What are the standard functions of electronic clinical pathways?

Wakamiya, Shunji; Yamauchi, Kazunobu

doi:10.1016/j.ijmedinf.2009.03.003

Cited by 52 publications

(40 citation statements)

References 11 publications

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“…The information was consistent with the views of the interviewees in this study. 41 In a review by Gooch and Roudsari, it was found that HIS studies can be divided into 10 main clusters. They showed that the development of therapeutic path-based clinical decision systems occurs through semantic networks, combined official, clinical, and organizational ontologies, and the use of WfMS.…”

Section: Discussionmentioning

confidence: 99%

The Feasibility of Deploying Business Process Management in Hospitals in Iran

Tourani¹,

Reisabdollahi²

2016

Hosp Pract Res

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Section: Discussionmentioning

confidence: 99%

The Feasibility of Deploying Business Process Management in Hospitals in Iran

Tourani¹,

Reisabdollahi²

2016

Hosp Pract Res

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“…While multiple di↵erent care pathways have been developed by hospitals in the past decade, they usually follow paper-based strategies [10,43] that are cumbersome to use in a real scenario. In such cases, IT support would be helpful not only for their operationalization, but also for their formal modeling [13].…”

Section: Discussionmentioning

confidence: 99%

Automated generation of patient-tailored electronic care pathways by translating computer-interpretable guidelines into hierarchical task networks

González-Ferrer¹,

Teije²,

Fdez-Olivares³

et al. 2013

Artificial Intelligence in Medicine

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Objective: This paper describes a methodology which enables computer-aided support for the planning, visualization and execution of personalized patient treatments in a specific healthcare process, taking into account complex temporal constraints and the allocation of institutional resources. To this end, a translation from a time-annotated computerinterpretable guideline (CIG) model of a clinical protocol into a temporal hierarchical task network (HTN) planning domain is presented.Methods and Material: The proposed method uses a knowledge-driven reasoning process to translate knowledge previously described in a CIG into a corresponding HTN Planning and Scheduling domain, taking advantage of HTNs known ability to i) dynamically cope with temporal and resource constraints, and ii) automatically generate customized plans. The proposed method, focusing on the representation of temporal knowledge and based on the identification of workflow and temporal patterns in a CIG, makes it possible to automatically generate time-annotated and resource-based care pathways tailored to the needs of any possible patient profile.Results: The proposed translation is illustrated through a case study based on a 70 pages long clinical protocol to manage Hodgkin's disease, developed by the Spanish Society of Pediatric Oncology. We show that an HTN planning domain can be generated from the corresponding specification of the protocol in the Asbru language, providing a running example of this translation. Furthermore, the correctness of the translation is checked and also the management of ten di↵erent types of temporal patterns represented in the protocol. By interpreting the automatically generated domain with a state-of-art HTN planner, a time-annotated care pathway is automatically obtained, customized for the patient's and institutional needs. The generated care pathway can then be used by clinicians to plan and manage the patients long-term care.Conclusion: The described methodology makes it possible to automatically generate patient-tailored care pathways, leveraging an incremental knowledge-driven engineering process that starts from the expert knowledge of medical professionals. The presented approach makes the most of the strengths inherent in both CIG languages and HTN planning and scheduling techniques: for the former, knowledge acquisition and representation of the original clinical protocol, and for the latter, knowledge reasoning capabilities and an ability to deal with complex temporal and resource constraints. Moreover, the proposed approach provides immediate access to technologies such as business process management (BPM) tools, which are increasingly being used to support healthcare processes.

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“…1 and Table I. The "ip Stopping vomit and filling medicine generally therapy T [3][4][5][6] Kidney function checking T [3][4][5][6][7][8][9][10][11][12][13][14][15][16] Nutrition therapy T [3][4][5][6][7] Renal function and Uronoscopy checking…”

Section: Building the Cpn-csm For Individual Treatment Modulementioning

confidence: 99%

“…After being introduced by Zander into medical care in early 1980s, it has been widely applied in hospitals and medical care communities [3,4]. Most of references demonstrate that the CP has many advantages for the application in hospitals, like reducing medical expense, improving healthcare service quality and level, etc [5].…”

Section: Introductionmentioning

confidence: 99%

Reconfigurable modelling with deadlock avoidance for the clinical pathway based on MCPN-CS

Du¹,

Jiang²,

Diao³

et al. 2010

Int. j. simul. model.

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Clinical Pathway (CP) is very complicated and has many exceptional variations. Generally, its treatment course and control steps cannot be totally predefined. Meanwhile, the CP embodies the "Re-flow" therapy features, which is very hard to model, control and manage. Therefore, combined modular modelling method and structure changing mechanisms, a Modular Coloured Petri Net with changeable structure (MCPN-CS) workflow modelling method is proposed. Aimed at the variations of the CP, the workflow model for the CP can be reconfigured dynamically by using the mechanisms of change-by-modification (CBM) and change-by-composition (CBC). A case study on a workflow modelling of osteosarcoma CP is constructed and the modelling is analyzed by proposed deadlock detection algorithms (DDA). The result validates that the proposed method may noticeably enhance the flexibility, adaptation, reusability and maintainability of the workflow model for the CP.

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What are the standard functions of electronic clinical pathways?

Cited by 52 publications

References 11 publications

The Feasibility of Deploying Business Process Management in Hospitals in Iran

The Feasibility of Deploying Business Process Management in Hospitals in Iran

Automated generation of patient-tailored electronic care pathways by translating computer-interpretable guidelines into hierarchical task networks

Reconfigurable modelling with deadlock avoidance for the clinical pathway based on MCPN-CS

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