falk zwicker, torsten eymann university of bayreuth
TRANSCRIPT
![Page 1: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/1.jpg)
WHY RFID PROJECTS IN HOSPITALS FAILLESSONS FROM COMPARATIVE CASE STUDIES
Falk Zwicker, Torsten EymannUniversity of Bayreuth, Germany
![Page 2: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/2.jpg)
Agenda
Why RFID?
Life Sciences – not an innovation-friendly domain?
Innovating with IT – an adapted process model
Comparative Case Studies
Summary
![Page 3: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/3.jpg)
Why RFID?
?
Great Technology Yet a little greater technology…
![Page 4: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/4.jpg)
RFID couples physical and logical world
[Zwicker 2009, p.23]
![Page 5: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/5.jpg)
Why RFID?
Visible Technology InvisibleTechnology
![Page 6: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/6.jpg)
Ubiquitous Computing
Pervasive Computing
Ambient Intelligence
Augmented Reality
Calm Technology
![Page 7: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/7.jpg)
“In the 21st century the technology revolution will move into the everyday, the small and the invisible…”
“The most profound technologies are those that disappear. They weave themselves into the fabrics of everyday life until they are indistinguishable from it.”
Mark Weiser, Xerox PARC, Palo Alto: “The Computer for the 21st Century”, Scientific American, 1991
![Page 8: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/8.jpg)
Agenda
Why RFID?
Life Sciences – not an innovation-friendly domain?
Innovating with IT – an adapted process model
Comparative Case Studies
Summary
![Page 9: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/9.jpg)
High Reliability Organizations (HRO)
![Page 10: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/10.jpg)
Why should HROs remain skeptic?
• Anticipation:
– Preoccupation with failure
– Reluctance to simplify
– Sensitivity to operations
[Weick/Sutcliffe 2007]
![Page 11: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/11.jpg)
How do HROs react?
• Containment:– Commitment to resilience
• Absorb strain and preserve function despite adversity• Maintain the ability to return to service from untoward
events• Learn and grow from previous episodes.
– Deference to expertise
[Weick/Sutcliffe 2007]
![Page 12: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/12.jpg)
In other words: no bandwagon effect!
≠
![Page 13: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/13.jpg)
A quote from the case studies
• „The clinical system reacts exceptionallyeffective and dynamic to changes and youneed to pay attention, that this dynamic is not enchained by information technology […].“
[Zwicker 2009]
![Page 14: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/14.jpg)
…never change a running system?
How would one then get a hospital toinnovate – ever?
![Page 15: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/15.jpg)
Agenda
Why RFID?
Life Sciences – not an innovation-friendly domain?
Innovating with IT – an adapted process model
Comparative Case Studies
Summary
![Page 16: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/16.jpg)
Steps to convince skeptical users
http://aisel.aisnet.org/icis1995/4
![Page 17: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/17.jpg)
A process model how IT innovationswork
Investments
Conversion Process
Appropriate Use Competitive Dynamics
ImpactsAssets Organizational Performance
Competitive Process
Use Process
Management/Conversion Activities
[Soh/Markus 1995]
![Page 18: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/18.jpg)
Introducing RFID in Hospitals – Results from Literature
[Zwicker 2009]
(RFID) Investments
Adaptation of IT Infrastructure
Strategy
Communication
Planning
Pilot studies / Experiences
Qualification
Management
Conversion
determines(P2)
influences(P13)
supports (P10)
Increases (P9a, b)Pervasiveness
Acceptance
Privacy Valuation
influences(P4)
influences(P5)
determines(P12)
supports (P6)
supports(P7)
supports(P3)
(RFID) Assets
(RFID)Impacts
Use
Staff Competence
IS Risk Management
Committment
Staff Performance
Patient Satisfaction
Efficiency
Effectiveness
Quality
influences(P11a)
Should increase (P1a, b, c, d)
supports(P8)
(P14)
(P15a)
(P15b)
(P16)
Counts to
benefits
influences(P11b)
constitutes
![Page 19: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/19.jpg)
Agenda
Why RFID?
Life Sciences – not an innovation-friendly domain?
Innovating with IT – an adapted process model
Comparative Case Studies
Summary
![Page 20: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/20.jpg)
Case Study 1: Patient ID Safety
[Zwicker 2009]
![Page 21: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/21.jpg)
Case Study 2: Pharmaceutical Safety
![Page 22: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/22.jpg)
Case Study 3: Patient Tracking
[Zwicker 2009]
![Page 23: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/23.jpg)
Quotes on Starting Innovation
• „It is difficult to transfer any technologywhatsoever from industry into a clinicalenvironment. That mostly does not work.“
• „In a larger hospital it is absolutely mandatorythat the external partners have substantiateddomain knowledge.“
[Zwicker 2009]
![Page 24: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/24.jpg)
Quotes on usability
• „Many error messagesresulted from normal user behaviour. You do use medicamentsalloted to somebodyelse, to give higherdoses to patients in caseof an emergency.“
[Zwicker 2009]
![Page 25: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/25.jpg)
Quotes on patient‘s acceptance
• „The patients all said yes and immediatelycomplied. The aspect of increased safety ledthem all to participate.“
• „Every introduction of an identificationtechnology results in discomfort andsuspiciousness for the patients. In a hospital, they never think of being mistaken forsomebody else at all.“
[Zwicker 2009]
![Page 26: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/26.jpg)
Quote on the role of staff
• „The occasional pocketing of a RFID wristbandby hospital staff and the following errormessages when he moved through the ER areawas a problem.“
• „Hospital staff looks very closely to that thescarce resource ‚time‘ is not made any scarcerby introducing new technology.“
[Zwicker 2009]
![Page 27: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/27.jpg)
Agenda
Why RFID?
Life Sciences – not an innovation-friendly domain?
Innovating with IT – an adapted process model
Comparative Case Studies
Summary
![Page 28: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/28.jpg)
RFID in hospitals – beacon projects
• „RFID has not been a breakthrough in thiscase.“
[Lighthouse at Folly Island, Charleston]
[Zwicker 2009]
![Page 29: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/29.jpg)
Summary
• „The benefit of the projects was not sufficient. The project examples have shown thattechnologically they could be implemented, but the final solutions were not convincing in business terms.“
[Zwicker 2009]
![Page 30: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/30.jpg)
Introducing RFID in Hospitals –the resulting framework
[Zwicker 2009]
RFIDInvestments
RFID ImpactsUse Process
Staff Competence
Process Quality
Patient Satisfaction
RFID AssetsConversion Process
Staff Acceptance
Accounts toCounts
to
Usability Error handling culture
Reputation of Project Leader
Information
Expertise of external Partners Qualification
Privacy Issues
Pervasiveness
Work Strain
Patient Acceptance
InnovationCompetence
Counts to
H1
H2(+)
H3(+)
H4
H6(+)
H7(+)
H8(-)
H9(+)
H10(+)
H11
H12
Electromagnetic compatibility
H13
Treatment Risk
H14(-)
H15(+)
H5
![Page 31: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/31.jpg)
References• [Eymann et al. (2008)] Eymann, T.,
Niemann, C., Zwicker, F.: Innovating mindfully in healthcare IT using RFID technology, in: Meckl, R., Rongping, M., Fanchem M. (Hrsg.): Technology and Innovation Management. Oldenbourg, München (2008), p. 121-130
![Page 32: Falk Zwicker, Torsten Eymann University of Bayreuth](https://reader033.vdocument.in/reader033/viewer/2022042408/625e8328e8ec6c484f168236/html5/thumbnails/32.jpg)
WHY RFID PROJECTS IN HOSPITALS FAILLESSONS FROM COMPARATIVE CASE STUDIES
Falk Zwicker, Torsten EymannUniversity of Bayreuth, Germany