Book ChapterDOI
Careflow: theory and practice
John Fox,Robert Dunlop +1 more
- pp 321-321
TLDR
The problem of designing a careflow application as a form of process modelling, to be contrasted with older paradigms ranging from rule-based alerts and reminders to Petri nets and Critical path analysis is discussed.Abstract:
In this presentation we shall review different ways of describing the processes of delivering patient care, and relate these to traditional workflow in business processes, and the concept of "careflow" proposed by Panzarasa and her colleagues in Pavia. We shall discuss the problem of designing a careflow application as a form of process modelling, to be contrasted with older paradigms ranging from rule-based alerts and reminders to Petri nets and Critical path analysis. We shall also consider the need for specialised formalisms for describing clinical processes, drawing on experience with workflow languages (e.g. BPEL4WS, BPMN), guideline modelling languages (e.g. GLIF, PROforma), AI planning languages (e.g. PDDL, OCL) and "agent" programming systems (e.g. LALO, 3APL). The adoption of clinical workflow technology will greatly benefit from the availability of appropriate languages for declaratively representing processes of care. To explore some of the requirements for a clinical workflow technology we will review and critique the PROforma process modelling language and the Arezzo® and Tallis toolsets which use it. The discussion will be illustrated with deployed applications and operational prototypes.read more
Citations
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Journal Article
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Journal ArticleDOI
The Feasibility of Deploying Business Process Management in Hospitals in Iran
TL;DR: There was a consensus among the experts about the effectiveness and efficiency of using BPM in healthcare organizations in Iran despite slight differences between the two groups of respondents (healthcare administrative experts and medical informatics management experts).
References
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Competitive advantage: creating and sustaining superior performance
TL;DR: Porter's concept of the value chain disaggregates a company into "activities", or the discrete functions or processes that represent the elemental building blocks of competitive advantage as discussed by the authors, has become an essential part of international business thinking, taking strategy from broad vision to an internally consistent configuration of activities.
Journal ArticleDOI
Crossing the Quality Chasm: A New Health System for the 21st Century
TL;DR: Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Journal ArticleDOI
The price of innovation: new estimates of drug development costs
TL;DR: The research and development costs of 68 randomly selected new drugs were obtained from a survey of 10 pharmaceutical firms and used to estimate the average pre-tax cost of new drug development.
Journal ArticleDOI
Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)
TL;DR: This paper attempts to provide greater conceptual clarity about shared treatment decision-making, identify some key characteristics of this model, and discuss measurement issues.
Journal ArticleDOI
Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.
Amit X. Garg,Neill K. J. Adhikari,Heather McDonald,M. Patricia Rosas-Arellano,Philip J. Devereaux,Joseph Beyene,Justina Sam,R. Brian Haynes +7 more
TL;DR: Improvement in practitioner performance was associated with CDSSs that automatically prompted users compared with requiring users to activate the system and studies in which the authors were not the developers, as well as other factors.