A Process-Oriented Approach for Supporting Clinical Decisions for Infection Management

Canovas-Segura, Bernardo; Zerbato, Francesca; Oliboni, Barbara; Combi, Carlo; Campos, Manuel; Marín, Rafael Luis Hernández; Palácios, Francisco

doi:10.1109/ichi.2017.73

Cited by 13 publications

(4 citation statements)

References 23 publications

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“…In the current study, we adopted fundamentals from Business Process Management (BPM) (Dumas et al, 2018 ; Kirchmer et al, 2019 ) used within a wide array of service industries, such as finance, healthcare, banking, and information technology (Anand et al, 2013 ; Fernández et al, 2019 ), for determining the current state and improvement opportunities in the HPU information flow. As a change management tool, BPM has been successful in optimizing the information flows associated with service-oriented (intangible) processes, such as infection management (Cánovas-Segura et al, 2017 ). Since the nature of player management processes is service-oriented (e.g., physiotherapist providing soft tissue treatment, a coach providing technical knowledge to enhance player performance) and are supported by information pathways, BPM was considered as the appropriate framework to be utilized in the current study (Ranaweera et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

Identifying the Current State and Improvement Opportunities in the Information Flows Necessary to Manage Professional Athletes: A Case Study in Rugby Union

Ranaweera¹,

Weaving²,

Zanin³

et al. 2022

Front. Sports Act. Living

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In sporting environments, the knowledge necessary to manage athletes is built on information flows associated with player management processes. In current literature, there are limited case studies available to illustrate how such information flows are optimized. Hence, as the first step of an optimization project, this study aimed to evaluate the current state and the improvement opportunities in the player management information flow executed within the High-Performance Unit (HPU) at a professional rugby union club in England. Guided by a Business Process Management framework, elicitation of the current process architecture illustrated the existence of 18 process units and two core process value chains relating to player management. From the identified processes, the HPU management team prioritized 7 processes for optimization. In-depth details on the current state (As-Is) of the selected processes were extracted from semi-structured, interview-based process discovery and were modeled using Business Process Model and Notation (BPMN) and Decision Model and Notation (DMN) standards. Results were presented for current issues in the information flow of the daily training load management process, identified through a thematic analysis conducted on the data obtained mainly from focus group discussions with the main stakeholders (physiotherapists, strength and conditioning coaches, and HPU management team) of the process. Specifically, the current state player management information flow in the HPU had issues relating to knowledge creation and process flexibility. Therefore, the results illustrate that requirements for information flow optimization within the considered environment exist in the transition from data to knowledge during the execution of player management decision-making processes.

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Section: Methodsmentioning

confidence: 99%

Identifying the Current State and Improvement Opportunities in the Information Flows Necessary to Manage Professional Athletes: A Case Study in Rugby Union

Ranaweera¹,

Weaving²,

Zanin³

et al. 2022

Front. Sports Act. Living

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“…WASPSS uses artificial intelligence techniques to provide proper support for ASP teams. In particular, WASPSS includes a knowledge module to incorporate clinical literature and daily practice knowledge [33,37,42]. To this end, the module implements a rule-based reasoning architecture composed of a knowledge base and a rulebased engine.…”

Section: System Architecture Overviewmentioning

confidence: 99%

“…WASPSS includes an experimental module to facilitate the visualization, adoption and evaluation of guidelines related with antimicrobial stewardship, focusing on the processes and decisions included in the guideline and those tasks that can be monitored thanks to the information gathered by the system [42]. An example of the graphical interface of this module is shown in Figure 7.…”

Section: Experimental Featuresmentioning

confidence: 99%

WASPSS: A Clinical Decision Support System for Antimicrobial Stewardship

Canovas-Segura¹,

Morales²,

Juárez³

et al. 2021

Recent Advances in Digital System Diagnosis and Management of Healthcare

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The increase of infections caused by resistant bacteria has become one of the major health-care problems worldwide. The creation of multidisciplinary teams dedicated to the implementation of antimicrobial stewardship programmes (ASPs) is encouraged by all clinical institutions to cope with this problem. In this chapter, we describe the Wise Antimicrobial Stewardship Program Support System (WASPSS), a CDSS focused on providing support for ASP teams. WASPSS gathers the required information from other hospital systems in order to provide decision support in antimicrobial stewardship from both patient-centered and global perspectives. To achieve this, it combines business intelligence techniques with a rule-based inference engine to integrate the data and knowledge required in this scenario. The system provides functions such as alerts, recommendations, antimicrobial prescription support and global surveillance. Furthermore, it includes experimental modules for improving the adoption of clinical guidelines and applying prediction models related with antimicrobial resistance. All these functionalities are provided through a multiuser web interface, personalized for each role of the ASP team.

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“…Or that a prescribed medication should not be administrated with another that the patient is already taking [10]. The are also some specific solutions focused in a medical field, designed to guide a confined set of treatments [3,6]. P. Fraccaro et al [9] did a systematic review of CDSS to be adopted in multimorbidity.…”

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confidence: 99%

A Software Solution for Clinical Protocol Management

Almeida

2021

Preprint

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Clinical treatments are mostly the result of consecutive success of medical procedures. The patterns in those procedures lead to creation of clinical guidelines which are currently essential to have better health treatments. The use of electronic health record systems (EHR) helps the patient management, but it fails in the treatment guidance due to the lack of clinical decision support systems. Although these systems have decision-making features incorporated, they are not designed for treatment management and guidance. In some top edge systems, this functionality was improved and integrated, but either they are tight to the typically complex EHR. Or, many times the independent solutions lack generality to support users and disease-specific protocols. In this paper, we purpose a decision support web tool which works independently from EHR systems. This solution allows clinicians to build and manage rule-based clinical protocols, by facilitating health care treatments, reducing time, and increasing medication accuracy. Moreover, it also enables protocol sharing among distinct institutions and physicians, creating a larger database of clinical guidelines and a network of speciliased physicians in types of diseases. The proposed system was evaluated with the implementation of distinct clinical protocols, from different medical fields. In this validation, we describe all the steps in the transformation of a clinical guideline, from the traditional format, into a ready-to-use protocol with guidance and recommendation features. The purposed system was developed with the collaboration of health professionals from different Portuguese healthcare institutions, which helped in the identification of system requirements and gaps of the current systems.

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A Process-Oriented Approach for Supporting Clinical Decisions for Infection Management

Cited by 13 publications

References 23 publications

Identifying the Current State and Improvement Opportunities in the Information Flows Necessary to Manage Professional Athletes: A Case Study in Rugby Union

Identifying the Current State and Improvement Opportunities in the Information Flows Necessary to Manage Professional Athletes: A Case Study in Rugby Union

WASPSS: A Clinical Decision Support System for Antimicrobial Stewardship

A Software Solution for Clinical Protocol Management

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