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Adoption of Clinical Decision Support Systems (CDSS) is a crucial step towards the digital transition of the healthcare sector. This review aims to determine and synthesise the influential factors in CDSS adoption in inpatient healthcare settings in order to grasp an understanding of the phenomenon and identify future research gaps.

A systematic literature search of five databases (Medline, EMBASE, PsycINFO, Web of Science and Scopus) was conducted between January 2010 and June 2023. The search strategy was a combination of the following keywords and their synonyms: clinical decision support, hospital or secondary care and influential factors. The quality of studies was evaluated against a 40-point rating scale.

Thirteen papers were systematically reviewed and synthesised and deductively classified into three main constructs of the Technology–Organisation–Environment theory. Scarcity of papers investigating CDSS adoption and its challenges, especially in developing countries, was evident.

This study offers a summative account of challenges in the CDSS procurement process. Strategies to help adopters proactively address the challenges are: (1) Hospital leaders need a clear digital strategy aligned with stakeholders' consensus; (2) Developing modular IT solutions and conducting situational analysis to achieve IT goals; and (3) Government policies, accreditation standards and procurement guidelines play a crucial role in navigating the complex CDSS market.

To the best of the authors’ knowledge, this is the first review to address the adoption and procurement of CDSS. Previous literature only addressed challenges and facilitators within the implementation and post-implementation stages. This study focuses on the firm-level adoption phase of CDSS technology with a theory refining lens.

The purpose of this study is to examine the politics, political economy, and fallout of hawkish regulatory policy on prescription drugs in Nigeria. Hawkish regulatory policy on prescription drug in Nigeria, such as opioid analgesics, is a very complex and multifaceted one, which usually involves the interplay of many factors and parties.

Policy manuals, official government gazettes (legislations, regulations, Acts and decrees), academic literature and a direct ethnographic observation of events surrounding the regulation of prescription drugs were reviewed and engaged.

The results revealed that Nigerian and global political economy and politics interface to define the direction of the new restrictive opioid policy, with resultant friction between prohibition and consumption. The reviews showed that the overarching “get-tough” and “repressive” policy are not necessarily founded on empirical evidence of an increase in prescription drug sales or use, but more as a product of the interplay of both internal and external politics and the prevailing socioeconomic order.

Instead of borrowing extensively from or being influenced by repressive Western drug laws and perspectives, Nigerian policymakers on prescription opioids should take control of the process by drawing up a home-grown policy that is less intrusive and punitive in nature for better outcomes. A mental sea change is required to understand the intrigues of Western power in Nigeria’s politics and political economy to avoid the continuous symptomatic failure of drug policy.

The politics and economic influence of the United Nations, USA and Western powers, as well as the axiom of moral panic of prescription drugs scares within the Nigerian environment, are particularly significant in the making of the emerging hawkish policy on prescription drugs in Nigeria.

This paper aims to examine the factors that contribute to the external debt growth in Ghana.

The study adopts the autoregressive distributed lag (ARDL) model and the error correction model (ECM) to establish the short-run and long-run relationships between the dependent variable (external debt) and the independent variables (debt service, exchange rate, gross domestic product, government expenditure, import and trade openness), using a time series data spanning from 1990 to 2019.

The results indicate that debt service, GDP, government expenditure and trade openness have a positive and significant relationship with external debt, while import and exchange rates have a negative relationship with external debt in the long run. In the short run, debt service, import, exchange rate and trade openness have a positive and significant relationship with external debt, while GDP has a negative relationship with external debt.

The study found that variables such as government expenditure, debt service and import contribute significantly to the nation’s external debt stock. These findings suggest that policymakers should focus on prioritising and cutting down expenditure in their quest to curtail the debt menace facing the nation. Since existing debt service has the tendency of influencing debt stock, it is recommended that government should reduce borrowing in order avoid debt trap. Home-grown policies to reduce imports must also be encouraged. As these drivers of external debt are tackled head-on, Ghana can be rightly positioned to record lower levels of public debt and subsequently reap the benefits of economic growth.

The study adds to the public debt literature, specifically addressing the idiosyncratic determinants of external debt within the Ghanaian context.

The purpose of the paper is to analyse the sequence of forces acting as barriers in the usage of drones in the construction industry using interpretive structural modelling (ISM). The usage of drones in the construction industry is brought out phase-wise with the help of literature and live cases. Barriers to the usage of drones in construction and steps to derive the interaction between them are described in detail.

The extraction of barriers to the usage of drones in construction is done through cases and supported by the literature. The identification of the interaction between the barriers is done through multi-criteria decision models, namely, ISM and Matriced Impacts Croises Multiplication Appliquee a un Classement (MICMAC) and the results are presented in the form of a hierarchical structure. The paper highlights the potential for the usage of drones in every phase of construction across three stages of construction and eight different applications.

The findings on the interaction between barriers show that technical and research and development-related barriers have a higher driving power, ultimately influencing negativity among stakeholders in drone usage for construction. By analysing interrelationships between barriers, management can frame suitable strategies to adopt drone usage in projects. Awareness about the strength of certain barriers can help management take steps to mitigate the same.

By analysing interrelationships between barriers, management can frame suitable strategies to adopt drone usage in projects. A major limitation is a restriction of the study area to the Indian subcontinent. However, the authors believe that the results can be applied across countries where drone technology is at the nascent stage.

Awareness about the strength of certain barriers can help stakeholders take steps to mitigate the same.

The results of this research also give some inputs to the government’s drone policy for wider usage of drones in the construction industry.

To the best of the authors’ knowledge, most studies on drones in construction industry bring out a list various challenges to their adoption. In this study, the authors have gone further to perform a hierarchical sequencing of barriers to drone adoption based on challenges faced in an emerging economy like India.

It is assumed that fieldwork experiential learning on constraints of survey and ethnography research orientations in investigating armed conflict in Africa can contribute to the body of knowledge and help practitioners as well as other researchers working in difficult situations, such as war zones. More importantly, this paper aims to understand significant problems in Southern Africa, further methodological debates and produce new frontiers of knowledge in Southern African research studies. This paper will help other researchers who will be planning to conduct research in ongoing war-torn zones to be flexible with mixed research methodologies and data collection techniques that can ensure not only reliability and validity of the data but also, and more importantly, greater generalizability of this study.

This research in Cabo was initially guided by survey and ethnographic approaches. After facing constraints in their use in investigating the complexity of new wars, the author developed and shifted to interpretivism methodology as an alternative. It is essential that researchers be sensitive to the tensions between survey and ethnography methodologies and how they can be a mismatch to the research purpose.

The fieldwork experiences, using standardised survey and ethnography research orientations in Gabo, show that there is no generally appropriate blueprint of how to conduct research in violent conflicts. The valorised survey and ethnographic research strategies were not closely matched to facilitate understanding of the complexity of hybrid armed actors, indiscriminate and targeted violence which combined to militate against data generation. In the face of these problems, the author developed a new methodology, interpretivism, which embedded the descriptive, explanatory and predictive approaches. In tumultuous contexts, the standardised methodologies prioritize data generation more than critical thinking.

It is essential to study the nature of African armed conflicts by combining creativity and flexibility in the selection of research strategies. The constraints on peace research in war-torn situations in Cabo Delgado, Mozambique, have laid out the weaknesses of peacetime research methodologies, including survey research and ethnographic approaches. Now is the time to reassess fieldwork-based research particularly in violent settings.

In the mid-2000s, the operator of New York City’s mass transit network committed more than a half-billion dollars to military contractor Lockheed Martin for a security technology capable, in part, of inferring threats based on analysis of data streams, of developing response strategies, and taking automated action toward alerts and calamities in light of evolving circumstances. The project was a failure. This chapter explores the conceptualization and development of this technology – rooted in cybernetics – and compares its conceptual underpinnings with some situated problems of awareness, communication, coordination, and action in emergencies as they unfold in one of the busiest transport systems in the world, the New York subway. The author shows how the technology, with all the theatrical trappings of a “legitimate” security solution, was apparently conceived without a grounded understanding of actual use-cases, and the degree to which the complex interactions which give rise to subway emergency can be anticipated in – and therefore managed through – a technological system. As a case-study, the chapter illustrates the pitfalls of deploying technology against problems which are not well-defined in the first place, to the neglect of investments against much more fundamental problems – such as inadequate communication systems, and unstable relationships with emergency response agencies – which might offer guaranteed benefits, and indeed lay a firm groundwork for future deployment of more ambitious technology.

This study aims to analyse the intellectual property rights (INPR), foreign direct investment (FDI) inflows and technological exports of 32 developing and developed countries for the period of 2006–2020.

Diagnostic tests were used to confirm the panel least squares, fixed effect, random effect, feasible general least squares, dynamic ordinary least squares and fully modified ordinary least squares estimator results as well as to increase the robustness.

According to the findings for the developing countries, trademark, patent and industrial design applications, each had a significant positive long-run effect on FDI inflows. In addition, there was a significant positive long-run relationship between patent applications and medium- and high-technology exports. Meanwhile, trademark and industrial design applications had a significant negative long-term effect on medium- and high-technology exports. In developed countries, patent and industrial design applications each have a significant negative long-term on medium- and high-technology exports. Furthermore, patent and trademark applications each had a significant negative long-run effect on FDI inflows.

This study contributes significantly to the focus that host countries evaluate the technology gaps between domestic and foreign investors at different industry levels to select the best INPR rules and innovation process by increasing international cooperation. Furthermore, the host countries should follow the structure–conduct–performance paradigm based on analysis of the market structure, strategic firms and industrial dynamics systems.

This chapter examines the University of Connecticut (UConn) Neag School of Education's efforts to improve the recruitment of students of colour through an Early College Experience (ECE) Programme. During the pandemic, the School of Education and the ECE Programme collaborated to train and certify high school teachers to instruct the UConn's lower level undergraduate courses. The programme exposed many students of colour to teaching as a career.

Most economic growth is concentrated in the eastern and coastal provinces of China, while the western and central provinces have not yet experienced the expected economic growth. This study aims to address the following crucial research questions: Do the central and western provinces achieved potential efficiency in economic growth? Have China’s provinces used their resources effectively in implementing economic growth strategies?

The research design concerns the use of a panel dataset on province-specific economic growth in China over the years to 2000–2020. The methodology used was a stochastic frontier gross domestic product (GDP) model with time-varying technical efficiency over time. The approach uses the existing literature to identify the important variables influencing economic growth at the provincial level to model the stochastic frontier GDP model for empirical analysis.

This study concludes that the central provinces show the highest rate of efficiency in economic growth, though not 100%, followed by the Eastern and Western provinces. By increasing and improving skilled education institutes and intensifying supply chain opportunities through foreign direct investment (FDI), the central provinces achieving 100% growth efficiency may not be ruled out.

The modes of economic governance and policies to improve GDP growth have been rapidly changing from increasing incentives to improving competition. Thus, more unique avenues and expansion of the horizon for impending research on provincial, national and international macroeconomics would emerge that would make current methodologies of the growth analysis outdated.

The empirical analysis highlights the importance of improving skilled education institutes and intensifying supply chain opportunities through FDI for achieving sustained economic growth.

The empirical analysis facilitates finding ways to reduce income inequality across provinces in China.

To the authors' knowledge empirical analysis examining the Chinese province-specific economic growth efficiency explicitly has not been carried out using the recent Chinese panel dataset.