Knowledge-based clinical pathway for medical quality improvement

Clinical pathways have been adopted for various diseases in clinical departments for quality improvement as a result of standardization of medical activities in treatment process. Using knowledge-based decision support on the basis of clinical pathways is a promising strategy to improve medical quality effectively. However, the clinical pathway knowledge has not been fully integrated into treatment process and thus cannot provide comprehensive support to the actual work practice. Therefore this paper proposes a knowledgebased clinical pathway management method which contributes to make use of clinical knowledge to support and optimize medical practice. We have developed a knowledgebased clinical pathway management system to demonstrate how the clinical pathway knowledge comprehensively supports the treatment process. The experiences from the use of this system show that the treatment quality can be effectively improved by the extracted and classified clinical pathway knowledge, seamless integration of patient-specific clinical pathway recommendations with medical tasks and the evaluating pathway deviations for optimization

A Soft Systems Approach to Knowledge Worker Productivity—Analysis of the Problem Situation

Low knowledge worker productivity is an important problem that needs to be addressed. Current research addressing this problem is fragmented and deals with different isolated elements of the problem. There is a need for a holistic approach to knowledge worker productivity. This paper takes the first steps of a holistic approach to knowledge worker productivity by using soft systems methodology to describe the problem situation. The main challenge of this research was the abstraction of the results from two literature reviews into simple rich pictures and specific root definitions to identify the fundamentals of knowledge worker productivity. The problem situation was explored from the perspective of two problem owners, the organization and the individual knowledge worker. The rich picture from the perspective of the organization highlighted that the organization must communicate what they perceive as value and create a work environment that promotes collaboration, encourages knowledge sharing, motivates and fulfills the needs of their knowledge workers. The rich picture from the perspective of the individual knowledge worker highlighted the fact that knowledge workers need to manage their personal resources, be effective and efficient to maximize their own productivity. This paper attempts to integrate these two perspectives into a holistic view.Peer Reviewe

Knowledge work and communication challenges in networked enterprises

A modern enterprise is a heavily wired and networked socio-technical system where multiple components play in symphony to yield a competitive position in the ear of digital economy. While the underling communication and interaction systems facilitate knowledge workers to carry out the enterprise mission and furnish service to the society, there are many other aspects that rather have adverse effects on the productivity of an enterprise and interruption of knowledge workers, which pose a serious scientific challenge. In this paper, we briefly discuss certain challenging aspects of knowledge work and communication processes in networked enterprises that require more profound scientific attention in networked enterprises. This paper introduces the problem, identifies some specific research challenges, and then briefly discusses emerging research that addresses some of these challenges.Multi Actor SystemsTechnology, Policy and Managemen