Hayes Kathryn J, Eljiz Kathy, Dadich Ann, Fitzgerald Janna-Anneke, Sloan Terry
Griffith University.
J Health Organ Manag. 2015;29(2):271-94. doi: 10.1108/JHOM-08-2013-0171.
The purpose of this paper is to provide a retrospective analysis of computer simulation's role in accelerating individual innovation adoption decisions. The process innovation examined is Lean Systems Thinking, and the organizational context is the imaging department of an Australian public hospital.
DESIGN/METHODOLOGY/APPROACH: Intrinsic case study methods including observation, interviews with radiology and emergency personnel about scheduling procedures, mapping patient appointment processes and document analysis were used over three years and then complemented with retrospective interviews with key hospital staff. The multiple data sources and methods were combined in a pragmatic and reflexive manner to explore an extreme case that provides potential to act as an instructive template for effective change.
Computer simulation of process change ideas offered by staff to improve patient-flow accelerated the adoption of the process changes, largely because animated computer simulation permitted experimentation (trialability), provided observable predictions of change results (observability) and minimized perceived risk.
RESEARCH LIMITATIONS/IMPLICATIONS: The difficulty of making accurate comparisons between time periods in a health care setting is acknowledged.
This work has implications for policy, practice and theory, particularly for inducing the rapid diffusion of process innovations to address challenges facing health service organizations and national health systems. Originality/value - The research demonstrates the value of animated computer simulation in presenting the need for change, identifying options, and predicting change outcomes and is the first work to indicate the importance of trialability, observability and risk reduction in individual adoption decisions in health services.
本文旨在对计算机模拟在加速个体创新采用决策中的作用进行回顾性分析。所考察的流程创新是精益系统思维，组织背景是澳大利亚一家公立医院的影像科。
设计/方法/途径：采用内在案例研究方法，包括观察、就排班程序对放射科和急诊科人员进行访谈、绘制患者预约流程以及文档分析，为期三年，之后还对医院关键工作人员进行了回顾性访谈。将多种数据来源和方法以务实且反思的方式结合起来，以探究一个极端案例，该案例有可能成为有效变革的指导性模板。
工作人员提出的用于改善患者流程的变革想法的计算机模拟加速了流程变革的采用，主要是因为动态计算机模拟允许进行试验（可试验性）、提供变革结果的可观察预测（可观察性）并将感知风险降至最低。
研究局限/启示：认识到在医疗环境中不同时间段之间进行准确比较存在困难。
这项工作对政策、实践和理论都有影响，特别是对于促使流程创新迅速传播以应对卫生服务组织和国家卫生系统面临的挑战。原创性/价值——该研究证明了动态计算机模拟在呈现变革需求、识别选项以及预测变革结果方面的价值，并且是第一项指出可试验性、可观察性和降低风险在卫生服务中个体采用决策中的重要性的研究。
