Workflow handbook 1997
Specification and implementation of exceptions in workflow management systems
ACM Transactions on Database Systems (TODS)
Rationalizing Medical Work: Decision-Support Techniques and Medical Practices
Rationalizing Medical Work: Decision-Support Techniques and Medical Practices
Representing Medical Protocols for Organizational Simulation: An Information-Processing Approach
Computational & Mathematical Organization Theory
Artificial Intelligence for Building Learning Health Care Organizations
AIMDM '99 Proceedings of the Joint European Conference on Artificial Intelligence in Medicine and Medical Decision Making
ER '96 Proceedings of the 15th International Conference on Conceptual Modeling
Guideline-based careflow systems
Artificial Intelligence in Medicine
AIME '01 Proceedings of the 8th Conference on AI in Medicine in Europe: Artificial Intelligence Medicine
The Conceptual Basis of WITH, a Collaborative Writer System of Clinical Trials
ISMDA '02 Proceedings of the Third International Symposium on Medical Data Analysis
GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines
Journal of Biomedical Informatics
Design and implementation of the GLIF3 guideline execution engine
Journal of Biomedical Informatics
Managing exceptions in the medical workflow systems
Proceedings of the 28th international conference on Software engineering
Provision of agent-based health care services
AI Communications
Journal of Biomedical Informatics
Defining and measuring physicians' responses to clinical reminders
Journal of Biomedical Informatics
A methodology for eliciting and modeling exceptions
Journal of Biomedical Informatics
Modeling Clinical Guidelines through Petri Nets
AIME '09 Proceedings of the 12th Conference on Artificial Intelligence in Medicine: Artificial Intelligence in Medicine
He@lthCo-op: a web-based system to support distributed healthcare co-operative work
Computers in Biology and Medicine
Adopting model checking techniques for clinical guidelines verification
Artificial Intelligence in Medicine
Automating standard operating procedures in intensive care
CAiSE'07 Proceedings of the 19th international conference on Advanced information systems engineering
Learning business process models: a case study
BPM'07 Proceedings of the 2007 international conference on Business process management
Mining process execution and outcomes: position paper
BPM'07 Proceedings of the 2007 international conference on Business process management
Methodological Review: Formal representation of eligibility criteria: A literature review
Journal of Biomedical Informatics
Journal of Biomedical Informatics
Journal of Biomedical Informatics
Expert Systems with Applications: An International Journal
Artificial Intelligence in Medicine
Ontology-driven execution of clinical guidelines
Computer Methods and Programs in Biomedicine
Design and evaluation of an interactive visualization of therapy plans and patient data
BCS-HCI '11 Proceedings of the 25th BCS Conference on Human-Computer Interaction
Using Recommendation to Support Adaptive Clinical Pathways
Journal of Medical Systems
On mining clinical pathway patterns from medical behaviors
Artificial Intelligence in Medicine
Commentary: Clinical decision support: Converging toward an integrated architecture
Journal of Biomedical Informatics
Summarizing clinical pathways from event logs
Journal of Biomedical Informatics
Methodological Review: Computer-interpretable clinical guidelines: A methodological review
Journal of Biomedical Informatics
Discovery of clinical pathway patterns from event logs using probabilistic topic models
Journal of Biomedical Informatics
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Workflow Management Systems integrate domain and organisational knowledge to support business processes. When applied to the medical environment, they can be termed ''Careflow Management Systems'', and may be used to manage care delivery by enhancing co-operation among healthcare professionals. This paper focuses on care delivery based on clinical practice guidelines. Healthcare organisations are very different from industrial or commercial companies: their main goal is not profit, but maintaining and improving the health of the public. Therefore, outcomes are difficult to measure. Firstly, physicians, while playing a variety of roles, are quite independent decision-makers; secondly, the object of the process, i.e. the patient, may be involved in choosing treatment options, and may be treated by different institutions. For these reasons, the standard functionality of typical Workflow Management Systems must be strongly enhanced in order to cope with healthcare delivery needs. A major issue is accounting for exceptions. In most non-clinical settings this is not a problem because processes are very well defined and can often be easily controlled by some higher authority. As explained above, this does not happen in healthcare organisations. Responsibilities are widely shared, and health care professionals may be non-compliant with guidelines for a variety of reasons. The paper presents a classification of possible exceptions, and shows how the sequence of tasks described by a guideline may be altered, at the implementation level, in order to meet actual user needs, while maintaining guideline intentions as much as possible. A terminology server is also exploited towards this end. This work illustrates a prototype of a Careflow Management System based on an international guideline for ischemic stroke treatment, developed by the American Heart Association.