Category Archives: Information Systems

A Technological Deterministic Crash: The case of the flight MH370

On Saturday March 8th, Malaysia Airlines flight MH370 departed at 12:41 a.m. local time and was due to land in Beijing at 6:30 a.m. on the same day. The flight was carrying 227 passengers and 12 crewmembers. 20 days later, the only thing we can precisely say about this flight, as obvious as it may sound, is that the airplane went missing and its whereabouts is still unknown. But the puzzling question on everyone’s mind has been left answered: how could an aircraft like the Boeing 777-200ER simply vanish off the face of the Earth?

The motivation behind such a disquieting question is due to the trust and reliance on the Boeing’s Triple Seven. The aircraft is built with state of the art science and technology and, according to aviation specialists, is considered one of the world’s safest jetliners with a near-perfect safety record. The 777 has transponders, sensors and communication equipment that, even if it’s not triggered manually, still send data periodically and automatically. Mohan Ranganathan, an aviation safety consultant who serves on India’s Civil Aviation Safety Advisory Committee, said it was “very, very rare” for an aircraft to lose contact completely without any previous indication of problems. “The 777 is a very safe aircraft – I’m surprised,” (The Guardian, 2014). The situation becomes even more intriguing in light of the fact that the last known location of the airplane was the Strait of Malacca, which along with the area flown / to be flown by MH370, is one of the most radar monitored and busiest airways.

Knowing that the event was so heavily surrounded by technology adds to our frustration: “how could the best technology out there have failed us?” It is not surprising that people turn to technology looking for answers. Technology gives us single cause with a single effect and it is also predictive. Since the pieces of technology – the airplane or any debris – have not been found, no answers could have been given, and because our society is so strung up on this inexistent precise science, we pressure authorities for proper answers. The Malaysian authorities, seeking a scientific answer and trying to look progressive, released a statement saying that everyone on that flight is dead based on a complicated and confusing math theory. Unfortunately, the family members of the MH370 passengers got such uncomforting answer through a text message on their mobile phones.

I’m not here to discuss the possible theories out there to explain the plane’s disappearance, or to say whether the passengers are alive or not. I’m trying to stress that our technological deterministic hunger had led us to situations of absurdity, discomfort and frustration, just like what is happening to the MH370 event. Such mind set, made us find, in a mathematical formula, the answer for a very complex social situation. The answer given by the Malaysian authorities is causing international and political tensions since China is demanding Malaysia to hand over all relevant satellite data analysis on the missing plane. If these frictions keep happening, it could compromise the efforts done by the international search team since nations that are not happy with the way things are handled could leave the team.

Up to this point, the MH370 case is a clear example of technological determinism, to the point of being presented at “Introduction to Social Informatics” lectures along with WIRED Magazine statements. It is too soon to make any precipitated conclusions, but in such case we can already notice a suspension of ethical judgment and the unintended consequences caused by “naïve science”. From now on, I hope the passenger’s family find better comfort and the authorities involved in this case be less technological deterministic, even if society demands them to be so. As David E. Nye (2007) stated: technologies do not drive change. They are the product of cultural choices and their use often has unintended consequences.

The Guardian (March 8th, 2014). “Malaysia Airlines: experts surprised at disappearance of ‘very safe’ Boeing 777”. Retrieved from: http://www.theguardian.com/world/2014/mar/08/malaysia-airlines-experts-surprised-at-disappearance-of-very-safe-boeing-777

Nye, D. E. (2006). Technology matters: Questions to live with (pp. 194-198). Cambridge, MA: MIT Press.

Social Informatics: The Basis for Informatics Systems Implementation in Healthcare Today

By Grant Webb

Many people don’t automatically think of the human element when they think of technology, but people and technology can’t help but influence each other. This mutual influence, which forms the basis of the field of social informatics, can be seen in the way that we use technology and the way that technology shapes our daily lives. Social informatics involves the study of information and communication tools in cultural or institutional contexts. Specifically, it examines the social aspects of computerization and its role in social and organizational change as well as how social practices influence information technology.

One of the most important contexts for social informatics is healthcare. Historically, healthcare has been a paper-intensive industry as practitioners kept printed copies of patient records and created written orders for tests and medications. Perhaps due to habit or possibly due to mistrust or unfamiliarity with computers, many healthcare professionals continued to rely on paper-based systems long after computerization gained wide acceptance and usage within the field.

One significant problem with paper-based systems is the lack of consistency in how records are filled out and maintained and how long they are stored. Individual doctors, nurses and other providers often have their own way in which they record notes and update patient records, even those who hold the same job title within the same institution. Thus, records differ from doctor to doctor, nurse to nurse and facility to facility, which introduces inconsistency and fosters miscommunication. These differences can also lead to a variety of errors that can negatively affect patients.

In addition to the differences in the ways that individuals keep records, manual record-keeping typically introduces a significant amount of human error, which also increases medical errors. Medical errors can range from relatively minor impacts, such as ordering unneeded diagnostic tests, to major impacts that can put a patient’s life at risk. At the point in which a provider’s personal social informatics habits, as related to patient record-keeping, conflict with those of other providers, paper-based systems then become detrimental to patients’ wellbeing. Discrepancies inherent in paper systems can also inhibit information sharing, collaboration and the expansion of collective knowledge.

As a result of various medical errors over the years, the Federal government has mandated that healthcare providers implement electronic health records by January of 2014. This mandate, part of the Affordable Care Act, represents a drastic change for the healthcare field in an effort to reduce medical errors and streamline healthcare delivery and has increased the breadth of health informatics job offerings as a result. The electronic health record requirement has prompted many healthcare providers to abandon social informatics based on manual record keeping. In turn, this increasing implementation of electronic health records has led to the rapid expansion of health informatics.

Health informatics combines information technology, health science information and patient data to enhance and support clinical care, health services, administration, research and education while helping to contain costs and increase efficiency. Health informatics relies heavily on healthcare information technologies, such as electronic health records, computerized physician order entry and decision support systems but the implementation of these technologies is only as good as the people who use them. Management, clinicians and health information technology staff often assume that healthcare information technologies will deliver the results promised by vendors. As a result, they may unintentionally overlook the impact of interactions between new technologies and the existing sociotechnical environment. In the same manner, those who take for granted that technology will improve things may underestimate the contributions of clinical judgment and interaction with patients.

Healthcare providers are often quick to blame undesirable consequences and implementation failures on new technology. In reality, although technical issues are sometimes at the root of the problem, negative outcomes of healthcare information technology more often stem from the providers themselves due to differences between the new technology and the existing social and technical systems.

Health informatics can help pinpoint changes needed to existing social informatics such as workflows, culture and technology, to minimize negative outcomes and maximize the benefits of healthcare information technology. These benefits include improved patient safety, increased positive patient outcomes and greater levels of efficiency.

Grant Webb is an SEO Specialist at Bisk Education

http://www.bisk.com/

Follow

Get every new post delivered to your Inbox.

Join 141 other followers

%d bloggers like this: