Quality improvement: understanding the adoption and diffusion of digital technologies related to surgical performance

Abstract

PurposeQuantifying the performance level of surgeons with digital virtual reality (VR) simulators can help ensure that quality requirements in healthcare are met. In order to better understand integration amongst quality principles, practices and technologies in the adoption and diffusion of VR simulators, the authors applied a technological innovation system (TIS) framework. The purpose of this study is to understand how the adoption and diffusion of VR surgical simulators in a Swedish healthcare context is influenced by various system factors.Design/methodology/approachIn this study, single-case holistic design based on innovation system theory was used to analyse the adoption of digital quality technologies related to surgical performance in Swedish hospitals. The case employs a mixed methods approach triangulating data longitudinally from published documents and expert interviews.FindingsAdoption of digital technologies regarding surgical performance is restricted by system factors relating to inconsistent normative and regulatory requirements for quantified performance criteria to judge surgical expertise. Addressing these systems' weaknesses with evidence-based training programmes can have a significant impact on the further development of the innovation system and can ultimately affect healthcare reliability and quality.Originality/valueThis paper explores quality management (QM) challenges in the context of digital transformation in healthcare. The paper attempts to fill the gap for TIS studies in a healthcare context and highlight the role of innovation function strength along the value chain and in relation to technology cycles to increase the understanding of adoption of digital technologies relating to surgical performance.

Department of Medicine 2040: Implementing a Constrained Disorder Principle-Based Second-Generation Artificial Intelligence System for Improved Patient Outcomes in the Department of Internal Medicine

“…The development of the innovation system can be improved significantly if these systems’ weaknesses are addressed with evidence-based training programs. 18 Algorithms can program themselves by learning from a large set of examples demonstrating desired behavior using deep learning technology. Medical imaging methods can assist pathologists in detecting cancer subtypes, gene mutations, and metastases to apply appropriate therapies.…”

Technology Innovation Systems in Healthcare The case of Artificial intelligence (AI) (Preprint)

“…The derived themes and concepts underwent analysis using the TIS approach. We have built this article on our previous studies that have analyzed AI in healthcare with the use of the TIS framework [5,22,42].…”

“…The socio-technical framework of technological innovation systems (TIS) has emerged as a prominent methodology for comprehending the intricate interplay among institutional frameworks and the diverse array of actors involved in facilitating the adoption of emerging technological domains [17][18][19]. The innovation system approach has been applied across such sectors as offshore wind power [20], bio-refinery [21], and healthcare [22,23], which shed light on the adoption of innovations and technological shifts. We contend that it can similarly shed light on the prerequisites for the integration of digital technology innovations aimed at enhancing healthcare quality.…”

“…Assessing function strength can include setting international standards and establishing formal networks among actors in order to enhance technology interoperability and acceptance [17,18]. [17,22,23,31].…”

Empirical benchmarking of virtual service centers' service quality: a case of a large telecom service provider in India

“…Moreover, most outsourcing associations also failed to deliver the expected results savings, which has renewed organizations' interest in self-managed CSCs. Despite the renewed and rising interest, limited research has attempted to provide empirical evidence about citizen satisfaction from CSCs' digital applications run by companies (see Alshibly and Chiong, 2015; Lopes et al ., 2019; Petra and Patrik, 2022). In the present study on VCC, we aim to address the above-mentioned research gap.…”