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The objective of this study is to design and evaluate an action research approach for the optimization of the design of a summary page artefact within an electronic health record for newborn healthcare. An action research approach was chosen for its participatory democratic process for developing practical knowledge and solutions. Collaborative workshops lead by an independent graphic facilitator with a \u2018bottom up\u2019 approach, involving self-selected motivated members from multidisciplinary healthcare teams, were designed and conducted. To evaluate this approach, insights were drawn from behavioural and design science paradigms to demonstrate that knowledge and understanding of the design problem and its solution were acquired in building the optimized summary page artefact. Information system development for healthcare requires consideration not just of what we do but how and why we do things. Our analysis demonstrates that action design research represents an agile and lean approach for successful optimization and implementation of information system development in healthcare.<\/jats:p>","DOI":"10.1177\/1460458220906067","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T02:00:18Z","timestamp":1582682418000},"page":"2407-2421","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Nurturing the digital baby: Open innovation for development and optimization"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2780-3351","authenticated-orcid":false,"given":"Brendan Paul","family":"Murphy","sequence":"first","affiliation":[{"name":"Cork University Maternity Hospital, Ireland; University College Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paidi","family":"O\u2019Raghallaigh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0490-5117","authenticated-orcid":false,"given":"Michelle","family":"Carr","sequence":"additional","affiliation":[{"name":"Cork University Business School, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,25]]},"reference":[{"key":"bibr1-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0250"},{"key":"bibr2-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.1998.00005.x"},{"key":"bibr3-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.308.6942.1488"},{"key":"bibr4-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.6996.2"},{"key":"bibr5-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7023.71"},{"issue":"10","key":"bibr6-1460458220906067","first-page":"e390","volume":"57","author":"Greiver M","year":"2011","journal-title":"Can Fam Physician"},{"key":"bibr7-1460458220906067","volume-title":"48th Hawaii international conference on system sciences","author":"Samhan B"},{"key":"bibr8-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1080\/01449290050086363"},{"key":"bibr9-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-34982-4_10"},{"key":"bibr10-1460458220906067","doi-asserted-by":"publisher","DOI":"10.3109\/01942638.2012.729556"},{"key":"bibr11-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2012-000909"},{"key":"bibr12-1460458220906067","doi-asserted-by":"publisher","DOI":"10.2307\/23043488"},{"key":"bibr13-1460458220906067","doi-asserted-by":"publisher","DOI":"10.2307\/25148625"},{"key":"bibr14-1460458220906067","volume-title":"48th Hawaii international conference on system sciences","author":"Coenen T"},{"key":"bibr15-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7228.178"},{"key":"bibr16-1460458220906067","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.160002"},{"key":"bibr17-1460458220906067","volume-title":"42nd Hawaii international conference on system sciences","author":"Bergvall-Kareborn B"},{"key":"bibr18-1460458220906067","unstructured":"Akerson D. 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