Robin Alun Williams

Robin Alun Williams
The University of Edinburgh | UoE · Institute for the Study of Science and Technology (ISSTI)

PhD

About

182
Publications
27,228
Reads
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3,502
Citations
Additional affiliations
June 1986 - present
The University of Edinburgh
Position
  • Managing Director
Description
  • I study the social shaping of technology in the design, implementation and use of ICTs. Recent research with Neil Pollock encompasses the emergence of packaged enterprise solutions and new knowledge actors such as Industry Analysts Gartner.
June 1980 - May 1986
Aston University
Position
  • Research Associate

Publications

Publications (182)
Preprint
Introduction Antimicrobial resistance is a leading global public health threat, with inappropriate use of antimicrobials in healthcare contributing to its development. Given this urgent need, we developed a complex ePrescribing-based Anti-Microbial Stewardship intervention (ePAMS+). Methods and analysis ePAMS+ includes educational and organisation...
Preprint
UNSTRUCTURED We here discuss ways to tackle the grand challenge of integrating health and social care delivery with the help of digital technologies. We argue that previous attempts have largely failed to achieve their objectives due to implementers and decision makers not paying sufficient attention to the complex socio-organizational dimensions o...
Chapter
In this study, we propose a governance framework for two-speed innovation as a fruitful approach to manage digitalisation and change in incumbent firms and public organisations. Two-speed innovation is a process that combines ambidexterity and platform-oriented IT architecture, through a particular configuration; a two-speed organisation, supported...
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Despite being a source of significant change, there has been little focus on how and why industry analysts constantly launch, adjust and abandon market-defining categories. To address this issue, we investigate the Big Three industry analyst firms and find that they promote categories clients find valuable and adjust or abandon those no longer attr...
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Background: The use of cloud computing (involving storage and processing of data on the internet) in health care has increasingly been highlighted as having great potential in facilitating data-driven innovations. Although some provider organizations are reaping the benefits of using cloud providers to store and process their data, others are laggi...
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Background The Global Digital Exemplar (GDE) Programme is a national initiative to promote digitally enabled transformation in English provider organizations. The Programme applied benefits realization management techniques to promote and demonstrate transformative outcomes. This work was part of an independent national evaluation of the GDE Progra...
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Background There is currently a strong drive internationally towards creating digitally advanced healthcare systems through coordinated efforts at a national level. The English Global Digital Exemplar (GDE) programme is a large-scale national health information technology change programme aiming to promote digitally-enabled transformation in second...
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Background: The Global Digital Exemplar (GDE) Programme was designed to promote the digitisation of hospital services in England. Selected provider organisations that were reasonably digitally-mature were funded with the expectation that they would achieve internationally recognised levels of excellence and act as exemplars ('GDE sites') and share...
Preprint
BACKGROUND The use of cloud computing (involving storage and processing of data on the internet) in healthcare has increasingly been highlighted as having great potential in facilitating data-driven innovations. Whilst some provider organizations are reaping the benefits of using cloud providers to store and process their data, others are lagging b...
Article
Background The use of cloud computing (involving storage and processing of data on the internet) in health care has increasingly been highlighted as having great potential in facilitating data-driven innovations. Although some provider organizations are reaping the benefits of using cloud providers to store and process their data, others are laggin...
Preprint
BACKGROUND The Global Digital Exemplar (GDE) Programme is a national initiative to promote digitally-enabled transformation in English provider organisations. The Programme applied benefits realisation management techniques to promote and demonstrate transformative outcomes. This work was part of an independent national evaluation of the GDE Progra...
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Full-text available
Objective: The Global Digital Exemplar (GDE) Program is a national attempt to accelerate digital maturity in healthcare providers through promoting knowledge transfer across the English National Health Service (NHS). "Blueprints"-documents capturing implementation experience-were intended to facilitate this knowledge transfer. Here we explore how...
Preprint
UNSTRUCTURED We here report on an exploratory analysis of the suitability of AI-enabled social media analysis of Facebook and Twitter to understand public perceptions of COVID-19 contact tracing apps in the UK. We extracted over 10,000 relevant social media posts and analysed these over an eight month period, from 1st of March to 31st of October 20...
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Background: The emergence of SARS-CoV-2 in late 2019 and its subsequent global spread continues to be a global health crisis. Many governments see contact tracing of citizens through apps installed on mobile phones as a key mechanism to contain the spread of SARS-Cov-2. Objective: We here report on an analysis of the suitability of Artificial In...
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The increasing importance of computational techniques in post-genomic life science research calls for new forms and combinations of expertise that cut across established disciplinary boundaries between computing and biology. These are most marked in large scale gene sequencing facilities. Here new ways of organising knowledge production, drawing on...
Article
Background: Wearable sensors connected via networked devices have the potential to generate data that may help to automate processes of care, engage patients, and increase health care efficiency. The evidence of effectiveness of such technologies is, however, nascent and little is known about unintended consequences. Objective: Our objective was t...
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Introduction Many countries are launching large-scale, digitally enabled change programmes as part of efforts to improve the quality, safety and efficiency of care. We have been commissioned to conduct an independent evaluation of a major national change programme, the Global Digital Exemplar (GDE) Programme, which aims to develop exemplary digital...
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Background: Digital health innovations are being prioritized on international policy agendas in the hope that they will help to address the existing health system challenges. Objective: The aim of this study was to explore the setup, design, facilities, and strategic priorities of leading United Kingdom and United States health care innovation cen...
Article
Background Hospitals worldwide are developing ambitious digital transformation programs as part of broader efforts to create digitally advanced health care systems. However, there is as yet no consensus on how best to characterize and assess digital excellence in hospitals. Objective Our aim was to develop an international agreement on a defined s...
Preprint
BACKGROUND The English Global Digital Exemplar (GDE) Programme is one of the first concerted efforts to create a digital health learning ecosystem across a national health service. OBJECTIVE To explore mechanisms supporting or inhibiting exchange of inter-organisational digital transformation knowledge. METHODS We conducted a formative qualitativ...
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Background: Attempts to achieve digital transformation across the health service have stimulated increasingly large-scale and more complex change programmes. These encompass a growing range of functions in multiple locations across the system and may take place over extended timeframes. This calls for new approaches to evaluate these programmes....
Preprint
BACKGROUND Hospitals worldwide are developing ambitious digital transformation programs as part of broader efforts to create digitally advanced health care systems. However, there is as yet no consensus on how best to characterize and assess digital excellence in hospitals. OBJECTIVE Our aim was to develop an international agreement on a defined s...
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This paper is building a detailed understanding of the organisational structures and practices in SMEs' knowledge absorption from a network of innovation partners. In particular, it explores the relationship between the openness of innovation process through innovation networks and the development of organisational structures within firms, as well...
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Science and Technology Studies understandings of technological change are at odds with its own dominant research designs and methodological guidelines. A key insight from the social shaping of technology research, for instance, has been that new technologies are formed in multiple interlinked settings, by many different groups of actors over long p...
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This article analyzes the range of system optimization activities taking place over an extended period following the implementation of computerized physician order entry and clinical decision support systems. We undertook 207 qualitative semi-structured interviews, 24 rounds of non-participant observations of meetings and system use, and collected...
Preprint
BACKGROUND There is currently a lack of comprehensive, yet intuitive and usable formative evaluation frameworks of health information technology (HIT) implementations. OBJECTIVE We therefore sought to develop and apply such a framework: the Technology, People, Organizations and Macro-environmental factors (TPOM) Framework. METHODS We drew on qual...
Preprint
Background There is currently a lack of comprehensive, intuitive, and usable formative evaluation frameworks for health information technology (HIT) implementations. We therefore sought to develop and apply such a framework. This study describes the Technology, People, Organizations, and Macroenvironmental factors (TPOM) framework we developed. Ob...
Article
What is the expectation work required to ensure that technological innovation initially supported by government funding is subsequently taken up by market actors? This paper explores this question by applying a linked ecologies framework to the study of the Copyright Hub, a digital infrastructure for Intellectual Property trading developed in the U...
Article
Context: Despite widespread efforts to improve the quality and safety of healthcare through use of hospital information systems (HIS), many healthcare organizations face challenges in implementation and effective use of these applications, in particular when systems have been developed internationally (mainly in the US). Suppliers of these technol...
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Our previous study of the Open Content Film-making (OCF) community [author paper (submitted) Revolution Postponed? Tracing the development and limitations of open content filmmaking submitted to Information Communication and Society] had shown how early expectations that Creative Commons (CC) licences would enable a viable alternative to mainstream...
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Networked information technologies have brought about extensive changes in the production and distribution of creative cultural work. Inspired by the widespread success of Free-Libre/Open Source Software (FLOSS), many proponents of open access advocate reconceptualisation of existing legal protection frameworks in creative works. This paper traces...
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Background In this UK study, we investigated the impact of computerised physician order entry (CPOE) and clinical decision support (CDS) implementation on the rate of 78 high-risk prescribing errors amenable to CDS. Methods We conducted a preintervention/postintervention study in three acute hospitals in England. A predefined list of prescribing e...
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Background: The future of health care services in the European Union faces the triple challenges of aging, fiscal restriction, and inclusion. Co-production offers ways to manage informal care resources to help them cater for the growing needs of elderly people. Social media (SM) is seen as a critical enabler for co-production. Objective: The obj...
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Background: The future of health care services in the EU faces the triple challenges of ageing, fiscal restriction and inclusion. Co-production offers ways to manage informal care resources to help them cater for the growing needs of elderly people. Social media (SM) is seen as critical enabler for co-production. Objective: We investigate how SM -...
Article
Antimicrobial resistance is now recognised as a threat to health worldwide. Antimicrobial stewardship aims to pro- mote the responsible use of antibiotics and is high on inter- national and national policy agendas. Health information technology has the potential to support antimicrobial stew- ardship in a number of ways, but this field is still poo...
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Objective: Hospital electronic prescribing (ePrescribing) systems offer a wide range of patient safety benefits. Like other hospital health information technology interventions, however, they may also introduce new areas of risk. Despite recent advances in identifying these risks, the development and use of ePrescribing systems is still leading to...
Article
Objective: To explore and understand approaches to user engagement through investigating the range of ways in which health care workers and organizations accommodated the introduction of computerized physician order entry (CPOE) and computerized decision support (CDS) for hospital prescribing. Study setting: Six hospitals in England, United King...
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Background Concerns with the usability of electronic prescribing (ePrescribing) systems can lead to the development of workarounds by users. Objectives To investigate the types of workarounds users employed, the underlying reasons offered and implications for care provision and patient safety. Methods We collected a large qualitative data set, comp...
Chapter
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This chapter draws from the dissatisfaction with the ways in which the design of information technology applications been conceptualised in early science and technology studies (STS) writings and in related work from what people might call 'socially-oriented computer science'. The critical accounts of 'technocratic' approaches had emphasised the sh...
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Background: Systematic reviews have suggested that time spent on computerrelated tasks increases consultation length. However, these reviews pre-date the current ubiquitous use of computers in U.K. general practice. Objective: As part of a U.K. national study of the influence of information technology (IT) on the interaction between patients and...
Article
To understand the evolving market of commercial off-the-shelf Computerized Physician Order Entry (CPOE) and Computerized Decision Support (CDS) applications and its effects on their uptake and implementation in English hospitals. Although CPOE and CDS vendors have been quick to enter the English market, uptake has been slow and uneven. To investiga...
Article
In this paper we propose an understanding of spatially and temporally extended practice. By introducing the notion of ‘appresentation’, we describe how global IT business actors make sense of matters that they cannot know directly. We make appresentation apparent by discussing how vendors take account of the needs of future customers and also of th...
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ePrescribing systems have considerable potential for improving healthcare quality and safety. With growing expectations about the benefits of such systems, there is evidence of widespread plans to implement these systems in hospitals in England where hitherto they have had a low uptake. Given the international drive away from developing home-grown...
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To understand the medium-term consequences of implementing commercially procured computerized physician order entry (CPOE) and clinical decision support (CDS) systems in 'early adopter' hospitals. In-depth, qualitative case study in two hospitals using a CPOE or a CDS system for at least 2 years. Both hospitals had implemented commercially availabl...
Article
While users in the rest of the world have been offered 3G mobile phones based on either the CDMA2000 or W-CDMA standards, users in China have the additional option of using phones based on the TDSCDMA standard. As a technology largely developed by Chinese actors and only implemented in China, TD-SCDMA has been seen as an "indigenous innovation" orc...
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There is a pressing need to understand the challenges surrounding procurement of and business case development for hospital electronic prescribing systems, and to identify possible strategies to enhance the efficiency of these processes in order to assist strategic decision making. We organized eight multi-disciplinary round-table discussions in th...
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Background: ePrescribing systems have significant potential to improve the safety and efficiency of healthcare, but they need to be carefully selected and implemented to maximise benefits. Implementations in English hospitals are in the early stages and there is a lack of standards guiding the procurement, functional specifications, and expected b...
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This paper contributes to the reworking of the traditional concepts and methods of Science and Technology Studies that is necessary in order to analyse the development and use of social media and other emerging information infrastructures (IIs). Through long-term studies of the development of two contrasting IIs, the paper examines the prosumer-man...
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In their initial articulation of the direction of the CSCW field, scholars advanced an open-ended agenda. This continuing commitment to open-ness to different contexts and approaches is not, however, reflected in the contents of the major CSCW outlets. The field appears to privilege particular forms of cooperative work. We find many examples of wha...
Article
While users in the rest of the World have been offered 3G mobile phones based on either the CDMA2000 or W-CDMA standards, users in China have the additional option of using phones based on the TD-SCDMA standard. As a technology largely developed by Chinese actors and only implemented in China, TD-SCDMA has been seen as an "indigenous innovation" or...
Article
Full-text available
This paper examines how two contrasting academic publishers are responding to the opportunities and challenges of Web 2.0 to innovate their services. Our findings highlight the need to take seriously the role of publishers in the move towards a vision of more rapid and open scholarly communication and to understand the factors that shape their role...