Clinical Pathway Enhanced by Knowledge Management Technology

2014 ◽  
pp. 138-157
Author(s):  
Weizi Li
Keyword(s):  
Knowledge Management ◽  
Patient Safety ◽  
Clinical Pathway ◽  
Treatment Process ◽  
Improve Patient Safety ◽  
Clinical Pathways ◽  
Building Blocks ◽  
Patient Treatment ◽  
Accurate Information ◽  
Complex Processes

Clinical pathways are complex processes based on knowledge and personal experience, which are essential for high quality patient treatment. However, the insufficient knowledge coverage and representation for detailed clinical pathways makes it difficult to provide accurate information to improve patient safety. The gap between the dynamic practical treatment process and the predefined clinical pathways knowledge becomes an important issue. This chapter discusses how knowledge management enhances the implementation of clinical pathway to achieve medical quality improvement. The relationship between patient safety and the effectiveness of clinical pathway knowledge is discussed. The clinical pathway knowledge management pattern is derived in the context of healthcare knowledge management. More specifically, a norm-based approach is proposed to represent and manage clinical pathway knowledge. Types of knowledge can be represented comprehensively with the taxonomy of norms as useful building blocks to construct the dynamic and accurate clinical pathway knowledge. The multi-agent system embedded with norms is developed to enhance clinical pathway management in the context of complicated healthcare environment. Finally, social-technical issues of implementing knowledge management technologies in practical treatment process are discussed.

Clinical Pathway Enhanced by Knowledge Management Technology

2015 ◽  
pp. 978-996 ◽  
Author(s):  
Weizi Li
Keyword(s):  
Knowledge Management ◽  
Patient Safety ◽  
Clinical Pathway ◽  
Treatment Process ◽  
Improve Patient Safety ◽  
Clinical Pathways ◽  
Building Blocks ◽  
Patient Treatment ◽  
Accurate Information ◽  
Complex Processes

Clinical pathways are complex processes based on knowledge and personal experience, which are essential for high quality patient treatment. However, the insufficient knowledge coverage and representation for detailed clinical pathways makes it difficult to provide accurate information to improve patient safety. The gap between the dynamic practical treatment process and the predefined clinical pathways knowledge becomes an important issue. This chapter discusses how knowledge management enhances the implementation of clinical pathway to achieve medical quality improvement. The relationship between patient safety and the effectiveness of clinical pathway knowledge is discussed. The clinical pathway knowledge management pattern is derived in the context of healthcare knowledge management. More specifically, a norm-based approach is proposed to represent and manage clinical pathway knowledge. Types of knowledge can be represented comprehensively with the taxonomy of norms as useful building blocks to construct the dynamic and accurate clinical pathway knowledge. The multi-agent system embedded with norms is developed to enhance clinical pathway management in the context of complicated healthcare environment. Finally, social-technical issues of implementing knowledge management technologies in practical treatment process are discussed.

scholarly journals Patients for Patient Safety

2020 ◽  
pp. 67-79
Author(s):  
Susan Sheridan ◽  
Heather Sherman ◽  
Allison Kooijman ◽  
Evangelina Vazquez ◽  
Katrine Kirk ◽  
...  
Keyword(s):  
Patient Safety ◽  
Civil Society ◽  
Improve Patient Safety ◽  
Building Blocks ◽  
Developed Countries ◽  
World Health ◽  
Member States ◽  
World Health Assembly ◽  
Reduction Strategies ◽  
Global Action

AbstractUnsafe care results in over 2 million deaths per year and is considered one of the world’s leading causes of death. In 2019, the 72nd World Health Assembly issued a call to action, The Global Action on Patient Safety, that called for Member States to democratize healthcare by engaging with the very users of the healthcare system—patients, families, and community members—along with other partners—in the “co-production” of safer healthcare.The WHO’s Patients for Patient Safety (PFPS) Programme, guided by the London Declaration, addresses this global concern by advancing co-production efforts that demonstrate the powerful and important role that civil society, patients, families, and communities play in building harm reduction strategies that result in safer care in developing and developed countries. The real-world examples from the PFPS Programme and Member States illustrate how civil society as well as patients, families, and communities who have experienced harm from unsafe care have harnessed their wisdom and courageously partnered with passionate and forward-thinking leaders in healthcare including clinicians, researchers, policy makers, medical educators, and quality improvement experts to co-produce sustainable patient safety initiatives. Although each example is different in scope, structure, and purpose and engage different stakeholders at different levels, each highlights the necessary building blocks to transform our healthcare systems into learning environments through co-production of patient safety initiatives, and each responds to the call made in the London Declaration, the WHO PFPS Programme, and the World Health Assembly to place patients, families, communities, and civil society at the center of efforts to improve patient safety.

The Packaging and Labelling of Solid Oral Medicine Using Oral Methotrexate as an Example

Volume 3 ◽  
2004 ◽  
Author(s):  
James Ward ◽  
P. John Clarkson ◽  
Peter Buckle ◽  
Wendy Harris
Keyword(s):  
Patient Safety ◽  
Improve Patient Safety ◽  
Patient Treatment ◽  
Effective Measure ◽  
Oral Methotrexate ◽  
It Systems ◽  
National Patient ◽  
The Uk ◽  
The Right ◽  
Packaging And Labelling

Solid oral Methotrexate (Methotrexate in tablet form) has been used for many years as an effective measure to treat severe rheumatoid arthritis and severe psoriasis. When taken at the right frequency and dose Methotrexate is a safe medication. However, in the community in the UK between 1993 and 2000, Methotrexate has been implicated in the deaths of some 25 patients and a further 26 cases of serious harm which have required hospitalisation [1,2]. In 2003 the National Patient Safety Agency (NPSA) began a programme of work to investigate the causes of errors with Methotrexate and to develop and implement solutions in response. Since then, three projects have been undertaken: • The development of a new patient treatment diary; • An investigation of IT systems in GP’s surgeries and community pharmacies; and • An assessment of the packaging and labelling of Methotrexate with patients and healthcare practitioners and the identification of changes which should improve patient safety. This paper describes the research and results from the third project.

scholarly journals Knowledge Management Referral System Using Artificial Intelligent Techniques: نظام احالة لإدارة المعرفة يعتمد على تقنيات الذكاء الصناعي

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Bayan Marwan Murad, Mohamad-Bassam Kurdy
Keyword(s):  
Artificial Intelligence ◽  
Knowledge Management ◽  
Language Processing ◽  
Management System ◽  
Explicit Knowledge ◽  
Building Blocks ◽  
Knowledge Management System ◽  
Accurate Information ◽  
Large Area ◽  
Humanitarian Emergency

Knowledge management is an emerging area which is gaining interest from organization and governments. As moving nowadays toward building organizational knowledge, knowledge management will play a fundamental role towards the success of transforming tacit knowledge into organizational explicit knowledge during current big data and high level of competencies between organizations to provide promptly and required services. One of the key building blocks for developing and advancing this field of knowledge management is artificial intelligence. organizations need to be able to exchange information, queries, and requests with some other beneficiaries and agencies that they share a common unified domain. One possible approach to this issue is Automating Knowledge, the methods which have been used to employ Semantic techniques for modeling about provide automatic accurate information extracts inquiry’s answer from the proposed knowledge management system. This paper will clarify the future of knowledge management system and the methodology of its link to artificial intelligence in organizations when it’s come to providing humanitarian emergency assistant, services and health care as the current global pandemic virus. The advanced proposed system will enable beneficiaries, employees and external official entities to get instantly automatically replay for various inquiries without required humanitarian intervention unless it's necessary! and enable to save ’ transfer ’ retrieve and generate new knowledge through three levels depending on the semantic technique, natural language processing algorithms and Ontology techniques in extracting inquiry’s answer in the first level then using chat system with an employee in the second level and through sending email to the specialist in the last third level. The validity of the method is proved in this comprehensive intelligent inquiry system. Showing the effectiveness of this approach by testing it on a humanitarian agency. The experimental results were extremely encouraging as such organization did not own automatic knowledge management system as its provisions on this research paper, so its recommended to use it in a large area as the proposed system show outperforms baseline methods and improve the accuracy answering by 86%.

Analisis Faktor Yang Berhubungan Dengan Penerapan Surgical Safety Checklist Di Kamar Operasi Rumah Sakit Kota Batam

2019 ◽  
Vol 4 (3) ◽  
pp. 456
Author(s):  
Endang Yuliati ◽  
Hema Malini ◽  
Sri Muharni
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Work Experience ◽  
Improve Patient Safety ◽  
Standard Procedure ◽  
City Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Surgical Safety Checklist ◽  
Surgical Safety

<p><em><em>The use of the Surgical Safety Checklist (SSC) is associated with improving patient care according to nursing process standards includes the quality of work of the operating room nurse team. The form of professionalism in the operating room is how the application of a surgical safety checklist as the standard procedure for patient safety in the operating room. This study aims to determine the relationship of characteristics, knowledge, and motivation of nurses in the application of the surgical safety checklist in the operating room of a Batam city hospital. This research is quantitative using an observational analytic research design. This study was conducted on 67 nurses who were taken by total sampling. This research was conducted in three Batam City Hospitals, with hospital accreditation at the same level. Data were analysed by univariate and bivariate using the chi-square test. The results of the study found that most nurses had education at diploma level, with a working period experiences of &gt; 6 months (82%); good knowledge (53.7%) with low motivation (57.7%). There is a relationship between education (p = 0.042); length of work experience (p = 0.010); knowledge (p = 0.002); and motivation (p = 0.05) with the application of SSC. It is expected that health services carry out SSC following the applicable SOPs in the Hospital so that it can reduce work accident rates and improve patient safety.</em></em></p><p><em><br /></em></p><p><em>Penerapan Surgical Safety Checklist (SSC) berhubungan langsung dengan kualitas asuhan keperawatan yang termasuk adalah bagaimana perawat menerapkan fungsi sebagai bagian dari kamar operasi. Bentuk profesionalisme ini menjadi standar bagaimana kemampuan perawat menerapakan SSC. Tujuan penelitian adalah mengetahui hubungan karakteristik perawat, pengetahuan dan motivasi dengan penerapan SSC di kamar operasi. Penelitian ini menggunakan desain kuantitatif Cross Sectional dengan jumlah sampel 67 orang perawat kamar operasi. Data dianalisa dengan distribusi frekuensi dan uji hubungan bivariat. Didapatkan penerapan SSC perawat kota Batam masih kurang baik, dengan faktor yang mempunyai hubungan adalah Pendidikan, pelatihan dan pengetahuan. Diharapkan perawat mampu menerapkan SSC sesuai dengan Standar pelaksanaan fungsi perawat dikamar operasi.</em></p>

scholarly journals Writing’s on the wall: improving the WHO Surgical Safety Checklist

2021 ◽  
Vol 10 (1) ◽  
pp. e001086
Author(s):  
Claire Cushley ◽  
Tom Knight ◽  
Helen Murray ◽  
Lawrence Kidd
Keyword(s):  
Patient Safety ◽  
Online Survey ◽  
Improve Patient Safety ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Time Out ◽  
Mandatory Requirement ◽  
Who Checklist ◽  
Improve Patient ◽  
Theatre Team

Background and problemThe WHO Surgical Safety Checklist has been shown to improve patient safety as well as improving teamwork and communication in theatres. In 2009, it was made a mandatory requirement for all NHS hospitals in England and Wales. The WHO checklist is intended to be adapted to suit local settings and was modified for use in Gloucestershire Hospitals NHS Foundation Trust. In 2018, it was decided to review the use of the adapted WHO checklist and determine whether improvements in compliance and engagement could be achieved.AimThe aim was to achieve 90% compliance and engagement with the WHO Surgical Safety Checklist by April 2019.MethodsIn April 2018, a prospective observational audit and online survey took place. The results showed compliance for the ‘Sign In’ section of the checklist was 55% and for the ‘Time Out’ section was 91%. Engagement by the entire theatre team was measured at 58%. It was proposed to move from a paper checklist to a wall-mounted checklist, to review and refine the items in the checklist and to change the timing of ‘Time Out’ to ensure it was done immediately prior to knife-to-skin.ResultsFollowing its introduction in September 2018, the new wall-mounted checklist was reaudited. Compliance improved to 91% for ‘Sign In’ and to 94% for ‘Time Out’. Engagement by the entire theatre team was achieved 100% of the time. Feedback was collected, adjustments made and the new checklist was rolled out in stages across all theatres. A reaudit in December 2018 showed compliance improved further, to 99% with ‘Sign In’ and to 100% with ‘Time Out’. Engagement was maintained at 100%.ConclusionsThe aim of the project was met and exceeded. Since April 2019, the new checklist is being used across all theatres in the Trust.

scholarly journals OR and ICU teams ‘running in parallel’ at the end of cardiothoracic surgery improves perceptions of handoff safety

2021 ◽  
Vol 10 (1) ◽  
pp. e001001
Author(s):  
Safraz Hamid ◽  
Frederic Joyce ◽  
Aaliya Burza ◽  
Billy Yang ◽  
Alexander Le ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cardiac Surgery ◽  
Safety Culture ◽  
Positive Response ◽  
Improve Patient Safety ◽  
Health Care Research ◽  
Response Rates ◽  
Patient Safety Culture ◽  
Improvement Project ◽  
Surgery Patient

The transfer of a cardiac surgery patient from the operating room (OR) to the intensive care unit (ICU) is both a challenging process and a critical period for outcomes. Information transferred between these two teams—known as the ‘handoff’—has been a focus of efforts to improve patient safety. At our institution, staff have poor perceptions of handoff safety, as measured by low positive response rates to questions found in the Agency for Health Care Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS). In this quality improvement project, we developed a novel handoff protocol after cardiac surgery where we invited the ICU nurse and intensivist into the OR to receive a face-to-face handoff from the circulating nurse, observe the final 30 min of the case, and participate in the end-of-case debrief discussions. Our aim was to increase the positive response rates to handoff safety questions to meet or surpass the reported AHRQ national averages. We used plan, do, study, act cycles over the course of 123 surgical cases to test how our handoff protocol was leading to changes in perceptions of safety. After a 10-month period, we achieved our aim for four out of the five HSOPS questions assessing safety of handoff. Our results suggest that having an ICU team ‘run in parallel’ with the cardiac surgical team positively impacts safety culture.

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