6,963 research outputs found

    Dynamic checklists:design, implementation and clinical validation

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    Dynamic checklists:design, implementation and clinical validation

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    Software architecture knowledge for intelligent light maintenance

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    The maintenance management plays an important role in the monitoring of business activities. It ensures a certain level of services in industrial systems by improving the ability to function in accordance with prescribed procedures. This has a decisive impact on the performance of these systems in terms of operational efficiency, reliability and associated intervention costs. To support the maintenance processes of a wide range of industrial services, a knowledge-based component is useful to perform the intelligent monitoring. In this context we propose a generic model for supporting and generating industrial lights maintenance processes. The modeled intelligent approach involves information structuring and knowledge sharing in the industrial setting and the implementation of specialized maintenance management software in the target information system. As a first step we defined computerized procedures from the conceptual structure of industrial data to ensure their interoperability and effective use of information and communication technologies in the software dedicated to the management of maintenance (E-candela). The second step is the implementation of this software architecture with specification of business rules, especially by organizing taxonomical information of the lighting systems, and applying intelligencebased operations and analysis to capitalize knowledge from maintenance experiences. Finally, the third step is the deployment of the software with contextual adaptation of the user interface to allow the management of operations, editions of the balance sheets and real-time location obtained through geolocation data. In practice, these computational intelligence-based modes of reasoning involve an engineering framework that facilitates the continuous improvement of a comprehensive maintenance regime

    A service oriented architecture to implement clinical guidelines for evidence-based medical practice

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    Health information technology (HIT) has been identified as the fundamental driver to streamline the healthcare delivery processes to improve care quality and reduce operational costs. Of the many facets of HIT is Clinical Decision Support (CDS) which provides the physician with patient-specific inferences, intelligently filtered and organized, at appropriate times. This research has been conducted to develop an agile solution to Clinical Decision Support at the point of care in a healthcare setting as a potential solution to the challenges of interoperability and the complexity of possible solutions. The capabilities of Business Process Management (BPM) and Workflow Management systems are leveraged to support a Service Oriented Architecture development approach for ensuring evidence based medical practice. The aim of this study is to present an architecture solution that is based on SOA principles and embeds clinical guidelines within a healthcare setting. Since the solution is designed to implement real life healthcare scenarios, it essentially supports evidence-based clinical guidelines that are liable to change over a period of time. The thesis is divided into four parts. The first part consists of an Introduction to the study and a background to existing approaches for development and integration of Clinical Decision Support Systems. The second part focuses on the development of a Clinical Decision Support Framework based on Service Oriented Architecture. The CDS Framework is composed of standards based open source technologies including JBoss SwitchYard (enterprise service bus), rule-based CDS enabled by JBoss Drools, process modelling using Business Process Modelling and Notation. To ensure interoperability among various components, healthcare standards by HL7 and OMG are implemented. The third part provides implementation of this CDS Framework in healthcare scenarios. Two scenarios are concerned with the medical practice for diagnosis and early intervention (Chronic Obstructive Pulmonary Disease and Lung Cancer), one case study for Genetic data enablement of CDS systems (New born screening for Cystic Fibrosis) and the last case study is about using BPM techniques for managing healthcare organizational perspectives including human interaction with automated clinical workflows. The last part concludes the research with contributions in design and architecture of CDS systems. This thesis has primarily adopted the Design Science Research Methodology for Information Systems. Additionally, Business Process Management Life Cycle, Agile Business Rules Development methodology and Pattern-Based Cycle for E-Workflow Design for individual case studies are used. Using evidence-based clinical guidelines published by UK’s National Institute of Health and Care Excellence, the integration of latest research in clinical practice has been employed in the automated workflows. The case studies implemented using the CDS Framework are evaluated against implementation requirements, conformance to SOA principles and response time using load testing strategy. For a healthcare organization to achieve its strategic goals in administrative and clinical practice, this research has provided a standards based integration solution in the field of clinical decision support. A SOA based CDS can serve as a potential solution to complexities in IT interventions as the core data and business logic functions are loosely coupled from the presentation. Additionally, the results of this this research can serve as an exemplar for other industrial domains requiring rapid response to evolving business processes

    Information resources management, 1984-1989: A bibliography with indexes

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    This bibliography contains 768 annotated references to reports and journal articles entered into the NASA scientific and technical information database 1984 to 1989

    Efficient Decision Support Systems

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    This series is directed to diverse managerial professionals who are leading the transformation of individual domains by using expert information and domain knowledge to drive decision support systems (DSSs). The series offers a broad range of subjects addressed in specific areas such as health care, business management, banking, agriculture, environmental improvement, natural resource and spatial management, aviation administration, and hybrid applications of information technology aimed to interdisciplinary issues. This book series is composed of three volumes: Volume 1 consists of general concepts and methodology of DSSs; Volume 2 consists of applications of DSSs in the biomedical domain; Volume 3 consists of hybrid applications of DSSs in multidisciplinary domains. The book is shaped decision support strategies in the new infrastructure that assists the readers in full use of the creative technology to manipulate input data and to transform information into useful decisions for decision makers
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