Michael Dohan | Lakehead University (original) (raw)

Papers by Michael Dohan

Americas Conference on Information Systems, 2011

Health Care Management Review, Dec 9, 2020

Background Effectiveness of end-of-shift patient handover between nurses may be impacted by poor ... more Background Effectiveness of end-of-shift patient handover between nurses may be impacted by poor communication. This can be improved with the use of information tools, either electronic or paper-based. Few studies have investigated the activities that support patient handover, and fewer have explored how several of these tools used together affects the handover process. Purpose The aim of this study was to understand coordination challenges in end-of-shift patient handover between nurses and the influence of multiple information tools used in that context. Methodology A qualitative methodology to investigate phenomena in an acute care hospital in the United States was used in this study. Semistructured interviews were used to elicit insights from 16 nurses. Data were analyzed by coding three types of task dependencies (prerequisite, simultaneous, and shared) and three information tools (electronic medical records [EMRs], Kardex, and printouts of EMR data). Results In preparation for a handover, nurses were burdened by ensuring that information in the EMR was correct and complete. A one-sheet Kardex was the tool nurses in the study preferred, because the essential information was at hand and it provided structure to the communication. Printouts of EMR data were often physically cumbersome and not useful in their current form, although they may be useful for communicating anomalous data. Conclusion This study provides insights regarding the challenges of care coordination in end-of-shift patient handover between nurses and the usages of a variety of information tools in preparation for handover, as well as the actual handover process. Practice Implications Multiple interrelated information tools may be used to support patient handover. Health leaders should focus efforts on further advancing protocols for end-of-shift nurse handovers. Health system designers should design information tools to align them with their defined purpose in the handover process. Future work should consider both the information needs of nurses and the goal of improving nurse workflows.

Health policy and technology, Dec 1, 2017

Communications of the Association for Information Systems, 2017

The goal of this study is to develop an expert survey-based journal ranking for the Health Inform... more The goal of this study is to develop an expert survey-based journal ranking for the Health Informatics & Information Technology (HIIT) field. Journal of the American Medical Informatics Association and Journal of Medical Internet Research were ranked as top HIIT management-focused journals, and BMC Medical Informatics & Decision Making and IEEE Journal of Biomedical & Health Informatics were ranked as top HIIT clinical-focused journals. This ranking benefits academics who conduct research in this field because it allows them to direct their research to appropriate journals, convey their accomplishments to tenure and promotion committees, and experience other benefits.

Organizations of all types are facing challenges in the new digital age to remain competitive (He... more Organizations of all types are facing challenges in the new digital age to remain competitive (Hess et al, 2016). With customer expectations changing and new technologies emerging, organizations need to change their business models to remain relevant and sustain competitive advantage. Healthcare in particular is one segment that is undergoing digital transformation. This is motivated largely by the desire to improve cost, patient satisfaction, patient outcomes, quality of care, provider experience and other important facets of the healthcare experience. According to some, strategic changes enabled by digital technology can allow healthcare organizations to re-shape their business models and improve the aforementioned facets. Digital transformation in healthcare therefore emphasizes strategic endeavours enabled by emerging digital technologies to improve patient care and enhance patient outcomes in particular (Gupta, 2016). Although achieving strategic advantage is the overall stated...

Health Care Management Review, 2020

Lean Thinking for Healthcare, 2013

The Lean approach espouses the elimination of sources of waste throughout a process, so that only... more The Lean approach espouses the elimination of sources of waste throughout a process, so that only value-added activities that address the desires of the customer should be implemented. Originating in manufacturing, Lean has been applied to healthcare, being used to address waste in this sector, for the benefit of patients and other healthcare actors. A central technique for identifying sources of waste is value stream mapping. This technique involves the creation of diagrams that depict workflow and its associated waste, and future state processes with waste reduced or eliminated, all occurring within an overarching series of activities that sees process improvements implemented. This chapter highlights the creation and use of value stream maps (VSMs) in the context of a Lean Healthcare initiative. A case example proposes current state and future state VSMs for medical coding and billing processes, which entail the capture of patient encounter information by the physician for the purpose of receiving remuneration from a healthcare system payer.

This meta-analysis reports on the predictive power of a portion of the Technology Acceptance Mode... more This meta-analysis reports on the predictive power of a portion of the Technology Acceptance Model (TAM), when used to evaluate web-based tools geared towards consumers of healthcare. Findings show that perceived usefulness is a strong predictor of behavioral intention in consumers who use web-based tools for health purposes. Findings also show that users in the contexts of both mental health and wellness exhibit homogeneity, suggesting that these populations may be distinct in their perceptions and use of web-based health tools.

Addressing inefficiencies in prehospital emergency care will contribute to increased availability... more Addressing inefficiencies in prehospital emergency care will contribute to increased availability of resources for emergency response, and the health and well-being of citizens. To address these problems, development and expansion of community paramedicine programs are taking place, involving the deployment of trained paramedics for providing care outside of their traditional emergency care provider roles. Initial research indicates that these programs have a positive effect, but many EMS services have a need to develop skills for paramedics to use technologies such as electronic medical records, health information exchanges, and so on. Traditionally, these skills are not within the scope of practice of paramedicine, yet they may impact the ability of the paramedic to practice patient centered care within this new paradigm for paramedicine. This research outlines a theoretical model and methodology for testing the impact of informatics competencies in paramedics on job satisfaction and the ability to practice patient centered care.

Electronic food and exercise diaries are increasingly popular, both on the Internet and mobile de... more Electronic food and exercise diaries are increasingly popular, both on the Internet and mobile devices. These tools offer a potential low-cost solution to help control and manage weight in those who suffer from obesity, as well as reduce the strain of obesity on the Canadian healthcare system. The body of knowledge for electronic food and exercise diaries, however, is lacking as to their effectiveness and related issues. This paper presents several key issues pertaining to the use of these applications, as well as proposed research directions, in which theories integrated from different areas can address these gaps. These theories include those that address acceptance of technology, continuity of use, and ability to produce behavioral change. Preliminary research results indicate that the diaries are effective in weight reduction, but issues associated with initial adoption remain.

Healthcare costs in the US and Canada are rising at an alarming rate. Digital transformation, def... more Healthcare costs in the US and Canada are rising at an alarming rate. Digital transformation, defined as digitally enabled strategic undertaking is crucial to healthcare organizations to improve patient outcomes and reduce costs. There is lack of understanding in prior research on the key enablers of digital transformation of healthcare providers. This project attempts to fill this gap. The study intends to analyze data from interviews of senior leaders from various healthcare providers based in the US and Canada to exemplify the drivers of digital transformation.

Radical technological innovations, such as chatbots, fundamentally alter many aspects of healthca... more Radical technological innovations, such as chatbots, fundamentally alter many aspects of healthcare organizations. For example, they transform how clinicians care for their patients. Despite the potential benefits, they cannot be integrated into practice without the support of the clinicians whose jobs are affected. While previous research shed important light on physicians’ perceptions, little is known on nonphysician practitioners view said innovations. This paper reports on a qualitative study, involving 10 nonphysician clinicians from Ontario, Canada, conducted to determine the perceptions and cognitions of clinicians regarding radical innovation and their previous experiences with technological change. Results indicate that clinicians as semi-autonomous agents can interpret and act upon their environment with regard to determining how innovations such as chatbots are implemented.

Nursing informatics competencies (NIC) refer to the knowledge and skills needed to effectively us... more Nursing informatics competencies (NIC) refer to the knowledge and skills needed to effectively use technological resources to provide effective care using health care technology (TIGER, 2006). NICs are crucial in providing patient-centered care in healthcare, an industry that uses different technology to support clinical activities, for example, electronic health records (EHR). This study will provide an overview of the benefits of NICs, and propose and validate a theoretical model that can be used to assess the impact of nurses NICs on their satisfaction with their decisions resulting in the use of decision support systems. This preliminary research is important to medical administration and management as well as medical educators because it will demonstrate how this research should advance as it will determine if decision making satisfaction is a viable outcome of nurses and their level of NIC.

Health information technologies (HITs) as facilitators of chronic disease self-management remains... more Health information technologies (HITs) as facilitators of chronic disease self-management remains an ongoing topic for information system researchers. This research addresses a gap in knowledge surrounding patient trust and resistance towards using these technologies, specifically patient portals. The method used to accomplish this study is through the dispersion of a quantitative survey to participants in Ontario, Canada. This survey focused on questions related to the four variables that have been identified through the literature to be important in determining patient resistance of HITs. The results indicate the importance of patient trust in mitigating their resistance to using these technologies.

IEEE Access, 2020

The increasing number of studies that underline the relationship between industry 4.0 and sustain... more The increasing number of studies that underline the relationship between industry 4.0 and sustainability shows that sustainability is one of the pillars of smart factories. Through a bibliometric performance and network analysis (BPNA), this research describes the existing relationship between industry 4.0 and sustainability, the strategic themes from 2010 to March 2019, as well as the research gaps for proposing future work. With this goal in mind, 894 documents and 5621 keywords were included for bibliometric analysis, which were treated with the support of Science Mapping Analysis Software Tool (SciMAT). The bibliometric performance analysis presented the number of publications over time and the most productive journals. The strategic diagram shown 12 main research clusters, which were measured according to bibliometric indicators. Moreover, the network structure of each cluster was depicted, and the patterns found were discussed based on the documents associated to the network. Our findings show the scientific efforts are focused to enhance economic and environmental aspects and highlights a lack of effort relating the social sphere. Finally, the paper concludes the challenges, perspectives, and suggestions for the potential future work in the field of study relating to industry 4.0 and sustainability.

Communications of the Association for Information Systems, 2014

This article describes the development of a multilevel theoretical model, w hich explains electro... more This article describes the development of a multilevel theoretical model, w hich explains electronic symptom reporting (ESR) in the context of chronic disease management. ESR entails the use of patient-held technologies, such as electronic personal health records (ePHRs), for recording patient symptom data so that the information can be transmitted to a physician for interpretation. As patient recall of symptoms is critical to treatment effectiveness, ESR offers several advantages over traditional symptom reporting methods. The patient has the ability to conveniently collect symptom data, w hich can subsequently be view ed by the physician in an interpretable and relevant manner. This article proposes a theoretical model, w hich integrates the perspectives of both patient and physician, in order to inform theory development in this area.