Implementation of hospital-wide computer information system :a case study of this change process

This case study examines the impact of a computer information system as it was being implemented in one Ontario hospital. The attitudes of a cross section of the hospital staff acted as a barometer to measure their perceptions of the implementation process. With The Mississauga Hospital in the early stages of an extensive computer implementation project, the opportunity existed to identify staff attitudes about the computer system, overall knowledge and compare the findings with the literature. The goal of the study was to develop a greater base about the affective domain in the relationship between people and the computer system. Eight exploratory questions shaped the focus of the investigation. Data were collected from three sources: a survey questionnaire, focused interviews, and internal hospital documents. Both quantitative and qualitative data were analyzed. Instrumentation in the study consisted of a survey distributed at two points in time to randomly selected hospital employees who represented all staff levels.Other sources of data included hospital documents, and twenty-five focused interviews with staff who replied to both surveys. Leavitt's socio-technical system, with its four subsystems: task, structure, technology, and people was used to classify staff responses to the research questions. The study findings revealed that the majority of respondents felt positive about using the computer as part of their jobs. No apparent correlations were found between sex, age, or staff group and feelings about using the computer. Differences in attitudes, and attitude changes were found in potential relationship to the element of time. Another difference was found in staff group and perception of being involved in the decision making process. These findings and other evidence about the role of change agents in this change process help to emphasize that planning change is one thing, managing the transition is another.

ReAlM - a system to manipulate relations

Given a heterogeneous relation algebra R, it is well known that the algebra of matrices with coefficient from R is relation algebra with relational sums that is not necessarily finite. When a relational product exists or the point axiom is given, we can represent the relation algebra by concrete binary relations between sets, which means the algebra may be seen as an algebra of Boolean matrices. However, it is not possible to represent every relation algebra. It is well known that the smallest relation algebra that is not representable has only 16 elements. Such an algebra can not be put in a Boolean matrix form.[15] In [15, 16] it was shown that every relation algebra R with relational sums and sub-objects is equivalent to an algebra of matrices over a suitable basis. This basis is given by the integral objects of R, and is, compared to R, much smaller. Aim of my thesis is to develop a system called ReAlM - Relation Algebra Manipulator - that is capable of visualizing computations in arbitrary relation algebras using the matrix approach.