Micro- and macroergonomic changes in mental workload and medication safety following the implementation of new health IT

Health information technology (IT) is a promising way to achieve safer medication management in the delivery of healthcare. However, human factors/ergonomics dictates that in order to make the complex, cognitive work of healthcare delivery safer, health IT must properly support human cognition. This means, for example, that new health IT must reduce, not increase, workload during safety-critical tasks. The present study was the first to quantitatively assess the short- and long-term impact of bar coded medication administration (BCMA) IT on nurses' mental workload as well as on perceived medication safety. One-hundred seventy registered nurses across 3 dissimilar clinical units at an academic, freestanding pediatric hospital in the Midwest US participated in surveys administered before, 3 months after, and 12 months after the hospital implemented BCMA. Nurses rated their external mental workload (interruptions, divided attention, being rushed) and internal mental workload (concentration, mental effort) during medication administration tasks as well as the likelihood of each of three medication safety events: medication administration errors, medication errors on the clinical unit, and clinical unit-level adverse drug events. Clinical unit differences were assessed. Findings generally confirmed the hypothesis that external but not internal mental workload was associated with the perceived likelihood of a medication safety event. Comparisons of mental workload from pre- to post-BCMA revealed statistically significant changes in the critical care unit only. Medication safety appeared to improve over the long term in the hematology/oncology unit only. In the critical care and medical/surgical units, medication safety exhibited short-term improvements that were eliminated over time. Changes in mental workload and medication safety, two classically microergonomic constructs, were deeply embedded in macroergonomic phenomena. These included the fit between the BCMA system and the nature of nursing work, the process of BCMA implementation, and BCMA interactions with concurrent changes occurring in the hospital. Findings raise questions about achieving sustainable performance improvement with health IT as well as the balance between micro- and macroergonomic approaches to studying technology change.Relevance to industryDesigners must consider how technology changes cognitive work, including mental workload. Hospitals and other implementers of technology must ensure that new technology fits its users, their tasks, and the context of use, which may entail tailoring implementation, for example, to specific clinical units. Evaluators must look over time to assess both changes in cognitive work and implementation issues. Healthcare practitioners must also recognize that new technology means a complex transformation to an already complex sociotechnical system, which calls for a macroergonomic approach to design and analysis.     

Semantically enriched Massive Open Online Courses (MOOCs) platform

Massive Open Online Courses (MOOCs) are becoming an essential source of information for both students and teachers. Noticeably, MOOCs have to adapt to the fast development of new technologies; they also have to satisfy the current generation of online students. The current MOOCs’ Management Systems, such as Coursera, Udacity, edX, etc., use content management platforms where content are organized in a hierarchical structure. We envision a new generation of MOOCs that support interpretability with formal semantics by using the SemanticWeb and the online social networks. Semantic technologies support more flexible information management than that offered by the current MOOCs’ platforms. Annotated information about courses, video lectures, assignments, students, teachers, etc., can be composed from heterogeneous sources, including contributions from the communities in the forum space. These annotations, combined with legacy data, build foundations for more efficient information discovery in MOOCs’ platforms. In this article we review various Collaborative Semantic Filtering technologies for building Semantic MOOCs’ management system, then, we present a prototype of a semantic middle-sized platform implemented at Western Kentucky University that answers these aforementioned requirements.     

Iterative equalization combining algorithm in intersymbol interference channel

To realize joint optimization of spatial diversity and equalization combining in the intersymbol interference (ISI) channel, an iterative equalization combining algorithm is proposed. The proposed algorithm uses the coefficients of Turbo equalization to calculate the combination weights without estimating the signal to noise ratio in each diversity branch. The equalized symbols from different diversity branches are combined, and the extrinsic information output from the decoder is fed back to the equalizers, so as to exchange soft information between the equalizers and the decoder. The performance of the proposed algorithm is analyzed using the extrinsic information transfer (EXIT) chart and verified by simulations. Results show that our approach fully exploits time domain information from the multipath channel and spatial domain information from multi receiving antennas, which efficiently improve the performance of the receiver in the severe ISI channel.     

Compensation paradox: the influence of monetary rewards on user behaviour

Many e-commerce companies collect users’ personal data for marketing purposes despite privacy concerns. Information-collecting companies often offer a monetary reward to users to alleviate privacy concerns and ease the collection of personal information. This study focused on the negative effects of monetary rewards on both information privacy concerns (IPC) and information disclosure. A survey approach was used to collect data and 370 final responses were analysed using a two-way analysis of variance and a binomial logistic regression model. The results show that monetary rewards increase IPC when an information-collecting company requires sensitive information. Additional results indicate that building trust is a more effective way of collecting personal data. This study identifies how organisations can best execute information-collection activities and contributes additional insights for academia and practitioners.     

Improved average consensus algorithm based distributed cost optimization for loading shedding of autonomous microgrids

This paper addresses a new distributed cost optimization (DCO) method for load shedding (LS) of an islanded microgrid considering cost. A two-layer improved average consensus algorithm (IACA) of multi-agent system (MAS) is proposed, and the consensus characteristic of which is analyzed in detail. With the global information discovered in the first layer of the IACA, the DCO of LS can be solved by using the synchronization processing of the IACA in the second layer. PSCAD/EMTDC-based simulation models are built to study the value settings of consensus constants and the performances of the proposed DCO method. Simulation results verified the convergence improvement of the IACA and the effectiveness of the proposed DCO.     

电信运营商信息安全管控架构及集中策略研究

本文对运营商信息安全集中管控架构演进和信息安全管控策略面临的问题进行了深入分析，提出了信息安全集中管控架构的演进方向建议及对信息安全监控策略工作优化的若干意见。     

Formal Approach to Workflow Application Fragmentations Over Cloud Deployment Models

Workflow management technologies have been dramatically improving their deployment architectures and systems along with the evolution and proliferation of cloud distributed computing environments. Especially, such cloud computing environments ought to be providing a suitable distributed computing paradigm to deploy very large-scale workflow processes and applications with scalable on-demand services. In this paper, we focus on the distribution paradigm and its deployment formalism for such very large-scale workflow applications being deployed and enacted across the multiple and heterogeneous cloud computing environments. We propose a formal approach to vertically as well as horizontally fragment very large-scale workflow processes and their applications and to deploy the workflow process and application fragments over three types of cloud deployment models and architectures. To concretize the formal approach, we firstly devise a series of operational situations fragmenting into cloud workflow process and application components and deploying onto three different types of cloud deployment models and architectures. These concrete approaches are called the deployment-driven fragmentation mechanism to be applied to such very large-scale workflow process and applications as an implementing component for cloud workflow management systems. Finally, we strongly believe that our approach with the fragmentation formalisms becomes a theoretical basis of designing and implementing very large-scale and maximally distributed workflow processes and applications to be deployed on cloud deployment models and architectural computing environments as well.