A proposed architecture for implementing a knowledge management system in the Brazilian National Cancer Institute

Abstract

Because their services are based decisively on the collection, analysis and exchange of clinical information or knowledge, within and across organizational boundaries, knowledge management has exceptional application and importance to health care organizations. This article proposes a conceptual framework for a knowledge management system, which is expected to support both hospitals and the oncology network in Brazil. Under this holistic single-case study, triangulation of multiple sources of data collection was used by means of archival records, documents and participant observation, as two of the authors were serving as INCA staff members, thus gaining access to the event and its documentation and being able to perceive reality from an insider point of view. The benefits derived from the present status of the ongoing implementation, so far, are: (i) speediness of cancer diagnosis and enhanced quality of both diagnosis and data used in epidemiological studies; (ii) reduction in treatment costs; (iii) relief of INCA'S labor shortage; (iii) improved management performance; (iv) better use of installed capacity; (v) easiness of massive (explicit) knowledge transference among the members of the network; and (vi) increase in organizational capacity of knowledge retention (institutionalization of procedures).

Reforma da Atenção Hospitalar para modelo de saúde baseada em valor e especialidades multifocais

“…Care coordination has emerged as an alternative approach to hospital care, promoting the integration of various specialties and focusing on knowledge management 26 and the provision of cross-cutting services to provide more effective responses to the challenges of our time.…”

Understanding knowledge leakage: a review of previous studies

“…Seven articles can be assigned to the general theme of KM tools. Tools include the use of algorithms (Le et al, 2013) and other statistics techniques (Calle et al, 2013), methodologies (Trappey and Trappey, 2008) or more generic KM systems (Barbosa et al, 2009). The tools may have been developed for sharing and retaining knowledge, or with another focus in mind, but are in the present papers tested/examined for their applicability in the context of knowledge leakage.…”

Gestão do Conhecimento no Âmbito da Administração Hospitalar: Proposta de Modelo Conceitual Integrativo para Gestão do Corpo Clínico

“…Outros modelos integrativos para a gestão do conhecimento no contexto da administração hospitalar foram encontrados na literatura (Abidi, 2001;Barbosa, Gonçalves, Simonetti & Leitão, 2009;Bose, 2003;Colauto & Beuren, 2003). A construção de sentido em organizações hospitalares é fundamental para o aprendizado organizacional (Gonçalo & Borges, 2010), influenciando a criação do conhecimento e a tomada de decisão.…”