Information Technology Team Research Articles

Pathways to commercial building plug and process load efficiency and control

To accomplish net-zero carbon emissions in the built environment by 2050, we must equitably decarbonize commercial buildings, including reducing plug and process loads (PPLs). PPLs are plug-in or hardwired electric and gas loads that are not associated with major building end uses like lighting and HVAC. Research shows PPL energy reduction strategies and control technologies have the potential to save energy. But even when implemented, these savings have rarely been achieved and there has not been widespread uptake in U.S. commercial buildings. We investigate why these technologies and strategies have not seen widespread adoption and identify behavior and technology pathways to increase PPL reduction in U.S. commercial buildings. We examined behaviors of commercial building stakeholders through 44 interviews and cross-referenced qualitative analysis findings with in-depth technical knowledge of existing PPL control technologies and reduction strategies. PPL control implementation must be paired with management strategies, such as occupant engagement and training, to achieve optimal savings, and best practices should be disseminated across the industry. We found that increasing access to cost and energy savings data will promote uptake of PPL control technologies and allow designers to better incorporate PPLs into building design. Improving access to funding for PPL energy efficiency projects and addressing the split-incentive problem will increase adoption of PPL efficiency and control. Code bodies should continue to include PPL monitoring and reduction measures in energy codes. Key building stakeholders, including cybersecurity and information technology teams, should be involved in PPL monitoring and reduction strategy processes for successful implementation.

Security Quality Measurement Based on ISO/IEC 25023 Quality Model Case Study: Hospital Management Information System

Hospitals need to protect the security of data assets, where data assets are an important part of the continuity of hospital operations. In connection with the protection of data and information assets in the hospital, it has become a requirement for the hospital information technology team to carry out a security audit of the hospital management information system (HMIS). In this study, we measured the quality of the HMIS software in X Hospital using ISO 25023 which focused on the security aspects of the outpatient service module and drug services in the outpatient pharmacy unit. The security aspect based on the ISO 25023 standard consists of five main characteristics, namely: confidentiality, integrity, non-repudiation, accountability and authenticity. In the early stages, calculations are carried out to find the value of each measurement standard which is denoted by (X). The X value is based on the standard calculation range of values 0 and 1. The threshold value is determined at 0.80 to categorize the point quality whether it is not good or has met the ISO 25023 quality point. The results of software quality measurements show Internal Data Corruption Prevention is worth 0.75 and is at below a predetermined threshold value. Based on these results, it is recommended to improve one of them by replication the database to minimize the possibility of Internal Data Corruption Prevention. In this study, all aspects of software quality have an average value above the threshold, so it can be concluded that HMIS in RS X meets ISO 25023 standards.

Rancang Bangun Aplikasi Ticketing Service Desk Teknologi Informasi Berbasis Website

Service Desk is a single point of contact (SPOC) between IT (Information Technology) serviceusers and IT service providers. Service Desks are the main entry point for users to get informationtechnology-related assistance. They act as intermediaries between users and other IT teams,ensuring that problems are resolved efficiently and effectively. This research aims to design andbuild a ticketing application for the service desk unit, by applying service level agreement to theapplication. The application built is expected to be a means of supporting activities at the servicedesk as well as being able to provide certainty for service users regarding the time required untilthe problem report is followed up.

Hospital antimicrobial stewardship team perceptions and usability of a computerized clinical decision support system

BackgroundAntimicrobial stewardship (AMS) programs aim to optimize antibiotic use through a panel of interventions. The implementation of computerized clinical decision support systems (CDSSs) offers new opportunities for semiautomated antimicrobial review by AMS teams. This study aimed to evaluate the perceived facilitators, barriers and benefits of end-users related to a commercial CDSS recently implemented in a hospital and to assess its usability. MethodsA mixed-method approach was used among AMS team members nine months after the implementation of the CDSS in a university hospital in northeastern France. A qualitative analysis based on individual semistructured interviews was conducted to collect end-users’ perceptions. A quantitative analysis was performed using the System Usability Scale (SUS). ResultsEleven AMS team members agreed to participate. The qualitative analysis revealed technical, organizational and human barriers and facilitators of CDSS implementation. Effective collaboration with information technology teams was crucial for ensuring the installation and configuration of the software. CDSS adoption by the AMS team required time, human resources, training, adaptation and a clinical leader. Moreover, the CDSS had to be well designed, user-friendly and provide benefits to AMS activities. The quantitative analysis indicated that the CDSS was a “good” system in terms of perceived ease of use (median SUS score: 77.5/100). ConclusionsThis study shows the value of the studied CDSS to support AMS activities. It reveals barriers, facilitators and benefits to the implementation and adoption of the CDSS. These barriers and facilitators could be considered to facilitate the implementation of the software in other hospitals.

Use of implementation mapping to develop a multifaceted implementation strategy for an electronic prospective surveillance model for cancer rehabilitation

BackgroundElectronic Prospective Surveillance Models (ePSMs) remotely monitor the rehabilitation needs of people with cancer via patient-reported outcomes at pre-defined time points during cancer care and deliver support, including links to self-management education and community programs, and recommendations for further clinical screening and rehabilitation referrals. Previous guidance on implementing ePSMs lacks sufficient detail on approaches to select implementation strategies for these systems. The purpose of this article is to describe how we developed an implementation plan for REACH, an ePSM system designed for breast, colorectal, lymphoma, and head and neck cancers.MethodsImplementation Mapping guided the process of developing the implementation plan. We integrated findings from a scoping review and qualitative study our team conducted to identify determinants to implementation, implementation actors and actions, and relevant outcomes. Determinants were categorized using the Consolidated Framework for Implementation Research (CFIR), and the implementation outcomes taxonomy guided the identification of outcomes. Next, determinants were mapped to the Expert Recommendations for Implementing Change (ERIC) taxonomy of strategies using the CFIR-ERIC Matching Tool. The list of strategies produced was refined through discussion amongst our team and feedback from knowledge users considering each strategy’s feasibility and importance rating via the Go-Zone plot, feasibility and applicability to the clinical contexts, and use among other ePSMs reported in our scoping review.ResultsOf the 39 CFIR constructs, 22 were identified as relevant determinants. Clinic managers, information technology teams, and healthcare providers with key roles in patient education were identified as important actors. The CFIR-ERIC Matching Tool resulted in 50 strategies with Level 1 endorsement and 13 strategies with Level 2 endorsement. The final list of strategies included 1) purposefully re-examine the implementation, 2) tailor strategies, 3) change record systems, 4) conduct educational meetings, 5) distribute educational materials, 6) intervene with patients to enhance uptake and adherence, 7) centralize technical assistance, and 8) use advisory boards and workgroups.ConclusionWe present a generalizable method that incorporates steps from Implementation Mapping, engages various knowledge users, and leverages implementation science frameworks to facilitate the development of an implementation strategy. An evaluation of implementation success using the implementation outcomes framework is underway.

Bridging the gap between IT and OT to improve industrial cyber security

Understanding cyber security risks is important for everyone. In this paper you will gain perspective on the cyber security challenges facing organisations today that operate within manufacturing and critical infrastructure industries, across their information technology (IT) and operational technology (OT) teams. You will also gain insight into potential solutions. IT teams have evolved distinctly, prioritising data security, access controls and system hardening in networked computing environments. OT teams manage and operate industrial control system (ICS) equipment with specific requirements around reliability and uptime for the purpose of ensuring physical outcomes in manufacturing or critical infrastructure production environments. IT and OT have traditionally operated separately within organisations because they serve different functions. The lack of interaction and understanding between IT and OT has led to cyber security vulnerabilities and frustration between organisations. IT may want to patch OT systems but get pushback because downtime halts production. OT may distrust IT recommendations because they have historically caused operational disruptions. This tension has caused many organisations to avoid trying to connect these two worlds; however, as digital transformation and Industry 4.0 initiatives bring IT and OT systems together, new cyber risks emerge. Industrial Internet of Things (IIoT) devices, legacy equipment, unpatched programmable logic controllers (PLCs) and obscured asset inventories create vulnerabilities. Despite their differing perspectives and priorities, however, collaboration between IT and OT is essential to secure today’s converged environments. Discover proven steps that can be taken to bridge the gaps between organisations to provide greater security across the enterprise, while strengthening internal teams and improving business outcomes.

Healthcare systems collaborating to implement a shared decision-making tool in the electronic health record and build evidence on its adoption and use.

Shared decision-making (SDM) is a method of care by which patients and clinicians work together to co-create a plan of care. Electronic health record (EHR) integration of SDM tools may increase adoption of SDM. We conducted a "lightweight" integration of a freely available electronic SDM tool, CV Prevention Choice, within the EHRs of three healthcare systems. Here, we report how the healthcare systems collaborated to achieve integration. This work was conducted as part of a stepped wedge randomized pragmatic trial. CV Prevention Choice was developed using guidelines for HTML5-based web applications. Healthcare systems integrated the tool in their EHR using documentation the study team developed and refined with lessons learned after each system integrated the electronic SDM tool into their EHR. CV Prevention Choice integration populates the tool with individual patient data locally without sending protected health information between the EHR and the web. Data abstraction and secure transfer systems were developed to manage data collection to assess tool implementation and effectiveness outcomes. Time to integrate CV Prevention Choice in the EHR was 12.1 weeks for the first system, 10.4 weeks for the second, and 9.7 weeks for the third. One system required two 1-hour meetings with study team members and two healthcare systems required a single 1-hour meeting. Healthcare system information technology teams collaborated by sharing information and offering improvements to documentation. Challenges included tracking CV Prevention Choice use for reporting and capture of combination medications. Data abstraction required refinements to address differences in how each healthcare system captured data elements. Targeted documentation on tool features and resource mapping supported collaboration of IT teams across healthcare systems, enabling them to integrate a web-based SDM tool with little additional research team effort or oversight. Their collaboration helped overcome difficulties integrating the web application and address challenges to data harmonization for trial outcome analyses.

Development of a Discharge Counseling and Medication Reconciliation Process for Pediatric Patients Within a Large, Academic Health System

OBJECTIVE This study aims to characterize the impact of a pharmacist-driven discharge medication reconciliation and counseling program targeting high-risk pediatric patients to mitigate barriers in transitions of care. METHODS This was a single-center quality improvement initiative including high-risk pediatric patients within a large academic medical center. Pharmacy, medical, and information technology team members developed a scoring system to identify patients at high risk of hospital readmission that resulted in a trigger tool built within the electronic medical record (EMR). Pharmacy workflow, the EMR documentation, and staff training were implemented. The primary end point was the number of high-risk patients with complete medication reconciliation and/or discharge counseling performed during the first 2 months after implementation. The secondary end points included quantification and qualification of the interventions conducted by a pharmacist. RESULTS Pediatric clinical pharmacists conducted discharge medication reconciliation and/or counseling for 60 patients during the first 2 months after implementation. There were 65 interventions performed, including 60 discharge medication reconciliations and 5 discharge counseling sessions. Of these interventions, 22 were recommendations on appropriate medication dosing and frequency (37%), 12 on duration of therapy (20%), and 8 were medication additions (13%). There were 6 interventions on adherence assistance (10%), 6 involved selection of medication formulation (10%), 3 involved medication discontinuation (5%), 2 involved appropriate therapy selection (3%), and 1 involved medication stability (1%). All interventions were accepted and implemented by the prescribing providers. CONCLUSIONS Pharmacist-driven discharge medication reconciliation and counseling programs targeting pediatric high-risk population might be an effective tool to mitigate gaps in transitions of care.

Activities Community Based Tourism to Communicate Tourism Village In Batukliang Utara Subdistrict

The purpose of this research is to explore activities community-based tourism on communication destinations in Batukliang Utara Subdistrict, especially Karang Sidemen Village, Lantan Village, and Tanak Beak Village. This research used a qualitative method, so researchers tried to explore human resource activities in three villages to communicate tourism in social media. The results of this research is three villages used social media to share contents like photos, videos, ect about destination. They promote tourism in content, so the public can see activities via online. Advantage three villages using social media is that all activities can be posted without looking at space and time. But there are disadvantages to using social media. Karang Sidemen have some destinations, but only Danau Biru becomes the first object to the tourist Instagram and YouTube. Lantan Village needs to optimize human resources for maintenance contents. Lantan Village has unique activities, like cooking class, hunting local food, so this is a tourist attraction. The last Tanak Beak Village more optimised human resources in members, and then the information technology team because this community couldn't be productive.

Optimizing IT Project Management: Leveraging Jira Automation for IT implementations

In the dynamic landscape of Information Technology (IT) Project Management, the efficient utilization of resources and the timely execution of tasks are critical for successful project outcomes. The objective of this study is to explore the application of Robotic Process Automation (RPA) in the realm of IT project management, specifically focusing on leveraging Jira automation for software implementations. By automating repetitive tasks and workflows within the Jira platform, IT teams can streamline processes, reduce manual intervention, and enhance productivity. This study is relevant as it investigates implementation strategies associated with integrating RPA into Jira for IT project management. Drawing from industry insights on how methodologies are applied for project development, the research underscores the potential of Jira automation in optimizing the project workflows. Additionally, several scenarios, potential automation candidates, are discussed, and automated workflows are suggested in order to improve team collaboration and accelerate project delivery. Ultimately, this article aims to enhance efficiency and effectiveness in IT project management through the strategic deployment of Jira automation powered by RPA technologies.

Implementing Measurement-Based Care (MBC) for Mental Health in a Paediatric Hospital Setting

Introduction: Measurement-Based Care (MBC) is the routine, systematic use of validated measures (e.g., patient-reported outcome measures [PROMs]) before or during clinical encounters to inform treatment decision-making. A large body of evidence, including randomized controlled trials, suggest that MBC outperforms usual care in response to treatment, remission rates, time to response and remission for individuals with depression, anxiety and other mental health conditions. MBC is a standard of care for most chronic conditions (e.g., diabetes, hypertension, asthma), however, it is underutilized in pediatric mental healthcare, despite well documented benefits and feasibility. As part of the hospital’s broader mandate to better integrate physical and mental healthcare, the MBC implementation team set out to develop an MBC system for evaluation of mental health concerns across the hospital with the goal to facilitate monitoring and response of mental health metrics at the patient, provider, organizational, and system levels.
 Methods: An environmental scan was conducted to understand the priority areas for health systems’ improvement. Stakeholders engaged in the process were physician leaders, clinical operational directors, clinical staff, Youth and Family Advisory Panel members across hospital departments. The environmental scan and follow-up focus groups (n=57) highlighted the need to prioritize implementation of standardized mental assessment tools hospital-wide for patients at each health system encounter as part of a vision to deliver holistic, integrated care and improve quality of patient care. Early identification of mental health needs of patients across the hospital and the importance of establishing standardized metrics for common mental health conditions were additional key priorities. Hospital surveys highlighted anxiety and depression as the top mental health concerns across the hospital. An extensive review was conducted to identify validated tools available and to understand implementation best practices.
 Learnings: Learnings from our review pointed to some key factors for successful implementation. These included the need for tools that are brief and easy to use, are validated and sensitive to change, are user friendly and visually appealing for the pediatric population and are integrated into the electronic health record with appropriate decision support tools to enable real time review. The need for extensive patient and provider education about the value of MBC and its implementation was also a key learning.
 
 Work in progress & next steps: Work is underway to map out clinical workflows, including ensuring a timely response to results, addressing implementation challenges such as virtual vs. in-person tool completion, and managing accessibility of sensitive data to the patient or their proxy in the electronic health record. Workflows will take an integrated, holistic care approach, whereby, a patient’s care team will action appropriate interventions based on a standardized algorithm that engages an interdisciplinary care team. Voxe, an external, patient-friendly platform to administer the two chosen assessment tools will be trialed. Discussions are underway with Information Management and Technology teams to integrate Voxe and clinical workflows in the hospital’s electronic health record. Evaluation of implementation of MBC in clinical settings will consider both process and outcome measures such as uptake, timely receipt of services, and clinical response.

Crisis leadership in Sigmoid Group: proactiveness for business continuity

Learning outcomes After completion of the case study, students will be able to describe the crisis types and the various phases in mapping a crisis and outline appropriate actions during each phase; identify stakeholders in the context of change management initiatives and map them through their power, influence and interest needs; identify the needs and resistance present in change management initiatives through the systems-thinking perspective; recognize the leadership competencies for an effective crisis management approach; and identify the way to conduct challenging conversations with important stakeholders whose support and influence are required. Case overview/synopsis Stella Fernandez, the vice president of human resources management in a family-managed business organization, was disturbed by the media reports on rising number of cases of COVID-19 infection in India during the first week of March 2020. She thought that a continued rise in the number of infection cases could affect the business continuity as well as the safety of the employees. In her opinion, a faster introduction of a work-from-home policy could help to reduce the impact of the potential crisis. Fernandez understood that without the senior management team’s consent, she could not drive the information technology team to implement the work-from-home measure. However, she felt that there could be challenges in convincing the senior management team, who did not treat this outbreak to be of grave importance. Anticipating the unfavourable reaction, Fernandez planned her approach carefully by identifying and convincing influential members to support this change management initiative; nevertheless, to her dismay, her meticulous plan failed to convince the powerful members of the team, who continued to resist the change proposed by her. Disappointed and surprised by their reaction, Fernandez wondered what she could have done to make the senior management team to accept her proposal. Complexity academic level This case study is designed for use in undergraduate- or graduate-level programmes. Supplementary material Teaching notes are available for educators only. Subject code CSS 6: Human resource management.

Ransomware Attacks in the Healthcare Industry

This paper explores the growing problem of ransomware attacks in the healthcare industry. It dives deep into the meaning of ransomware attacks and the basics of the attack such as how hackers gain access to data through the ransomware. Furthermore, this paper specifically focuses on hospitals and patients that are directly affected by the impact of ransomware attacks. This writing also includes information about noteworthy attacks in the health sector that have caught the attention of people around the world and how they were addressed. An aspect of Bitcoin has been added as cyber criminals demand ransom money in this currency from their victims. Lastly, this paper mentions steps that can be taken by hospitals to reduce the risk of getting infected by ransomware or what to do during a ransomware attack, such as having preventative safety measures in place with the use of antivirus software and Artificial Intelligence security systems as well has having a response plan during an attack. Apart from the Information Technology team in hospitals practicing these preventative measures, businesses and individuals should put in the time to implement these precautionary steps to ensure that they aren’t victims of ransomware attacks and that no one can gain access to any of their classified information. This paper was written by the researcher in a limited amount of time and the researcher was not able to conduct any of their own trials. Hence, all the information and data included has been previously collected from researchers around the world.

Technology used to enhance medication awareness/visibility in electronic health record: Multi-disciplinary collaboration and impact on perioperative procedural patient safety.

470 Background: Many patients undergoing procedures at MD Anderson are diagnosed with conditions necessitating anti-coagulant medications taken in the perioperative timeframe. Holding these medications prior to surgery is essential to avoid perioperative complications and procedural delays/cancellations. Failure to hold anti-coagulants could delay necessary cancer treatment. Hypothesis presented: implement a technology solution to enhance the awareness and visibility of these medications within the electronic health record (EHR) to assist in alerting multi-disciplinary care team members. With increased awareness across the perioperative clinical care team, cancellations/delays are expected to improve. Methods: In the fourth quarter of 2020 (* mark in data below), perioperative anesthesia and information technology (IT) teams collaborated to create a visual banner “watch meds” in the EHR. Banner is easily visible above the summary of each patient’s medication list. An institution wide education and awareness campaign highlighting “watch-meds” banner was done by anesthesia/surgical/perioperative teams. Patients meeting the following criteria were identified in the EHR: diagnosis necessitating anticoagulation, anticoagulant use, and scheduled OR procedure. Delays and cancellations on the procedure day for patients meeting criteria from 1/1/2020-12/31/2022 were analyzed, comparing pre and post implementation effects. Results: Case delays and cancellations impact time and labor resources, lead to equipment and material waste, and delay cancer care. Timely surgical completion carries tremendous impact on patient safety, satisfaction, and resource preservation. The number of patients who met criteria for the banner warning was 8% of the total number of cases throughout the three-years recorded. Of those who met criteria, 62% resulted in case delays. Implementation of the banner warning resulted in an immediate 2-fold improvement in cancellations, and ultimately demonstrated a 3-fold stable improvement. Conclusions: Leveraging technology to enhance visual cues in the EHR can be a powerful tool to relay important patient information including medications affecting perioperative care to all care team members, thus enhancing patient safety.[Table: see text]

Dental Case, a Brazilian Serious Game for Supporting Decision-making in the Dental Clinic: A Case Study

Background: Games are intrinsic to society and are used to represent a wide variety of human activities. Contemporary society has been digitalized, and the habit of playing games has naturally migrated to the digital environment. The use of digital games in education, where they are known as serious games, has given rise to the introduction of new educational approaches for dental students and dentists, which complement traditional approaches. A brief conceptual outline of games can help broaden our understanding thereof in social and educational contexts. Objective: To report the designing and development of a serious game for decision-making in clinical case management in the field of dentistry, for use as a complementary teaching tool. Method: The method used was a case study to describe the development of the content and narrative of a Brazilian serious game for decision-making in the dental clinic, called Dental Case. A player in Dental Case takes on the role of a dentist during a consultation, with the mission of completing the steps of anamnesis, clinical examination, complementary examination, diagnosis, and treatment. The clinical cases presented in the game were designed to resemble real-life decision-making situations in the dental clinic of a primary healthcare setting. The content developed was reviewed and validated by specialists, from both a technical and pedagogical point of view, and then included in the game software by an information technology (IT) team. Results: Dental Case was developed from a set of clinical cases. The game targets dental professionals and students, and its goal is to lend support to the teaching of decision-making in the different stages of clinical care. The game is freely available on the web, and on the Play Store and Apple Store mobile application platforms. Conclusions: The resources made available by Dental Case constitute a new complementary pedagogical approach, and a tool for the application of educational technologies in dentistry, which can contribute to expanding the scale and reach of educational activities. Future research is warranted to investigate the effectiveness of Dental Case in promoting learning and should include an evaluation of its performance by its users.

Digital transformation as an enabler of sustainability innovation and performance – Information processing and innovation ambidexterity perspectives

As sustainability gains increased importance among investors and regulators, firms are resorting to digitalization as a means to facilitate innovations and significantly improve their sustainability performances. Drawing on innovation ambidexterity and information processing theory, a framework was curated to assess the effect of digital transformation factors on sustainability innovation ambidexterity as well as sustainability performance. A survey questionnaire was administered to 187 maritime professionals who held relevant roles in innovation, performance management, sustainability, or digitalization. The data collected was then assessed using structural equation modelling, which revealed that the factors influencing sustainability performance, in decreasing order of importance, were digital capabilities, digital technology and business strategy alignment, sustainability exploration innovation, sustainability exploitation innovation, and digital flexibility. These findings contribute to the existing literature by employing the concepts of the identified theories to examine the triadic relationship between digital transformation factors, sustainability innovation ambidexterity, and sustainability performance. This provides a deeper understanding of the interactions between variables that lead to sustainability performance. In addition, it offers directions for managers to enhance sustainability performance through resource optimization in prioritizing training for employees, portfolio management, scheduling regular meetings between information technology and business management teams, and adopting forward-looking approaches to implement digital architecture.

Acceptability and Usability of the Family Gene Toolkit for Swiss and Korean Families Harboring BRCA1/BRAC2 Pathogenic Variants: A Web-Based Platform for Cascade Genetic Testing.

The study adapted the Family Gene Toolkit and developed a customized web application for Swiss and Korean families harboring BRCA1 or BRCA2 pathogenic variants to support family communication of genetic testing results and promote cascade genetic testing among at-risk relatives. In the first step, narrative data from 68 women with BRCA1/BRCA2 pathogenic variants and clinician feedback informed a culturally sensitive adaptation of the content consistent with current risk management guidelines. In the second step, the Information Technology team developed the functions and the interface of the web application that will host the intervention. In the third step, a new sample of 18 women from families harboring BRCA1/BRCA2 pathogenic variants tested the acceptability and usability of the intervention using "think-aloud" interviews and a questionnaire. Participants expressed high levels of satisfaction with the intervention. They provided positive feedback for the information regarding active coping, strategies to enhance family communication, interactive elements, and illustrative stories. They reported that the information was useful and the web application was easy to navigate. Findings suggest that the Family Gene Toolkit is well-designed and can increase rates of cascade testing among at-risk relatives. Its efficacy will be tested in a subsequent randomized trial.

Human factors in cybersecurity: Designing an effective cybersecurity education program for healthcare staff.

Leaders who promote cybersecurity education focused on the human factors of cyberattack build a resilient workforce that complements technical protections, reducing organizational risk. Cybersecurity is a priority for information technology teams, relying primarily on technology to protect systems. As technical protections mature, the vulnerability shifts to human factors. Education must focus on the risk presented by humans rather than machines. A human factors-centred education program trains human reaction to threats considering the unique healthcare environment. Leaders may look to industries, like aviation, experiencing similar technical advancement, for education practices based on human factors. This article outlines a cybersecurity education program developed for healthcare, applying strategies adopted from commercial aviation. Four core pillars of training are defined: (1) dynamic education delivery options, (2) social engineering focused simulations, (3) high-risk positions and role-based training, and (4) stakeholder and leadership engagement. The first phase of implementation is analyzed, and lessons learned defined.

REKAM MEDIS ELEKTRONIK (RME) UNTUK PELAYANAN GIZI RUMAH SAKIT

Background: Electronic Medical Record (EMR) is mandatory for the healthcare provider in Indonesia. EMR were also developed for medical support services such as nutrition services. EMR application for nutrition services consists of nutrition assessment forms and patient-integrated clinical development records.Objective: To determine factors that influence the implementation of EMR for hospital nutrition services.Methods: This research is qualitative research with a single-case holistic design. The research location was in Instalasi Gizi RSUD Dr. Soetomo, from May to June 2023. The data collecting method was using in depth-interview and focus group discussions. Participants were selected using purposive sampling. Data was analyzed based on the Human, Organization, and Technology (HOT)–Fit Framework.Results: This research showed that the main factor influencing the success of EMR implementation for hospital nutrition is the digital competencies of the staff. These competencies could be increased by giving some training to the staff. Another essential factor is that organization should support by providing Standard Operating Procedures (SOPs) for EMR implementation and technical support from the Information Technology (IT) team. IT team has the responsibility to handle complaints and problems about EMR. Facilities such as computers and Local Area Networks (LAN) should be sufficient to make EMR implementation run well. The interface and features of EMR should answer the needs of the staff. So, staff would feel EMR is beneficial to help them finish their work, and they would show their acceptance toward this EMR.Conclusions: The success of EMR implementation for hospital nutrition services is determined by several factors like staff digital competencies, organizational support, and provision of computers and LAN for implementing EMR. Positive perception about the benefit of EMR encouraged the increase of EMR utilization in hospitals.

Model For Economical Digital Smart Classes Indonesian Islamic Primary Schools (Madrasah Ibtidaiyah) In The 21st Century

The emergence of the digital era is clear evidence of the evolution of the educational landscape. Ineducation, the creation of cost-effective digital classrooms may be the answer to future problems. In-expensive glass touchscreens are an alternative to digital classrooms. This research focuses on how tomake digital smart classes at MIN 3 Tangerang and Madrasah Ibtidaiyah Nurul Huda Cerme Gresik andhow to use digital smart courses in the learning process at MIN 3 Tangerang and Madrasah IbtidaiyahNurul Huda Cerme Gresik. This research will describe education in Madrasah Ibtidaiyah, Indonesia.Design/methodology/approach This research uses a qualitative case study methodology. This researchinvolved eight participants, including school administrators, digital space teachers, and the informationtechnology team. Use interview, observation, and documentation tactics to collect data. The data analysistechnique uses the methods of reduction, presentation, and interpretation of the important themes found.Limitations/Research Implications The results of the study revealed that there were two important elementsin this study, namely the learning process carried out in digital classrooms and the main obstacles to itsimplementation. Creating a digital smart class begins with the provision of infrastructure such as InFocus,a USB port, a USB cable, a dongle, a high-resolution camera, wireless, and a smart board (touch screen)connected wirelessly. Smart digital classes can really stimulate teacher creativity in producing the bestmedia for teaching materials. Obstacles to adopting digital courses include the limitations of gadgets thatsupport the implementation of digital classes, the competence of teaching teachers, and school regulationsin providing supporting facilities. Originality/Value This new research is expected to be the starting pointfor creating teaching materials that are simple, economical, and effective.