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A Process-Centered Approach to the Description of Clinical Pathways—Forms and Determinants

Bibliographic Data

ID15478023
AuthorsMarek Szelągowski (0000-0002-5114-6793, Systems Research Institute), Justyna Berniak‐Woźny (0000-0002-3156-5755, Vistula University, corresponding author)
Year2019
Volume16
Issue15
Pages2638-2638
Publication date2019-07-24
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16152638
PMID31344806
OpenAlexW2963726468
LanguageEN
References cited28

The aim of the study is to indicate the need for variability in the presentation of clinical pathways, in various phases of their implementation, and to define the forms of presentation of clinical pathways required by physicians in both the Hospital Information Systems (HIS) and Electronic Medical Records (EMR) Systems, as well as the determinants of the selection of the forms of description, in relation to the performed medical actions. The results of the study are a significant lead-in towards further research on the required form of the user interface in systems supporting dynamic business process management (dynamic BPM). The research is a pilot of a survey study, conducted to ascertain the usefulness and feasibility of the adopted methodology, for a wider project on the determinants of the form of description of clinical pathways. An exploratory pilot survey, in a large multi-specialization hospital in Poland, was conducted. The survey sample consisted of 28 purposely selected heads of all hospital departments, and the medical team of the pediatric ward. Descriptive analysis was carried out on the data collected. The results of the study have unambiguously supported the claim that physicians require the form of presentation of clinical pathways to change, depending on the particular phase of the diagnostic-therapeutic process, as well as establishing the main determinants thereof. This pilot study is one of the first attempts to establish the factors determining the choice of clinical pathway presentation in HIS/EMR systems. While not conclusively decisive in terms of the forms of presentation or the determinants of their choice, it indicates the directions of further research, both from the point of view of ergonomics and the usability of HIS/EMR systems, as well as the management of medical knowledge, as part of the dynamic management of clinical pathways

Clinical pathway · Data mining · Exploratory research · Knowledge management · Medical record · Presentation (obstetrics · Process (computing · Process management · Relation (database · Sample (material · Biomedical Text Mining and Ontologies · Clinical practice guidelines implementation · Computer Science · Electronic Health Records Systems · Engineering · Medicine · Nursing

  • Transparency-Driven Business Process Management in Healthcare Settings [Leading Edge]

    Open Access•Mathias Kirchmer, Sigifredo Laengle et al.•IEEE Technology and Society…•2013

Highly citedNo

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