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Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case

BACKGROUND: To test the application of Business Process Management technology to manage clinical pathways, using a pediatric kidney transplantation as case study, and to identify the benefits obtained from using this technology. METHODS: Using a Business Process Management platform, we implemented a...

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Autores principales: Andellini, Martina, Fernandez Riesgo, Sandra, Morolli, Federica, Ritrovato, Matteo, Cosoli, Piero, Petruzzellis, Silverio, Rosso, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670522/
https://www.ncbi.nlm.nih.gov/pubmed/29100512
http://dx.doi.org/10.1186/s12911-017-0546-x
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author Andellini, Martina
Fernandez Riesgo, Sandra
Morolli, Federica
Ritrovato, Matteo
Cosoli, Piero
Petruzzellis, Silverio
Rosso, Nicola
author_facet Andellini, Martina
Fernandez Riesgo, Sandra
Morolli, Federica
Ritrovato, Matteo
Cosoli, Piero
Petruzzellis, Silverio
Rosso, Nicola
author_sort Andellini, Martina
collection PubMed
description BACKGROUND: To test the application of Business Process Management technology to manage clinical pathways, using a pediatric kidney transplantation as case study, and to identify the benefits obtained from using this technology. METHODS: Using a Business Process Management platform, we implemented a specific application to manage the clinical pathway of pediatric patients, and monitored the activities of the coordinator in charge of the case management during a 6-month period (from June 2015 to November 2015) using two methodologies: the traditional procedure and the one under study. RESULTS: The application helped physicians and nurses to optimize the amount of time and resources devoted to management purposes. In particular, time reduction was close to 60%. In addition, the reduction of data duplication, the integrated event management and the efficient data collection improved the quality of the service. CONCLUSIONS: The use of Business Process Management technology, usually related to well-defined processes with high management costs, is an established procedure in multiple environments; its use in healthcare, however, is innovative. The use of already accepted clinical pathways is known to improve outcomes. The combination of these two techniques, well established in their respective areas of application, could represent a revolution in clinical pathway management. The study has demonstrated that the use of this technology in a clinical environment, using a proper architecture and identifying a well-defined process, leads to real benefits in terms of resources optimization and quality improvement.
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spelling pubmed-56705222017-11-15 Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case Andellini, Martina Fernandez Riesgo, Sandra Morolli, Federica Ritrovato, Matteo Cosoli, Piero Petruzzellis, Silverio Rosso, Nicola BMC Med Inform Decis Mak Research Article BACKGROUND: To test the application of Business Process Management technology to manage clinical pathways, using a pediatric kidney transplantation as case study, and to identify the benefits obtained from using this technology. METHODS: Using a Business Process Management platform, we implemented a specific application to manage the clinical pathway of pediatric patients, and monitored the activities of the coordinator in charge of the case management during a 6-month period (from June 2015 to November 2015) using two methodologies: the traditional procedure and the one under study. RESULTS: The application helped physicians and nurses to optimize the amount of time and resources devoted to management purposes. In particular, time reduction was close to 60%. In addition, the reduction of data duplication, the integrated event management and the efficient data collection improved the quality of the service. CONCLUSIONS: The use of Business Process Management technology, usually related to well-defined processes with high management costs, is an established procedure in multiple environments; its use in healthcare, however, is innovative. The use of already accepted clinical pathways is known to improve outcomes. The combination of these two techniques, well established in their respective areas of application, could represent a revolution in clinical pathway management. The study has demonstrated that the use of this technology in a clinical environment, using a proper architecture and identifying a well-defined process, leads to real benefits in terms of resources optimization and quality improvement. BioMed Central 2017-11-03 /pmc/articles/PMC5670522/ /pubmed/29100512 http://dx.doi.org/10.1186/s12911-017-0546-x Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Andellini, Martina
Fernandez Riesgo, Sandra
Morolli, Federica
Ritrovato, Matteo
Cosoli, Piero
Petruzzellis, Silverio
Rosso, Nicola
Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
title Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
title_full Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
title_fullStr Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
title_full_unstemmed Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
title_short Experimental application of Business Process Management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
title_sort experimental application of business process management technology to manage clinical pathways: a pediatric kidney transplantation follow up case
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670522/
https://www.ncbi.nlm.nih.gov/pubmed/29100512
http://dx.doi.org/10.1186/s12911-017-0546-x
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