Physical Sciences and Mathematics Commons^™

Automated Medication Dispensing Cabinet And Medication Errors, Marie Helen Walsh

Walden Dissertations and Doctoral Studies

The number of deaths due to medical errors in hospitals ranges from 44,000 to 98,000 yearly. More than 7,000 of these deaths have taken place due to medication errors. This project evaluated the implementation of an automated medication dispensing cabinet or PYXIS machine in a 25-bed upper Midwestern critical access hospital. Lewin's stage theory of organizational change and Roger's diffusion of innovations theory supported the project. Nursing staff members were asked to complete an anonymous, qualitative survey approximately 1 month after the implementation of the PYXIS and again 1 year later. Questions were focused on the device and its use …

Nurses Knowledge, Skills, And Attitude Toward Electronic Health Records (Ehr), Sharon L. Adams

Walden Dissertations and Doctoral Studies

Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was designed to assess whether simulation training on a generic electronic health record (EHR) system would improve …

Socioeconomic Challenges Faced By African American Men Entering The Information Technology Industry, Melvin Smith

Walden Dissertations and Doctoral Studies

African American men experience impediments when entering the field of Information Technology (IT), which may portend the disappearance of this ethnic group from the technology-driven work force of the future. The purpose of this phenomenological study was to investigate the socioeconomic factors faced by African American men from their own viewpoints. With this goal in mind, three research questions were studied focusing on the availably of IT resources; the quality of science, technology, engineering, and math (STEM) based education; and existing hiring practices within the IT industry. The conceptual framework for this study was the critical theory perspective, which provided …

Assessing Value Added In The Use Of Electronic Medical Records In Nigeria, Isaiah Gbenga Abimbola

Walden Dissertations and Doctoral Studies

Electronic medical records (EMRs) or electronic health records have been in use for years in hospitals around the world as a time-saving system for patient record keeping. Despite its widespread use, some physicians disagree with the assertion that EMRs save time. The purpose of this study was to explore whether any time saved with the use of the EMR system was actually devoted by doctors to patient-care and thereby to improved patient-care efficiency. The conceptual support for this study was predicated employing the task-technology fit theory. Task-technology theorists argue that information technology is likely to have a positive impact in …

Regression Analysis Of Cloud Computing Adoption For U.S. Hospitals, Terence H. Lee

Walden Dissertations and Doctoral Studies

Industrial experts agree that cloud computing can significantly improve business and public access to low cost computing power and storage. Despite the benefits of cloud computing, recent research surveys indicated that its adoption in U.S. hospitals is slower than expected. The purpose of this study was to understand what factors influence cloud adoption in U.S. hospitals. The theoretical foundation of the research was the diffusion of innovations and technology-organization-environment framework. The research question was to examine the predictability of cloud computing adoption for U.S. hospitals as a function of 6 influential factors: relative advantage, compatibility, complexity, organizational size, structure, and …

The Relationship Between Information Technology And Organizational Effectiveness As Perceived By Health Care Providers, Christian Chikwem Ukaga

Walden Dissertations and Doctoral Studies

The U.S. Congress has made health information technology a central component of the national quest to improve health care delivery. The problem addressed in this study was the uncertainty among healthcare providers regarding the benefits of health care information technology adoption relative to healthcare delivery processes and outcomes. The purpose of the study was to understand the effectiveness of information technology as perceived by healthcare providers. The research questions were designed to investigate the relationship between health information technology and organizational effectiveness, exchange of information, organizational process, organizational productivity, and direct personal care. Sociotechnical systems theory and Donabedian's framework for …

Information Operations Under International Law: A Delphi Study Into The Legal Standing Of Cyber Warfare, Kenneth Gualtier

Walden Dissertations and Doctoral Studies

The ever-growing interconnectivity of industry and infrastructure through cyberspace has increased their vulnerability to cyber attack. The lack of any formal codification of cyber warfare has led to the development of contradictory state practices and disagreement as to the legal standing of cyber warfare, resulting in an increased risk of damage to property and loss of life. Using the just war theory as a foundation, the research questions asked at the point at which cyber attacks meet the definition of use of force or armed attack under international law and what impediments currently exist in the development of legal limitations …

The Value Of Diagnostic Software And Doctors' Decision Making, Babatunde Ayodele Alaofin

Walden Dissertations and Doctoral Studies

The prevalence of medical misdiagnosis has remained high despite the adoption of diagnostic software. This ongoing controversy about the role of technology in mitigating the problem of misdiagnosis centers on the question of whether diagnostic software does reduce the incidence of misdiagnosis if properly relied upon by physicians. The purpose of this quantitative, cross-sectional study based on planned behavior theory was to measure doctors' opinions of diagnostic technology's medical utility. Recruitment e-mails were sent to 3,100 AMA-accredited physicians through their database that yielded a sample of 99 physicians for the study. One-sample t tests and, where appropriate because of non-normal …

Impact Of Eu Medical Device Directive On Medical Device Software, Guy Foe Owono

Walden Dissertations and Doctoral Studies

Directive 2007/47/EC of the European Parliament amending Medical Device Directive (MDD) provides medical device manufacturers with a compliance framework. However, the effects of the amendments to the MDD on competition in the U.S. medical device software industry are unknown. This study examined the impact of this directive on the competitiveness of U.S. medical device software companies, the safety and efficacy of medical device software, employee training, and recruitment. The conceptual framework for this study included 3 dimensions of medical device regulations: safety, performance, and reliability. The overall research design was a concurrent mixed method study using both quantitative and qualitative …

Communication Constructs That Influence Information Technology Project Failure, Vanessa Lajuan Ruth Mackey

Walden Dissertations and Doctoral Studies

Ineffective communication behavioral constructs in the workplace that lead to information technology (IT) project failure and in some cases organization failure are increasingly becoming a management concern. Despite this trend, there is little research on the communication behavioral constructs that contribute to IT project failure rates. The purpose of this phenomenological study was to explore the lived experiences of business analysts, programmers, and programmer analysts pertaining to the behavioral constructs associated with effective and ineffective communication. The research questions addressed these behaviors from a conceptual framework based on communication theory, organizational information processing theory, and critical social theory. This framework …

Enhancing Workplace Productivity And Competitiveness In Trinidad And Tobago Through Ict Adoption, Kennedy Jerome Swaratsingh

Walden Dissertations and Doctoral Studies

The productivity of Trinidad and Tobago's public sector workplaces is related to their absorptive capacity for technological adoption. Guided by the technology acceptance model, which suggests that individuals' and institutions' use of technology increases in relation to perceived ease of use and apparent value, this case study explored how Trinidad and Tobago used information and communications technology from 2001 - 2010 to improve public sector workplace productivity. Study data were collected from 22 individual interviews with senior executives from the government of Trinidad and Tobago, members of the e-business roundtable, and local industry experts, and from reviewing the archives of …

Effects Of Investor Sentiment Using Social Media On Corporate Financial Distress, Tarek Hoteit

Walden Dissertations and Doctoral Studies

The mainstream quantitative models in the finance literature have been ineffective in detecting possible bankruptcies during the 2007 to 2009 financial crisis. Coinciding with the same period, various researchers suggested that sentiments in social media can predict future events. The purpose of the study was to examine the relationship between investor sentiment within the social media and the financial distress of firms Grounded on the social amplification of risk framework that shows the media as an amplified channel for risk events, the central hypothesis of the study was that investor sentiments in the social media could predict t he level …

Diffusion Of Electronic Health Records In Rural Primary Care Clinics, Patricia Lynn Mason

Walden Dissertations and Doctoral Studies

By the end of 2015, Medicare-eligible physicians at primary care practices (PCP) who do not use an electronic health record (EHR) system will incur stiff penalties if they fail to meet the deadline for using EHRs. Yet, less than 30% of rural primary clinics have fully functional EHR systems. The purpose of this phenomenology study was to explore rural primary care physicians and physician assistants' experiences regarding overcoming barriers to implementing EHRs. Complex adaptive systems formed the conceptual framework for this study. Data were collected through face-to-face interviews with a purposeful sample of 21 physicians and physician assistants across 2 …

Financial Performance Outcomes Following System Replacement In The Insurance Industry, Trevor James Owen

Walden Dissertations and Doctoral Studies

Enterprise system replacement projects within the property and casualty insurance industry are costly, high-risk undertakings that carry a significant risk of project failure. The decision to replace policy administration systems for companies with over $250 million in direct written premium is a multimillion dollar investment for corporate strategic decision makers. This study examined the financial impact of enterprise policy administration system replacement in the property and casualty insurance industry by comparing financial performance results for companies that performed policy administration system replacements with those that did not. Insurance industry financial results for the years 2009 through 2014 were used for …

Small Business Use Of Internet Marketing: Findings From Case Studies, Maya Demishkevich

Walden Dissertations and Doctoral Studies

Internet marketing is critical for meeting changing consumer needs and staying competitive in the business environment. Small business owners need strategies on how to use Internet marketing to promote their products or services. The purpose of this multiple case study was to explore how 5 small business owners in Maryland developed and implemented an online marketing strategy. Participants were recruited for their roles as the chief decision maker of their business; additional prerequisites for their participation were that they used Internet marketing, represented different industries, and had fewer than 20 employees. Data came from semi-structured interviews with the small business …

Alcts Crs Holdings Information Forum, 3-4 P.M. January 31, 2015, Connie Foster

Connie Foster

Cecilia Genereux (data management & access/metadata & intellectual access, University of Minnesota Libraries) introduced the session by confessing to a pun intended for her presentation: Alma: To Have and to Hold. The levity quickly shifted into some very detailed analysis of the way the Ex Libris Alma system handled specific types of serials during a migration from Aleph. The University of Minnesota started with Aleph (Ex Libris) in 2002 and moved to Alma on December 26, 2013. Frances McNamara (director, Integrated Library Systems and Administrative and Desktop Systems at University of Chicago), discussed migrating serials data from Horizon to Kulai …

Time Series Similarity Search In Distributed Key-Value Data Stores Using R-Trees, Aleksey Charapko

UNF Graduate Theses and Dissertations

Time series data are sequences of data points collected at certain time intervals. The advance in mobile and sensor technologies has led to rapid growth in the available amount of time series data. The ability to search large time series data sets can be extremely useful in many applications. In healthcare, a system monitoring vital signals can perform a search against the past data and identify possible health threatening conditions. In engineering, a system can analyze performances of complicated equipment and identify possible failure situations or needs of maintenance based on historical data.

Existing search methods for time series data …

A Comparison Of Cloud Computing Database Security Algorithms, Joseph A. Hoeppner

UNF Graduate Theses and Dissertations

The cloud database is a relatively new type of distributed database that allows companies and individuals to purchase computing time and memory from a vendor. This allows a user to only pay for the resources they use, which saves them both time and money. While the cloud in general can solve problems that have previously been too costly or time-intensive, it also opens the door to new security problems because of its distributed nature. Several approaches have been proposed to increase the security of cloud databases, though each seems to fall short in one area or another.

This thesis presents …

Reputationpro: The Efficient Approaches To Contextual Transaction Trust Computation In E-Commerce Environments, Haibin Zhang, Yan Wang, Xiuzhen Zhang, Ee Peng Lim

Research Collection School Of Computing and Information Systems

In e-commerce environments, the trustworthiness of a seller is utterly important to potential buyers, especially when a seller is not known to them. Most existing trust evaluation models compute a single value to reflect the general trustworthiness of a seller without taking any transaction context information into account. With such a result as the indication of reputation, a buyer may be easily deceived by a malicious seller in a transaction where the notorious value imbalance problem is involved—in other words, a malicious seller accumulates a high-level reputation by selling cheap products and then deceives buyers by inducing them to purchase …

Semi-Universal Portfolios With Transaction Costs, Dingjiang Huang, Yan Zhu, Bin Li, Shuigeng Zhou, Steven C. H. Hoi

Research Collection School Of Computing and Information Systems

Online portfolio selection (PS) has been extensively studied in artificial intelligence and machine learning communities in recent years. An important practical issue of online PS is transaction cost, which is unavoidable and nontrivial in real financial trading markets. Most existing strategies, such as universal portfolio (UP) based strategies, often rebalance their target portfolio vectors at every investment period, and thus the total transaction cost increases rapidly and the final cumulative wealth degrades severely. To overcome the limitation, in this paper we investigate new investment strategies that rebalances its portfolio only at some selected instants. Specifically, we design a novel on-line …

Research Agenda Into Human-Intelligence/Machine-Intelligence Governance, Teddy Steven Cotter

Engineering Management & Systems Engineering Faculty Publications

Since the birth of modern artificial intelligence (AI) at the 1956 Dartmouth Conference, the AI community has pursued modeling and coding of human intelligence into AI reasoning processes (HI Þ MI). The Dartmouth Conference's fundamental assertion was that every aspect of human learning and intelligence could be so precisely described that it could be simulated in AI. With the exception of knowledge specific areas (such as IBM's Big Blue and a few others), sixty years later the AI community is not close to coding global human intelligence into AI. In parallel, the knowledge management (KM) community has pursued understanding of …

Relational Agency, Networked Technology, And The Social Media Aftermath Of The Boston Marathon Bombing, Megan M. Mcintyre

USF Tampa Graduate Theses and Dissertations

Agency is a foundational and ongoing concern for the field of Rhetoric and Composition. Long thought to be a product and possession of human action, rhetorical agency represents the most obvious connection between the educational and theoretical work of the field and the civic project of liberal arts and humanities education. Existing theories of anthropocentric rhetorical agency are insufficient, however, to account for the complex technological work of digitally enmeshed networks of humans and nonhumans. To better account for these complex networks, this project argues for the introduction of new materialist theories of distributed agency into conversations about agency within …

Assessing Clinical Software User Needs For Improved Clinical Decision Support Tools, Kimberly B. Denney

Walden Dissertations and Doctoral Studies

Consolidating patient and clinical data to support better-informed clinical decisions remains a primary function of electronic health records (EHRs). In the United States, nearly 6 million patients receive care from an accountable care organization (ACO). Knowledge of clinical decision support (CDS) tool design for use by physicians participating in ACOs remains limited. The purpose of this quantitative study was to examine whether a significant correlation exists between characteristics of alert content and alert timing (the independent variables) and physician perceptions of improved ACO quality measure adherence during electronic ordering (the dependent variable). Sociotechnical theory supported the theoretical framework for this …

Consumer Perceptions Of Eco-Friendly Products, Sheik M. Isaacs

Walden Dissertations and Doctoral Studies

The rate of failure to manage e-waste and the business sectors' failure to produce more eco-friendly products is high. These failure rates cause companies to lose profits on expanding an eco-friendly customer market. The central research question addressed by this correlational design examined the quality, price, and brand loyalty of eco-friendly products related to customers' willingness to recycle e-products. Consumer and buying behavior theories served as the theoretical framework in this investigation. SurveyMonkey was used to distribute the researcher-developed survey to the participants for the collection of the data. The collection data instrument was validated by performing a pilot test …

Behavioral Operations Management In Federal Governance, Frederick Leonard Mobley

Walden Dissertations and Doctoral Studies

The environmental uncertainty of federal politics and acquisition outsourcing in competitive markets requires an adaptive decision-analysis structure. Practitioners oriented toward exclusively static methods face severe challenges in understanding qualitative aspects of organizational governance. The purpose of this grounded theory study was to examine and understand behavioral relationship attributes within intuitive, choice, judgment, or preference decision-making processes. The problem addressed in this study was the detrimental effects of organizational citizenship behavior (OCB), compulsory citizenship behavior (CCB), and social exchange theory (SET) on the acquisition management relationship The OCB, CCB, SET dictates that sound business development, relationship acumen, emotional intelligence and perceptiveness …

Diffusion Of Technology In Small To Medium Medical Providers In Saudi Arabia, Ziad Hisham Arnaout

Walden Dissertations and Doctoral Studies

The Saudi ministry of health reported that government health care spending doubled from 2008 to 2011. To address increased demand, the government encouraged small to medium enterprise (SME) growth. However, SME leaders could not leverage technology as a growth enabler because they lacked strategies to address operating inefficiencies associated with technology. Only 50% of hospitals fully implemented information technology. The purpose of this phenomenological study was to explore lived experiences of SME leaders on strategies needed to accelerate technology implementation. This exploration drew on a conceptual framework developed from Wainwright and Waring's framework addressing issues of technology adoption. Data were …

Marketing Strategies Of Mobile Game Application Entrepreneurs, Talaya Waller

Walden Dissertations and Doctoral Studies

Mobile game application entrepreneurs can offer many benefits to the U.S. economy; however, 80% of the entrepreneurs in this study stated that marketing their mobile applications was a major business challenge. Successful strategies that entrepreneurs have used to overcome their mobile game application marketing challenges may be beneficial to other entrepreneurs. Based on Schumpeter's theory of economic development and new value creation of technological innovation, the purpose of this phenomenological study was to explore the strategies that entrepreneurs have used to market their mobile game application development businesses successfully. Twenty mobile game application entrepreneurs from northern California, who successfully sustained …

Best Practices To Minimize Data Security Breaches For Increased Business Performance, Fedinand Jaiventume Kongnso

Walden Dissertations and Doctoral Studies

In the United States, businesses have reported over 2,800 data compromises of an estimated 543 million records, with security breaches costing firms approximately $7.2 million annually. Scholars and industry practitioners have indicated a significant impact of security breaches on consumers and organizations. However, there are limited data on the best practices for minimizing the impact of security breaches on organizational performance. The purpose of this qualitative multicase study was to explore best practices technology leaders use to minimize data security breaches for increased business performance. Systems theory served as the conceptual framework for this study. Fourteen participants were interviewed, including …

An Exploration Of Wireless Networking And The Management Of Associated Security Risk, Helen Loretta Collins

Walden Dissertations and Doctoral Studies

The rapid expansion of wireless information technology (IT) coupled with a dramatic increase in security breaches forces organizations to develop comprehensive strategies for managing security risks. The problem addressed was the identification of security risk management practices and human errors of IT administrators, putting the organization at risk for external security intrusion. The purpose of this non-experimental quantitative study was to investigate and determine the security risk assessment practices used by IT administrators to protect the confidentiality and integrity of the organization's information. The research questions focused on whether the security risk management practices of IT administrators met or exceeded …

A Comprehensive Analysis Of Computer Use Among African Americans, Kandice Lauren Smith

Walden Dissertations and Doctoral Studies

On average, African Americans receive lower wages in the workplace due to lack of advanced technical skills. The reason for technical deficiency among some African Americans is often lack of exposure to IT resources at an early age. The purpose of this ethnographic study was to identify and explore the factors that contribute to lack of IT resources available to some African Americans to cultivate IT skills. Information literacy theory formed the conceptual framework, which focused on information resources that African American and Caucasians use in the workforce for problem solving and retrieving information. Data were collected by conducting face-to-face …