Role of Agile in Digital Public Health Transformation

Kokol, Peter; Vošner, Helena Blažun; Kokol, Marko; Završnik, Jernej

doi:10.3389/fpubh.2022.899874

Cited by 19 publications

(11 citation statements)

References 20 publications

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“…Our goal was to develop a comprehensive documentation tool that was easy to use, contextual, and quickly completed; the Agile development methodology allowed rapid iterations with frequent reviews by the core group and expert group until the final version was released. [6][7][8][9] The agile development methodology is a common technique used in software development and emphasizes close collaboration between the end-user and the software developer allowing review and feedback of each stage of development, testing and deployment and has been associated with high satisfaction among end-users. [6][7][8] The initial design stages included mock-ups of the tool, a review of…”

Section: Development and Testing Of The Electronic Toolmentioning

confidence: 99%

“…[6][7][8][9] The agile development methodology is a common technique used in software development and emphasizes close collaboration between the end-user and the software developer allowing review and feedback of each stage of development, testing and deployment and has been associated with high satisfaction among end-users. [6][7][8] The initial design stages included mock-ups of the tool, a review of…”

Section: Development and Testing Of The Electronic Toolmentioning

confidence: 99%

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Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Matava

Gentry

Simpao

et al. 2023

Pediatric Anesthesia

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Background:The induction of anesthesia in children poses a challenge for the anesthesiologist, the parent and child. Anxiety and negative behaviours and strategies that effectively mitigate should be documented accurately and be available for future patient encounters. To address the need for a structured and standardized electronic documentation tool.Aims: Our aim was to develop a comprehensive electronic tool to capture and report behaviours during induction of anesthesia. Methods:We performed a literature search on existing validated tools for documenting behaviours during anesthesia induction. We used the nominal group technique to achieve agreement on the components to include. We used Agile software development techniques to design and review the integrated electronic tool. Twelve international hospitals informed the development of the tool. Results:We developed an electronic tool, the Standardized Anesthesia InductioN Tool (SAINT). SAINT incorporates validated scales for documenting key stages of the anesthesia induction journey (separation from caregivers, mask acceptance, induction behaviour, parental presence, the use of adjuncts and their effectiveness). In addition, the standardised data elements used in SAINT allow for local reporting, quality metrics and can assist in data across multi-centre trials. To date the tool has been adopted by 133 institutions across four countries and is freely available. Conclusion:We show that collaborative development and rapid adoption of the comprehensive induction tool SAINT has led to its rapid adoption in the routine practice of pediatric anesthesiology across several countries. Further studies on how the SAINT

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Section: Development and Testing Of The Electronic Toolmentioning

confidence: 99%

Section: Development and Testing Of The Electronic Toolmentioning

confidence: 99%

Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Matava

Gentry

Simpao

et al. 2023

Pediatric Anesthesia

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“…The free and opensource digital platform was critical to provide the basis on which the innovation was built within an agile framework. While the role of agile development has been noted as an important driver of digital health transformation (39), it has focused largely on the software development process. In contrast, we have used the idea of agility in a broader sense, covering the interconnected processes of design, development, and use, involving more than the stakeholders to also include researchers, health staff, technical team, and indirectly also the patients.…”

Section: Co-production Processes Leveraging On the Capabilities Of Fr...mentioning

confidence: 99%

“A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings

Mukherjee,

Sahay,

Kumar

et al. 2023

Front. Public Health

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A living lab is an emerging concept, particularly in Europe, as a vehicle to develop digital innovations through a process of co-produced design and development, which takes place, physically and socially, in real-life use contexts. However, there is limited research relating to guiding our understanding of the process by which such labs are established, and digital innovations are co-created and scaled to other settings requiring similar solutions. Furthermore, beyond Europe, the concept of a living lab has not found widespread application in low- and middle-income countries (LMICs), particularly in their public health contexts. Public health systems offer the unique scaling challenge of “all or nothing”, implying that data are required from the whole population rather than isolated pilot settings. The living lab approach promises the rich potential to strengthen public systems but comes with twin interconnected challenges. First, for building appropriate digital solutions to address local public health challenges, and second, in scaling them to other public health facilities. This article investigates these twin challenges through ongoing empirical work in India and identifies three key domains of analysis, which are as follows: the first concerns the process of establishing an enabling structure of a “living lab within a lab”; the second concerns leveraging the capabilities offered by free and open-source digital technologies; and the third concerns the driving impetus to scaling through agile and co-constructed technical support.

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“…Agile digital public health during COVID-19: ASD has become a vital part of digital health transformation [39]. The COVID-19 pandemic has presented software developers with a brand-new problem: how to develop software in an environment where it is necessary to develop completely new mission critical software solutions (for example vaccine distribution or emergency software) in a few days with fluidly changing requirements.…”

Section: Thematic Analysismentioning

confidence: 99%

“…To address the changing needs and expectations of various multiple users, ASD has been employed in the development of an agile digital population health platform [38]. ASD become even more frequently employed during the recent digital healthcare transformation [39] in the health telemedicine applications development during COVID-19 [40], like developing software for COVID-19 crisis management [41], multiple stakeholder requirement analysis in medical software development [42], digital transformation in pharmacies [43], and improving healthcare software user interfaces [44]. The adoption of agile software development in the healthcare domain encountered barriers, like lack of documentation and front-up planning, regulatory compliance, maintenance traceability [45], and managing non-functional requirements [46].…”

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confidence: 99%

Agile Software Development in Healthcare: A Synthetic Scoping Review

Kokol

2022

Applied Sciences

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Even though software can be found everywhere, software development has encountered many problems, resulting in the emergence of new alternative development paradigms. Among them, agile approaches are the most popular. While much research has been published about agile software development (ASD) in general, there is a lack of documented knowledge about its use in healthcare. Consequently, it is not clear how ASD is used in healthcare, how it performs, and what the reasons are for not using it. To fill this gap, we performed a quantitative and qualitative knowledge synthesis of the research literature harvested from Scopus and Web of Science databases, employing the triangulation of bibliometrics and thematic analysis to answer the research question What is state of the art in using ASD in the healthcare sector? Results show that the research literature production trend is positive. The most productive countries are leading software development countries: the United States, China, the United Kingdom, Canada, and Germany. The research is mainly published in health informatics source titles. It is focused on improving the software process, quality of healthcare software, reduction of development resources, and general improvement of healthcare delivery. More research has to be done on scaling agile approaches to large-scale healthcare software development projects. Despite barriers, ASD can improve software development in healthcare settings and strengthen cooperation between healthcare and software development professionals. This could result in more successful digital health transformation and consequently more equitable access to expert-level healthcare, even on a global level.

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Role of Agile in Digital Public Health Transformation

Cited by 19 publications

References 20 publications

Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

Standardized Anesthesia InductioN Tool (SAINT) – The development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children

“A living lab within a lab”: approaches and challenges for scaling digital public health in resource-constrained settings

Agile Software Development in Healthcare: A Synthetic Scoping Review

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