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Empirical Investigation of Practitioners' Perceptions of Agile Testing Coordination in Medical Information Systems Development

Salihu, Yazidu B; Bass, Julian M; Iyawa, Gloria E


Yazidu B Salihu

Gloria E Iyawa


Despite adopting agile practices during large-scale agile software development testing, practitioners developing medical information systems face critical challenges coordinating agile software testing. The lack of collaboration and coordination among practitioners developing medical software testing may result in delays in preventing software bugs early and throughout the development process, the cost of rework, and the risk of software failure. To enhance the quality of medical software products, there is a need to prioritise agile software testing in the medical software process. The study explores various agile testing practices practitioners employ to develop medical information systems. The empirical data about software testing was collected through semi-structured interviews involving ten selected practitioners with experience developing standalone and embedded agile medical software in the United Kingdom (UK) and India. A snowballing approach was used to identify these practitioners. An approach to data analysis informed by grounded theory, including open coding, constant comparison, memoing and theoretical saturation, was used to analyse the data. We discovered heterogeneous ongoing test automation practices involving unit testing, integration testing, functional regression testing, and clinical testing conducted in the automated or manual testing bay. We classified the practice as roles, ceremonies, and artefacts. The findings also revealed the lack of ceremonies that allow practitioners to interact and discuss with one another and further coordinate, collaborate, and effectively communicate testing strategies in agile medical information systems development. This lack of ceremonies forms the main contribution of this research.


Salihu, Y. B., Bass, J. M., & Iyawa, G. E. (2024). Empirical Investigation of Practitioners' Perceptions of Agile Testing Coordination in Medical Information Systems Development.

Conference Name 20th European Mediterranean & Middle Eastern Conference on Information Systems
Conference Location Dubai
Start Date Dec 11, 2023
End Date Dec 12, 2023
Acceptance Date Nov 3, 2023
Online Publication Date Mar 30, 2024
Publication Date Mar 30, 2024
Deposit Date Dec 25, 2023
Publisher Springer
Keywords Agile Software Testing; Medical Information Systems Development; Practitioners; Tailored Agile; Automation Scripts Agile Concepts
Publisher URL