Dynamic workflow model for complex activity in intensive care unit
Identifieur interne : 002C45 ( Istex/Corpus ); précédent : 002C44; suivant : 002C46Dynamic workflow model for complex activity in intensive care unit
Auteurs : Nathalie Bricon-Souf ; Jean-Marie Renard ; Régis BeuscartSource :
- International Journal of Medical Informatics [ 1386-5056 ] ; 1999.
English descriptors
Abstract
Co-operation is very important in Medical care, especially in the Intensive Care Unit (ICU) where the difficulties increase which is due to the urgency of the work. Workflow systems are considered as well adapted to modelize productive work in business process. We aim at introducing this approach in the Health Care domain. We have proposed a conversation-based workflow in order to modelize the therapeutics plan in the ICU [1]. But in such a complex field, the flexibility of the workflow system is essential for the system to be usable. We have concentrated on three main points usually proposed in the workflow models, suffering from a lack of dynamicity: static links between roles and actors, global notification of information changes, lack of human control on the system. In this paper, we focus on the main points used to increase the dynamicity. We report on affecting roles, highlighting information, and controlling the system. We propose some solutions and describe our prototype in the ICU.
Url:
DOI: 10.1016/S1386-5056(98)00155-5
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ISTEX:B8820BBE0F29E30A69B82CE11D1F3353470157A0Le document en format XML
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Workflow systems are considered as well adapted to modelize productive work in business process. We aim at introducing this approach in the Health Care domain. We have proposed a conversation-based workflow in order to modelize the therapeutics plan in the ICU [1]. But in such a complex field, the flexibility of the workflow system is essential for the system to be usable. We have concentrated on three main points usually proposed in the workflow models, suffering from a lack of dynamicity: static links between roles and actors, global notification of information changes, lack of human control on the system. In this paper, we focus on the main points used to increase the dynamicity. We report on affecting roles, highlighting information, and controlling the system. We propose some solutions and describe our prototype in the ICU.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Nathalie Bricon-Souf</name><affiliations><json:string>Centre d’Etude et de Recherche en Informatique Médicale, Faculté de Médecine, Université de Lille, 2 Lille, France</json:string><json:string>Corresponding author.</json:string></affiliations></json:item><json:item><name>Jean-Marie Renard</name><affiliations><json:string>Centre d’Etude et de Recherche en Informatique Médicale, Faculté de Médecine, Université de Lille, 2 Lille, France</json:string><json:string>Hopital Avicenne, Département d’Anésthésie et de Réanimation, 93000 Bobigny, France</json:string></affiliations></json:item><json:item><name>Régis Beuscart</name><affiliations><json:string>Centre d’Etude et de Recherche en Informatique Médicale, Faculté de Médecine, Université de Lille, 2 Lille, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Groupware</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Workflow</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Activity process</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Dynamic control</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Intensive care unit</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Co-operation is very important in Medical care, especially in the Intensive Care Unit (ICU) where the difficulties increase which is due to the urgency of the work. 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Workflow systems are considered as well adapted to modelize productive work in business process. We aim at introducing this approach in the Health Care domain. We have proposed a conversation-based workflow in order to modelize the therapeutics plan in the ICU [1]. But in such a complex field, the flexibility of the workflow system is essential for the system to be usable. We have concentrated on three main points usually proposed in the workflow models, suffering from a lack of dynamicity: static links between roles and actors, global notification of information changes, lack of human control on the system. In this paper, we focus on the main points used to increase the dynamicity. We report on affecting roles, highlighting information, and controlling the system. 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Workflow systems are considered as well adapted to modelize productive work in business process. We aim at introducing this approach in the Health Care domain. We have proposed a conversation-based workflow in order to modelize the therapeutics plan in the ICU [1]. But in such a complex field, the flexibility of the workflow system is essential for the system to be usable. We have concentrated on three main points usually proposed in the workflow models, suffering from a lack of dynamicity: static links between roles and actors, global notification of information changes, lack of human control on the system. In this paper, we focus on the main points used to increase the dynamicity. We report on affecting roles, highlighting information, and controlling the system. We propose some solutions and describe our prototype in the ICU.</abstract><note type="content">Fig. 1: Through the WFS, health care actors require a good visibility of the care activity process and the medical information.</note><note type="content">Fig. 2: At a given time, a role limits the visibility of the actors to secure the system by giving authorized access, to limit the amount of information so that it could be usable.</note><note type="content">Fig. 3: In human co-operation, actors both execute and control the tasks, with a WFS, the system takes charge of the co-operation control.</note><note type="content">Fig. 4: The professional status of an actor is well-known, but the role it is authorized to depend on is the state of the patients. 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