Comparative workflow modeling across sites: Results for nursing home prescribing

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES

IISE Transactions on Healthcare Systems Engineering Pub Date : 2021-05-05 DOI:10.1080/24725579.2020.1829209

E. Ramly, Michelle W. Tong, S. Bondar, James H Ford Ii, D. Nace, C. Crnich

引用次数: 4

Abstract

Abstract Workflows associated with health care delivery vary between settings, and understanding similarities and dissimilarities can inform context-sensitive practice change. Clinical workflows are complex, dynamic, and context-dependent, and comparing workflow across multiple settings can support tailored implementation of practice-change interventions. We propose a methodology for comparative workflow modeling and evaluate its use through application to antibiotic prescribing in six nursing homes in two states in the United States. After collecting multi-site workflow data and developing a cross-site workflow model from nursing home field visits, we constructed a comparison matrix of workflow task occurrences and variations and used it to perform cross-site comparisons across all six NHs.

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跨站点的比较工作流程建模:养老院处方的结果

与卫生保健服务相关的工作流程因环境而异，了解相似性和差异性可以为上下文敏感的实践变化提供信息。临床工作流程是复杂的、动态的、与环境相关的，跨多个设置比较工作流程可以支持定制实施实践改变干预措施。我们提出了一种比较工作流建模的方法，并通过在美国两个州的六个养老院的抗生素处方应用来评估其使用。在收集多站点工作流程数据并从养老院实地访问中开发跨站点工作流程模型后，我们构建了工作流任务发生和变化的比较矩阵，并使用它在所有六个NHs中进行跨站点比较。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

IISE Transactions on Healthcare Systems Engineering Social Sciences-Safety Research

CiteScore

3.10

自引率

0.00%

发文量

期刊介绍： IISE Transactions on Healthcare Systems Engineering aims to foster the healthcare systems community by publishing high quality papers that have a strong methodological focus and direct applicability to healthcare systems. Published quarterly, the journal supports research that explores: · Healthcare Operations Management · Medical Decision Making · Socio-Technical Systems Analysis related to healthcare · Quality Engineering · Healthcare Informatics · Healthcare Policy We are looking forward to accepting submissions that document the development and use of industrial and systems engineering tools and techniques including: · Healthcare operations research · Healthcare statistics · Healthcare information systems · Healthcare work measurement · Human factors/ergonomics applied to healthcare systems Research that explores the integration of these tools and techniques with those from other engineering and medical disciplines are also featured. We encourage the submission of clinical notes, or practice notes, to show the impact of contributions that will be published. We also encourage authors to collect an impact statement from their clinical partners to show the impact of research in the clinical practices.