Detecting Dissonance in Clinical and Research Workflow for Translational Psychiatric Registries

Carregando...
Imagem de Miniatura
Citações na Scopus
5
Tipo de produção
article
Data de publicação
2013
Título da Revista
ISSN da Revista
Título do Volume
Editora
PUBLIC LIBRARY SCIENCE
Autores
COFIEL, Luciana
BASSI, Debora U.
RAY, Ryan Kumar
PIETROBON, Ricardo
Citação
PLOS ONE, v.8, n.9, article ID e75167, 14p, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: The interplay between the workflow for clinical tasks and research data collection is often overlooked, ultimately making it ineffective. Questions/purposes: To the best of our knowledge, no previous studies have developed standards that allow for the comparison of workflow models derived from clinical and research tasks toward the improvement of data collection processes Methods: In this study we used the term dissonance for the occurrences where there was a discord between clinical and research workflows. We developed workflow models for a translational research study in psychiatry and the clinic where its data collection was carried out. After identifying points of dissonance between clinical and research models we derived a corresponding classification system that ultimately enabled us to re-engineer the data collection workflow. We considered (1) the number of patients approached for enrollment and (2) the number of patients enrolled in the study as indicators of efficiency in research workflow. We also recorded the number of dissonances before and after the workflow modification. Results: We identified 22 episodes of dissonance across 6 dissonance categories: actor, communication, information, artifact, time, and space. We were able to eliminate 18 episodes of dissonance and increase the number of patients approached and enrolled in research study trough workflow modification. Conclusion: The classification developed in this study is useful for guiding the identification of dissonances and reveal modifications required to align the workflow of data collection and the clinical setting. The methodology described in this study can be used by researchers to standardize data collection process.
Palavras-chave
Referências
  1. Arthur J, 2010, LEAN 6 SIGMA DEMYSTI
  2. Astah, 2012, STAH PROF
  3. Barsoum WK, 2012, J ARTHROPLASTY, V27, P842, DOI 10.1016/j.arth.2011.12.014
  4. Bradley J, 2012, IMPROVING BUSINESS P
  5. Campbell RJ, 2009, J AHIMA AM HLTH INF, V80, P45
  6. Campbell Robert James, 2009, J AHIMA, V80, P40
  7. Cofiel L, DETECTING DISSONANCE
  8. De Carvalho ECA, 2012, PLOS ONE, V7, DOI [10.1371/journal.pone.0039671., DOI 10.1371/JOURNAL.PONE.0039671.]
  9. De Carvalho ECA, 2010, PLOS ONE, V5, DOI [10.1371/journal.pone.0013893., DOI 10.1371/JOURNAL.PONE.0013893.]
  10. Dumas M, 2001, P 4 INT C UN MOD LAN, P76
  11. Fernald DH, 2012, J AM BOARD FAM MED, V25, P83, DOI 10.3122/jabfm.2012.01.110019
  12. Ford AL, 2012, STROKE, V43, P3395, DOI 10.1161/STROKEAHA.112.670687
  13. Fowler M., 2004, UML DISTILLED BRIEF
  14. Ghidini C, 2010, P ISWC 2010 DEM TRAC
  15. Grover V., 1997, Journal of Operations Management, V15, DOI 10.1016/S0272-6963(96)00104-0
  16. Gurland B, 2010, DIS COLON RECTUM, V53, P1168, DOI 10.1007/DCR.0b013e3181d87468
  17. Hunt KL, 1997, PROCEEDINGS OF THE 1997 WINTER SIMULATION CONFERENCE, P1275, DOI 10.1145/268437.268771
  18. Jenkins A, 2012, AM J HEALTH-SYST PH, V69, P966, DOI 10.2146/ajhp110389
  19. Khan SA, 2007, ST HEAL T, V129, P247
  20. Khan SA, 2006, AMIA ANN S P, V2006, P419
  21. Khan Sharib A, 2008, AMIA Annu Symp Proc, P363
  22. Malhotra S, 2007, J BIOMED INFORM, V40, P81, DOI 10.1016/j.jbi.2006.06.002
  23. Nguyen Lam, 2006, Source Code Biol Med, V1, P7, DOI 10.1186/1751-0473-1-7
  24. Paula CS, 2011, REV ASSOC MED BRAS, V57, P2, DOI 10.1590/S0104-42302011000100002
  25. Paxton EW, 2010, CLIN ORTHOP RELAT R, V468, P2646, DOI 10.1007/s11999-010-1463-9
  26. Reijiers HA, 2005, OMEGA-INT J MANAGE S, V33, P283, DOI 10.1016/j.omega.2004.04.012
  27. Shah J, 2010, CLIN ORTHOP RELAT R, V468, P2664, DOI 10.1007/s11999-010-1469-3
  28. Shapiro JS, 2004, ACAD EMERG MED, V11, P1223, DOI 10.1197/j.aem.2004.08.017
  29. Shelby-James TM, 2007, HANDHELD COMPUTERS D, V2, P1
  30. Targum Steven D, 2011, Innov Clin Neurosci, V8, P40
  31. Teixeira MCTV, 2010, REV ASSOC MED BRAS, V56, P607, DOI 10.1590/S0104-42302010000500026
  32. Unertl KM, 2008, J AM MED INFORM ASSN, V17, P265
  33. Unertl KM, 2009, J AM MED INFORM ASSN, V16, P826, DOI 10.1197/jamia.M3000
  34. van van der Aalst W, 2004, COOPERATIVE INFORM S
  35. van der Aalst WMP, 2003, DATA KNOWL ENG, V47, P237, DOI 10.1016/S0169-023X(03)00066-1
  36. Wilcox AB, 2012, MED CARE, V50, pS68, DOI 10.1097/MLR.0b013e318259c1e7
  37. WordReference, 2012, DISS
  38. Zheng K, 2011, J AM MED INFORM ASSN, V18, P704, DOI 10.1136/amiajnl-2011-000083