development ◽  
Mutual Authentication ◽  
Information Management System ◽  
Management Systems ◽  
User Privacy ◽  
Information Management Systems

With the rapid development of the Internet of Things (IoT) technology, it has been widely used in various fields. IoT device as an information collection unit can be built into an information management system with an information processing and storage unit composed of multiple servers. However, a large amount of sensitive data contained in IoT devices is transmitted in the system under the actual wireless network environment will cause a series of security issues and will become inefficient in the scenario where a large number of devices are concurrently accessed. If each device is individually authenticated, the authentication overhead is huge, and the network burden is excessive. Aiming at these problems, we propose a protocol that is efficient authentication for Internet of Things devices in information management systems. In the proposed scheme, aggregated certificateless signcryption is used to complete mutual authentication and encrypted transmission of data, and a cloud server is introduced to ensure service continuity and stability. This scheme is suitable for scenarios where large-scale IoT terminal devices are simultaneously connected to the information management system. It not only reduces the authentication overhead but also ensures the user privacy and data integrity. Through the experimental results and security analysis, it is indicated that the proposed scheme is suitable for information management systems.

scholarly journals Construction of Clinical Pathway Information Management System under the Guidance of Evidence-Based Medicine

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Xinyu Wang ◽  
Jie Chen ◽  
Fang Peng ◽  
Jingtai Lu
Keyword(s):  
Adverse Events ◽  
Information Management ◽  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Medical Staff ◽  
Management System ◽  
Information Management System ◽  
Evidence Based ◽  
Work Efficiency ◽  
Based Medicine

This study focuses on clinical pathways guided by evidence-based medicine (EBM). With the clinical pathway as the center, the subjective and objective medical knowledge of medical staff are collected, and a clinical pathway management system guided by EBM is established through a unified process; user demand analysis; main considerations; implementation, evaluation, and monitoring of the clinical path; and dictionary maintenance, to help hospitals fully regulate medical behaviors. Next, the study displays the path access prompt box, area 1 management page, table management page, exit prompt box, mutation record page, doctor order interface, revocation of execution, and monitoring interface, and the system designed is compared with the Beijing Shankang Technology (ASK) clinical data management system in terms of user experience. The results showed that the reporting rate of medical adverse events in the system in this study was 0.21%, and the work efficiency was increased by 14%. In terms of users’ satisfaction, the hospital managers’ satisfaction was 84 ± 5.36%, and it was 95 ± 4.72% for medical staff and 88 ± 4.91% for system administrators, superior to the ASK system; the differences were statistically significant ( P < 0.05 ). In conclusion, the clinical pathway information management system is in line with the working environment of medical staff, and the synchronous monitoring and management of medical quality are achieved through digital means, which can reduce the occurrence of medical adverse events and improve the work efficiency of medical staff.

scholarly journals School-based Obesity Prevention Programs: An Evidence-based Review

Obesity ◽  
2008 ◽  
Vol 16 (5) ◽  
pp. 1009-1018 ◽  
Author(s):  
Jonathan A. Kropski ◽  
Paul H. Keckley ◽  
Gordon L. Jensen
Keyword(s):  
Obesity Prevention ◽  
Prevention Programs ◽  
Evidence Based ◽  
School Based ◽  
Obesity Prevention Programs

Evidence-based recommendations for the development of obesity prevention programs targeted at preschool children

2012 ◽  
Vol 13 ◽  
pp. 129-132 ◽  
Author(s):  
C. D. Summerbell ◽  
H. J. Moore ◽  
C. Vögele ◽  
S. Kreichauf ◽  
A. Wildgruber ◽  
...  
Keyword(s):  
Preschool Children ◽  
Obesity Prevention ◽  
Prevention Programs ◽  
Evidence Based ◽  
Obesity Prevention Programs

Study on the Design of Project Controlling Information Management System for Large-Scale Hydraulic Engineering

2013 ◽  
Vol 671-674 ◽  
pp. 3130-3133
Author(s):  
Qing Yan Shuai ◽  
Ya Bo He
Keyword(s):  
Information Management ◽  
Information Exchange ◽  
Management System ◽  
Large Scale ◽  
Information Management System ◽  
Hydraulic Engineering ◽  
Account Management ◽  
Project Controlling ◽  
Input Module ◽  
Output Module

Project controlling information management system (PCIMS) is an important management facility and means for the construction of large-scale hydraulic engineering. Based on the analysis of construction management features for large-scale hydraulic engineering, the general design goal of PCIMS is put forward. The structure of PCIMS for large-scale hydraulic engineering is concretely designed and analyzed, which is consisted of five parts, including the account management module, database, input module, data processing module and output module. The key technologies in the process of developing PCIMS are also discussed，such as the technology of data warehouse, the real-time technology of the system and the comprehensive integration technology of various components. Due to the establishment of PCIMS for large-scale hydraulic engineering, a convenient information interaction platform is provided for all the project participants. As a result, the accuracy and timeliness of the information exchange is improved, that is benefit for the owners to make correct decision.

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