Article

Understanding requirements for computer-aided healthcare workflows: experiences and challenges

Authors:

Beatrice Hwong,

Gilberto Matos,

Arnold Rudorfer,

Christopher Nelson,

Andrei GirenkovAuthors Info & Claims

ICSE '06: Proceedings of the 28th international conference on Software engineering

Pages 930 - 934

https://doi.org/10.1145/1134285.1134455

Published: 28 May 2006 Publication History

Abstract

Medical informatics and software engineering researchers have studied how to use software technologies to define, analyze, automate, and provide decision support for healthcare workflows. We, as the requirement engineering and prototyping group of the Siemens R&D center, have been involved in the research and development of healthcare workflows. During interactions with the workflow users and developers, we found significant confusion about the terminologies and the purposes of supporting different healthcare workflows. Thus, we are motivated to classify computer-aided healthcare workflows, including their approaches, goals, and major characteristics. This paper also discusses workflow application issues and software challenges based upon our experiences and research.

References

[1]

Aigner, W. and Miksch, S. Supporting Protocol-Based Care in Medicine via Multiple Coordinated Views. In Proceedings of the Second international Conference on Coordinated & Multiple Views in Exploratory Visualization (Cmv'04) - Volume 00 (July 13, 2004), IEEE Computer Society, Washington, DC, 118--129.

Digital Library

[2]

Ardissono, L., Leva, A. Di, Petrone, G., Segnan, M., and Sonnessa, M. Adaptive Medical Workflow Management for a Context-Dependent Home Medical Assistance Service. Electronic Notes in Theoretical Computer Science, 2005.

Digital Library

[3]

Clarke, L.A., Chen, L., Avrunin, G. S., Chen, B., Cobleigh, R., Frederick, K., Henneman, E. A., and Osterweil, L. J. Process Programming to Support Medical Safety: A Case Study on Blood Transfusion. In Software Process Workshop (May 25-27, 2005), Beijing, China, 323--336.

Digital Library

[4]

Coiera, E., and Tombs, V. Communication Behaviours in a Hospital Setting: an Observational Study. BMJ 316, 1998, 673--676.

[5]

Dazzi, L., Fassino, C., Saracco, R., Quaglini, S., and Stefanelli, M. A patient workflow management system built on guidelines. In AMIA Annu Fall Symp, 1997, 146--150.

[6]

Dickhaus, C. F., Burghart, C., Tempany, C., D'Amico, A., Haker, S., Kikinis, R., Woern, H. Workflow Modeling and Analysis of Computer Guided Prostate Brachytherapy under MR Imaging Control. Stud Health Technol Inform, 2004, 98: 72--4.

[7]

Greiner, U. R. Adaptive Guideline-based Treatment Workflows with AdaptFlow', Proc. of Symposium on Computerized Guidelines and Protocols, 2004, 113--117.

[8]

Maruster, L., van der Aslst, W, Weijters, A. J. M. M., van den Bosch, A., and Daelemans, W. Automated Discovery of Workflow Models from Hospital Data. In Proceedings of the ECAI Workshop on Knowledge Discovery and Spatial Data, 2002, 32--36.

[9]

Merritt, T.A., Palmer, D., Bergman, D. A., and Shiono, P. H. Clinical Practice Guidelines in Pediatric and Newborn Medicine: Implications for Their use in Practice. Pediatrics, 99(1), Jan 1997, 100--114.

[10]

Orr, M. A Practical and Proof of Concept Approach to Business Process Modeling of Palliative Care Pain Management. Medinfo, 2004(CD):1788.

[11]

Peleg, M, etc. Comparing Computer-Interpretable Guideline Models: A Case-Study Approach. J Am Med Inform Assoc, 10(1), 2003, 52--68.

[12]

Peleg, M., Tu, S., Manindroo, A., and Altman, R. B. Modeling and Analyzing Biomedical Processes using Workflow/Petri Net Models and Tools. Medinfo, 2004.

[13]

Peleg, M., Yeh, I., and Altman, R.B. Modeling Biological Processes Using Workflow and Petri Net Models. Bioinformatics, 18, 2002, 825--837.

[14]

Poulymenopoulou, M. & Vassilacopoulos, G. A Web-based Workflow System for Emergency Medical. Medical Informatics Europe, 2002.

[15]

Power, G., Wade, V., Hederman, L., and Rahman, Y. Monitoring and Analysis of Clinical Guidelines. Medinfo, 2004.

[16]

Prieditis, A., Dalal, M., and Arcilla, A. Simulation-based Real-time Resource Allocation for Hospital Workflows. International Conference on Health Sciences Simulation, 2004.

[17]

Song, X. Matos, G, Hwong, B, Rudorfer, A. and Nelson, C. S-RaP: A Concurrent Prototyping Process for Refining Workflow-Oriented Requirements. In 13th IEEE International Requirements Engineering Conference, (2005), 416--420.

Digital Library

[18]

Tu, S. W, Campbell, J., and Musen, M. A. The SAGE guideline modeling: motivation and methodology. Stud Health Technol Inform, 2004, 101, 167--171.

[19]

Tu, S. W., Jones, N. K., and Hall, R. Knowledge-based Decision-support Systems for implementing Clinical Practice Guidelines. Medinfo, 2004.

[20]

Tu, S., etc. Modeling Guidelines for Integration into Clinical Workflow. Medinfo, 2004, 11(Pt 1): 174--8.

[21]

Wang, D., etc. Design and implementation of the GLIF3 guideline execution engine. J Biomed Inform, 37(5), (Oct 2004), 305--318.

Digital Library

[22]

Wang, D., etc. Representation Primitives, Process Models and Patient Data in Computer-Interpretable Clinical Practice Guidelines: A Literature Review of Guideline Representation Models. Int J Med Inform, 68(1--3), (Dec 2002), 59--70.

[23]

Webster, C. Workflow Management and Electronic Health Record Systems. Medinfo, 2004(CD): 190

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Wang J(2023)Patient Flow Modeling and Optimal Staffing for Emergency Departments: A Petri Net ApproachIEEE Transactions on Computational Social Systems10.1109/TCSS.2022.318624910:4(2022-2032)Online publication date: Aug-2023
https://doi.org/10.1109/TCSS.2022.3186249
Hamza MAkbar MAlsanad AAlsuwaidan LAlSagri HAl-Alshaikh HKanwal M(2022)Decision-Making Framework of Requirement Engineering Barriers in the Domain of Global Healthcare Information SystemsMathematical Problems in Engineering10.1155/2022/82766622022(1-16)Online publication date: 15-Feb-2022
https://doi.org/10.1155/2022/8276662
Wang J(2022)Healthcare Patient Flow Modeling and Analysis with Timed Petri NetsAdvances in Computing, Informatics, Networking and Cybersecurity10.1007/978-3-030-87049-2_6(181-204)Online publication date: 3-Mar-2022
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Index Terms

Understanding requirements for computer-aided healthcare workflows: experiences and challenges
1. Applied computing
  1. Enterprise computing
    1. Business process management
2. Social and professional topics
  1. Professional topics
    1. Management of computing and information systems
      1. Project and people management

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Published In

cover image ACM Conferences

ICSE '06: Proceedings of the 28th international conference on Software engineering

May 2006

1110 pages

ISBN:1595933751

DOI:10.1145/1134285

General Chair:
Leon J. Osterweil
University of Massachusetts, USA
,
Program Chairs:
Dieter Rombach
TU Kaiserslautern, Germany
,
Mary Lou Soffa
University of Virginia, USA

Copyright © 2006 ACM.

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Published: 28 May 2006

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May 20 - 28, 2006

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Overall Acceptance Rate 276 of 1,856 submissions, 15%

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https://doi.org/10.1109/TCSS.2022.3186249
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https://doi.org/10.1155/2022/8276662
Wang J(2022)Healthcare Patient Flow Modeling and Analysis with Timed Petri NetsAdvances in Computing, Informatics, Networking and Cybersecurity10.1007/978-3-030-87049-2_6(181-204)Online publication date: 3-Mar-2022
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Dhull AKhanna KSingh AGupta G(2019)ACO Inspired Computer-aided Detection/Diagnosis (CADe/CADx) Model for Medical Data ClassificationRecent Patents on Computer Science10.2174/221327591266618120515501812:4(250-259)Online publication date: 19-Aug-2019
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Bergenti FMordonini MPoggi ATomaiuolo M(2017)Supporting Health and Community Care with Multi-Agent SystemsInternational Journal of Privacy and Health Information Management10.4018/IJPHIM.20170701065:2(97-113)Online publication date: Jul-2017
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Javdani HKashanian H(2017)Internet of things in medical applications with a service-oriented and security approach: a surveyHealth and Technology10.1007/s12553-017-0180-88:1-2(39-50)Online publication date: 13-Feb-2017
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