Abstract

We have investigated the large-scale automation of medicines distribution in NHS Greater Glasgow & Clyde, which is the largest regional health organisation in the UK. The pharmacy service is delivered on 14 hospital sites, involving approximately 530 pharmacy staff and an annual expenditure on medicines of around €138 million.The empirical evidence on the success of technological innovations in healthcare systems is decidedly mixed. There is considerable evidence on both theoretical and empirical grounds that the severity of implementation problems is likely to increase disproportionately with the scale and complexity of a healthcare technology installation. A key finding from the initial stage of our research was that the introduction of new technology in healthcare may not only lead to unintended first-order consequences such as initial staff resistance, but can also generate potentially serious adverse feedback loops between the social and technical dimensions of the new system. A key finding from the second stage of the research is that the longer-term impact of new technology may be quite different for different groups of healthcare staff. New automated systems may free front-stage staff from more routine administrative activities, enabling them to spend more time directly with patients. On the other hand, back-stage staff may well find that their learning opportunities and promotion possibilities are curtailed as a result.

Conference

Conference27th European Conference on Operational Research (EURO XXVII)
CountryUnited Kingdom
CityGlasgow
Period12/07/1515/07/15

Fingerprint

Delivery of Health Care
Technology
Inventions
Pharmaceutical Services
Automation
Health Expenditures
Research
Learning
Organizations
Innovation
Health care system
Staff
Health
Healthcare
Medicine

Keywords

  • technological innovation
  • healthcare
  • socio-technical systems
  • pharmacy
  • medicines distribution
  • NHS

Cite this

van der Meer, R., Lindsay, C., Bennie, M., Findlay, P., Corcoran, E. D., Commander, J., & Lannigan, N. (2015). Innovation in healthcare systems: a socio-technical perspective. 264-264. Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.
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title = "Innovation in healthcare systems: a socio-technical perspective",
abstract = "We have investigated the large-scale automation of medicines distribution in NHS Greater Glasgow & Clyde, which is the largest regional health organisation in the UK. The pharmacy service is delivered on 14 hospital sites, involving approximately 530 pharmacy staff and an annual expenditure on medicines of around €138 million.The empirical evidence on the success of technological innovations in healthcare systems is decidedly mixed. There is considerable evidence on both theoretical and empirical grounds that the severity of implementation problems is likely to increase disproportionately with the scale and complexity of a healthcare technology installation. A key finding from the initial stage of our research was that the introduction of new technology in healthcare may not only lead to unintended first-order consequences such as initial staff resistance, but can also generate potentially serious adverse feedback loops between the social and technical dimensions of the new system. A key finding from the second stage of the research is that the longer-term impact of new technology may be quite different for different groups of healthcare staff. New automated systems may free front-stage staff from more routine administrative activities, enabling them to spend more time directly with patients. On the other hand, back-stage staff may well find that their learning opportunities and promotion possibilities are curtailed as a result.",
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author = "{van der Meer}, Robert and Colin Lindsay and Marion Bennie and Patricia Findlay and Corcoran, {Emma Dunlop} and Johanna Commander and Norman Lannigan",
year = "2015",
month = "7",
day = "12",
language = "English",
pages = "264--264",
note = "27th European Conference on Operational Research (EURO XXVII) ; Conference date: 12-07-2015 Through 15-07-2015",

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van der Meer, R, Lindsay, C, Bennie, M, Findlay, P, Corcoran, ED, Commander, J & Lannigan, N 2015, 'Innovation in healthcare systems: a socio-technical perspective' 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom, 12/07/15 - 15/07/15, pp. 264-264.

Innovation in healthcare systems : a socio-technical perspective. / van der Meer, Robert; Lindsay, Colin; Bennie, Marion; Findlay, Patricia; Corcoran, Emma Dunlop; Commander, Johanna; Lannigan, Norman.

2015. 264-264 Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Innovation in healthcare systems

T2 - a socio-technical perspective

AU - van der Meer, Robert

AU - Lindsay, Colin

AU - Bennie, Marion

AU - Findlay, Patricia

AU - Corcoran, Emma Dunlop

AU - Commander, Johanna

AU - Lannigan, Norman

PY - 2015/7/12

Y1 - 2015/7/12

N2 - We have investigated the large-scale automation of medicines distribution in NHS Greater Glasgow & Clyde, which is the largest regional health organisation in the UK. The pharmacy service is delivered on 14 hospital sites, involving approximately 530 pharmacy staff and an annual expenditure on medicines of around €138 million.The empirical evidence on the success of technological innovations in healthcare systems is decidedly mixed. There is considerable evidence on both theoretical and empirical grounds that the severity of implementation problems is likely to increase disproportionately with the scale and complexity of a healthcare technology installation. A key finding from the initial stage of our research was that the introduction of new technology in healthcare may not only lead to unintended first-order consequences such as initial staff resistance, but can also generate potentially serious adverse feedback loops between the social and technical dimensions of the new system. A key finding from the second stage of the research is that the longer-term impact of new technology may be quite different for different groups of healthcare staff. New automated systems may free front-stage staff from more routine administrative activities, enabling them to spend more time directly with patients. On the other hand, back-stage staff may well find that their learning opportunities and promotion possibilities are curtailed as a result.

AB - We have investigated the large-scale automation of medicines distribution in NHS Greater Glasgow & Clyde, which is the largest regional health organisation in the UK. The pharmacy service is delivered on 14 hospital sites, involving approximately 530 pharmacy staff and an annual expenditure on medicines of around €138 million.The empirical evidence on the success of technological innovations in healthcare systems is decidedly mixed. There is considerable evidence on both theoretical and empirical grounds that the severity of implementation problems is likely to increase disproportionately with the scale and complexity of a healthcare technology installation. A key finding from the initial stage of our research was that the introduction of new technology in healthcare may not only lead to unintended first-order consequences such as initial staff resistance, but can also generate potentially serious adverse feedback loops between the social and technical dimensions of the new system. A key finding from the second stage of the research is that the longer-term impact of new technology may be quite different for different groups of healthcare staff. New automated systems may free front-stage staff from more routine administrative activities, enabling them to spend more time directly with patients. On the other hand, back-stage staff may well find that their learning opportunities and promotion possibilities are curtailed as a result.

KW - technological innovation

KW - healthcare

KW - socio-technical systems

KW - pharmacy

KW - medicines distribution

KW - NHS

UR - https://euro2015.euro-online.org/

M3 - Abstract

SP - 264

EP - 264

ER -

van der Meer R, Lindsay C, Bennie M, Findlay P, Corcoran ED, Commander J et al. Innovation in healthcare systems: a socio-technical perspective. 2015. Abstract from 27th European Conference on Operational Research (EURO XXVII), Glasgow, United Kingdom.