Analysis and Architecture of Clinical Workflow Systems using Agent-Oriented Lifecycle Models

2005 ◽  
pp. 67-119 ◽  
Author(s):  
James P. Davis ◽  
Raphael Blanco
Keyword(s):  
Clinical Workflow ◽  
Workflow Systems

scholarly journals A Qualitative Analysis of the Needs and Experiences of Hospital-based Clinicians when Accessing Medical Imaging

2021 ◽  
Author(s):  
Séan Cronin ◽  
Bridget Kane ◽  
Gavin Doherty
Keyword(s):  
Medical Imaging ◽  
Digital Imaging ◽  
Data Privacy ◽  
General Purpose ◽  
Structured Interviews ◽  
Clinical Workflow ◽  
Desktop Computers ◽  
Single Voice ◽  
Safety Officer ◽  
Basic Features

AbstractAs digital imaging is now a common and essential tool in the clinical workflow, it is important to understand the experiences of clinicians with medical imaging systems in order to guide future development. The objective of this paper was to explore health professionals’ experiences, practices and preferences when using Picture Archiving and Communications Systems (PACS), to identify shortcomings in the existing technology and inform future developments. Semi-structured interviews are reported with 35 hospital-based healthcare professionals (3 interns, 11 senior health officers, 6 specialist registrars, 6 consultants, 2 clinical specialists, 5 radiographers, 1 sonographer, 1 radiation safety officer). Data collection took place between February 2019 and December 2020 and all data are analyzed thematically. A majority of clinicians report using PACS frequently (6+ times per day), both through dedicated PACS workstations, and through general-purpose desktop computers. Most clinicians report using basic features of PACS to view imaging and reports, and also to compare current with previous imaging, noting that they rarely use more advanced features, such as measuring. Usability is seen as a problem, including issues related to data privacy. More sustained training would help clinicians gain more value from PACS, particularly less experienced users. While the majority of clinicians report being unconcerned about sterility when accessing digital imaging, clinicians were open to the possibility of touchless operation using voice, and the ability to execute multiple commands with a single voice command would be welcomed.

scholarly journals Alcohol Hand Rub Significantly Reduces Overall Bacterial Bioburden on Stethoscopes in a Real-World Clinical Setting

2020 ◽  
Vol 41 (S1) ◽  
pp. s114-s115
Author(s):  
Alexandra Johnson ◽  
Bobby Warren ◽  
Deverick John Anderson ◽  
Melissa Johnson ◽  
Isabella Gamez ◽  
...  
Keyword(s):  
Real World ◽  
Medical Center ◽  
Academic Medical Center ◽  
Randomized Study ◽  
Healthcare Providers ◽  
Clinical Workflow ◽  
Provider Type ◽  
Academic Medical ◽  
Rn Students ◽  
The Impact

Background: Stethoscopes are a known vector for microbial transmission; however, common strategies used to clean stethoscopes pose certain barriers that prevent routine cleaning after every use. We aimed to determine whether using readily available alcohol-based hand rub (ABHR) would effectively reduce bacterial bioburden on stethoscopes in a real-world setting. Methods: We performed a randomized study on inpatient wards of an academic medical center to assess the impact of using ABHR (AlcareExtra; ethyl alcohol, 80%) on the bacterial bioburden of stethoscopes. Stethoscopes were obtained from healthcare providers after routine use during an inpatient examination and were randomized to control (no intervention) or ABHR disinfection (2 pumps applied to tubing and bell or diaphragm by study personnel, then allowed to dry). Cultures of the tubing and bell or diaphragm were obtained with premoistened cellulose sponges. Sponges were combined with 1% Tween20-PBS and mixed in the Seward Stomacher. The homogenate was centrifuged and all but ~5 mL of the supernatant was discarded. Samples were plated on sheep’s blood agar and selective media for clinically important pathogens (CIPs) including S. aureus, Enterococcus spp, and gram-negative bacteria (GNB). CFU count was determined by counting the number of colonies on each plate and using dilution calculations to calculate the CFU of the original ~5 mL homogenate. Results: In total, 80 stethoscopes (40 disinfection, 40 control) were sampled from 46 physicians (MDs) and MD students (57.5%), 13 advanced practice providers (16.3%), and 21 nurses (RNs) and RN students (26.3%). The median CFU count was ~30-fold lower in the disinfection arm compared to control (106 [IQR, 50–381] vs 3,320 [986–4,834]; P < .0001). The effect was consistent across provider type, frequency of recent usual stethoscope cleaning, age, and status of pet ownership (Fig. 1). Overall, 26 of 80 (33%) of stethoscopes harbored CIP. The presence of CIP was lower but not significantly different for stethoscopes that underwent disinfection versus controls: S. aureus (25% vs 32.5%), Enterococcus (2.5% vs 10%), and GNB (2.5% vs 5%). Conclusions: Stethoscopes may serve as vectors for clean hands to become recontaminated immediately prior to performing patient care activities. Using ABHR to clean stethoscopes after every use is a practical and effective strategy to reduce overall bacterial contamination that can be easily incorporated into clinical workflow. Larger studies are needed to determine the efficacy of ABHR at removing CIP from stethoscopes as stethoscopes in both arms were frequently contaminated with CIP. Prior cleaning of stethoscopes on the study day did not seem to impact contamination rates, suggesting the impact of alcohol foam disinfection is short-lived and may need to be repeated frequently (ie, after each use).Funding: NoneDisclosures: NoneDisclosures: NoneFunding: None

Clinical Workflow Analysis, Process Redesign, and Quality Improvement

2016 ◽  
pp. 135-161 ◽  
Author(s):  
Mustafa Ozkaynak ◽  
Kim M. Unertl ◽  
Sharon A. Johnson ◽  
Juliana J. Brixey ◽  
Saira N. Haque
Keyword(s):  
Quality Improvement ◽  
Clinical Workflow ◽  
Process Redesign ◽  
Workflow Analysis ◽  
Analysis Process

scholarly journals A taxonomy of scientific workflow systems for grid computing

2005 ◽  
Vol 34 (3) ◽  
pp. 44-49 ◽  
Author(s):  
Jia Yu ◽  
Rajkumar Buyya
Keyword(s):  
Grid Computing ◽  
Scientific Workflow ◽  
Workflow Systems

iPad Tablet Use for General Surgery Residency: Education, Clinical Workflow and Patient Communication

2015 ◽  
Vol 221 (4) ◽  
pp. S53
Author(s):  
Feibi Zheng ◽  
Stephanie Yi ◽  
Beverly A. Shirkey ◽  
Carol Ashton ◽  
Nelda Way ◽  
...  
Keyword(s):  
General Surgery ◽  
Residency Education ◽  
Patient Communication ◽  
Clinical Workflow ◽  
General Surgery Residency

Types for task-based access control in workflow systems

IET Software ◽  
2008 ◽  
Vol 2 (5) ◽  
pp. 461 ◽  
Author(s):  
Y. Lu ◽  
L. Zhang ◽  
J. Sun
Keyword(s):  
Access Control ◽  
Workflow Systems
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