Visualization of clinical work flow to realize the process management in medical field
In medical field, the idea and method of quality management or knowledge management are being applied, which are the ways of management for the quality assurance of organization and the continuation and growth of business. Recently, the research is conducted from the viewpoint of “process, which is most essential of the three points to evaluate medical quality, “structure, “process and “outcome. Although there is a room of study in detail, it gets possible to visualize the medical process, the clinical process or the workflow, and recognize the clinical pathway and decision owing to the recent development of information technology. In this study, we visualized and structured the clinical process in radiotherapy with Unified Modeling Language (UML), which is one of the techniques for Business Process Management (BPM) or Business Process Re-engineering (BPR). So we evaluated the possibility to analyze and simulate from the sight of Activity-Based Costing (ABC) and Activity-Based Management (ABM). We drew the workflow of the radiotherapy for endometrial carcinoma with the activity diagram of UML and added the data of the place where medical staff work to each action node in the diagram. We interviewed with the staff about the time which they took on each action. Using the diagram, we attempted simulating the time and cost in the cases, when the patient changed clothes inside the treatment room or outside, and if the assistant helped the therapist or not. As a result, we found it necessary and important to add the data of the place and time that medical staff worked at and took, to the information of business process drown with UML in order to analyze and simulate with ABC/ABM view. By using this method, we can continuously improve and ensure the quality of medical services more concretely than before.
Knowledge Management Quality Management UML (Unified Modeling Language) Workflow BPM (Business Process Management) BPR (Business Process Re-engineering) ABC (Activity-Based Costing) ABM (Activity-Based Management)
Ken-I chiro Shimai Tamotsu Abe Syota Nakano Shintaro Tsuji Katsu hiko Ogasawara
Hokkaido University/Tokushima University Hospital Hokkaido University Hokkaido University Hospital
国际会议
The 7th Asia Pacific Association for Medical Informatics Conference(第七届亚太医药信息学大会(APAMI2012))
北京
英文
1-2
2012-10-24（万方平台首次上网日期，不代表论文的发表时间）