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From Paper Based Clinical Practice Guidelines to Declarative Workflow Management

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Business Process Management Workshops (BPM 2008)

Part of the book series: Lecture Notes in Business Information Processing ((LNBIP,volume 17))

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Abstract

We present a field study of oncology workflow, involving doctors, nurses and pharmacists at Danish hospitals and discuss the obstacles, enablers and challenges for the use of computer based clinical practice guidelines. Related to the CIGDec approach of Pesic and van der Aalst we then describe how a sub workflow can be described in a declarative workflow management system: the Resultmaker Online Consultant (ROC). The example demonstrates that declarative primitives allow to naturally extend the paper based flowchart to an executable model without introducing a complex cyclic control flow graph.

This work was funded in part by the Danish Research Agency (grant no.: 2106-07-0019, no.: 274-06-0415) and the IT University of Copenhagen (the TrustCare and CosmoBiz projects).

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References

  1. Ash, J.S., Berg, M., Coiera, E.: Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J. Am. Med. Inform. Assoc.  11

    Google Scholar 

  2. Bardram, J.E., Bossen, C.: Mobility work: The spatial dimension of collaboration at a hospital. Computer Supported Cooperative Work (CSCW) 14(2), 131–160 (2005)

    Article  Google Scholar 

  3. Bassil, S., Reichert, M.U., Bobrik, R., Bauer, T.: Access control for monitoring system-spanning business processes. Technical Report TR-CTIT-07-20, Enschede (March 2007)

    Google Scholar 

  4. Cohen, M., Leape, L.L., Overhage, J.M., Shabot, M.M., Sheridan, T., Bates, D.W.: Reducing the frequency of errors in medicine using information technology. J. Am. Med. Inform. Assoc. 8

    Google Scholar 

  5. Berg, M.: The search for synergy: interrelating medical work and patient care information systems. Methods of information in medicine 42

    Google Scholar 

  6. Berg, M., Horstman, K., Plass, S., van Heusden, M.: Guidelines, professionals and the production of objectivity: standardisation and the professionalism of insurance medicine. Sociology of Health & Illness 22, 765–791(27) (2000)

    Article  Google Scholar 

  7. Berg, M., Toussaint, P.: The mantra of modeling and the forgotten powers of paper: A sociotechnical view on the development of process-oriented ict in health care. Int. J. Med. Inform. 69

    Google Scholar 

  8. Bernstein, K., Bruun-Rasmussen, M., Vingtoft, S., Andersen, S.K., Nohr, C.: Modelling and implementing electronic health records in denmark. Stud. Health Technol. Inform. 95

    Google Scholar 

  9. Bødker, S., Christiansen, E.: Designing for ephemerality and prototypicality. In: Proceedings of the 5th conference on Designing interactive systems: processes, practices, methods, and techniques. ACM Press, New York (2004)

    Google Scholar 

  10. Rand, C.S., Powe, N.R., Wu, A.W., Wilson, M.H., Abboud, P.A., Rubin, H.R., Cabana, M.D.: Why don’t physicians follow clinical practice guidelines? a framework for improvement. Jama 282

    Google Scholar 

  11. Coiera, E.: Communication systems in healthcare. Clin. Biochem. Rev. 27

    Google Scholar 

  12. Davis, D.A., Taylor-Vaisey, A.: Translating guidelines into practice. a systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ 157

    Google Scholar 

  13. Drucker, P.F.: The new realities. Harper & Row

    Google Scholar 

  14. Feder, G., Eccles, M., Grol, R., Griffiths, C., Grimshaw, J.: Clinical guidelines: using clinical guidelines. BMJ 318

    Google Scholar 

  15. Field, M.J., Lohr, K.N.: Guidelines for clinical practice: From development to use. Institute of Medicine

    Google Scholar 

  16. Grimshaw, J.M., Thomas, R.E., MacLennan, G., Fraser, C., Ramsay, C.R., Vale, W.P., Vale, W.P., Eccles, L.M.P., Matowe, L., Shirran, L., Wensing, M., Dijkstra, R., Donaldson, C.: Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol. Assess 8, iii–iv

    Google Scholar 

  17. Grol, R., Grimshaw, J.: From best evidence to best practice: effective implementation of change in patients’ care. The Lancet 362

    Google Scholar 

  18. Corrigan, J.M., Donaldson, M.S., Kohn, L.T.: To err is human. building a safer health system, vol. 15, p. 26. National Academic Press, Washington (2000)

    Google Scholar 

  19. Lenz, R., Reichert, M.: It support for healthcare processes - premises, challenges, perspectives. Data Knowl. Eng. 61(1), 39–58 (2007)

    Article  Google Scholar 

  20. Mimnagh, C., Murphy, M.: Junior doctors working patterns: application of knowledge management theory to junior doctors training. In: Proc. of the conf. on current perspectives in healthcare computing, Harrogate, pp. 42–47 (2004)

    Google Scholar 

  21. Mulyar, N., Pesic, M., van der Aalst, W.M., Peleg, M.: Towards the flexibility in clinical guideline modelling languages. BPM Center Report (Ext. rep. BPM-07-04)., 8

    Google Scholar 

  22. Orlikowski, W.J., Gash, D.C.: Technological frames: making sense of information technology in organizations. ACM Trans. Inf. Syst. 12(2), 174–207 (1994)

    Article  Google Scholar 

  23. Quaglini, S., Stefanelli, M., Lanzola, G., Caporusso, V., Panzarasa, S.: Flexible guideline-based patient careflow systems. Artif. Intell. Med. 22

    Google Scholar 

  24. Reddy, M.C., Dourish, P., Pratt, A.: Coordinating heterogeneous work: Information and representation in medical care. In: Prinz, et al. (eds.), pp. 239–258. Kluwer Academic Publishers, Dordrecht (2001)

    Google Scholar 

  25. Rinderle, S., Weber, B., Reichert, M., Wild, W.: Integrating process learning and process evolution – A semantics based approach. In: van der Aalst, W.M.P., Benatallah, B., Casati, F., Curbera, F. (eds.) BPM 2005. LNCS, vol. 3649, pp. 252–267. Springer, Heidelberg (2005)

    Chapter  Google Scholar 

  26. Shojania, K.G., Sampson, M., Ansari, M.T., Ji, J., Doucette, S., Moher, D.: How quickly do systematic reviews go out of date? a survival analysis. Ann. Intern. Med. 147(4), 224–233 (2007)

    Article  Google Scholar 

  27. Sim, I., Gorman, P., Greenes, R.A., Haynes, R.B., Kaplan, B., Lehmann, H., Tang, P.C.: Clinical decision support systems for the practice of evidence-based medicine. J. Am. Med. Inform. Assoc. 8(6), 527–534 (2001)

    Article  Google Scholar 

  28. Thorsen, T., Mäkelä, M.e.: Changing professional practice. DSI - Danish Institute for Health Services Research and Development, vol. 99.05

    Google Scholar 

  29. van der Aalst, W.M.P., Pesic, M.: DecSerFlow: Towards a Truly Declarative Service Flow Language. In: Bravetti, M., Núñez, M., Zavattaro, G. (eds.) WS-FM 2006. LNCS, vol. 4184, pp. 1–23. Springer, Heidelberg (2006)

    Chapter  Google Scholar 

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Lyng, K.M., Hildebrandt, T., Mukkamala, R.R. (2009). From Paper Based Clinical Practice Guidelines to Declarative Workflow Management. In: Ardagna, D., Mecella, M., Yang, J. (eds) Business Process Management Workshops. BPM 2008. Lecture Notes in Business Information Processing, vol 17. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00328-8_34

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  • DOI: https://doi.org/10.1007/978-3-642-00328-8_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00327-1

  • Online ISBN: 978-3-642-00328-8

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