Mapping care processes within a hospital: a web-based proposal merging enterprise modelling and ISO normative principles.
Today, the economic and regulatory environment are pressuring hospitals and healthcare professionals to account for their results and methods of care delivery. The evaluation of the quality and the safety of care, the traceability of the acts performed and the evaluation of practices are some of the reasons underpinning current interest in clinical and hospital information systems. The structured collection of users' needs and system requirements is fundamental when installing such systems. This stage takes time and is generally misconstrued by caregivers and is of limited efficacy to analysis. We used a modelling technique designed for manufacturing processes (SADT: Structured Analysis and Design Technique). We enhanced the initial model of activity of this method and programmed a web-based tool in an object-oriented environment. This tool makes it possible to extract the data dictionary from the description of a given process and to locate documents (procedures, recommendations, instructions). Aimed at structuring needs and storing information provided by teams directly involved regarding the workings of an institution (or at least part of it), the process mapping approach has an important contribution to make in the analysis of clinical information systems.
Staccini
Pascal
P
Département d'Information et d'Informatique Médicale Centre Hospitalier Universitaire de Nice Hôpital Cimiez-4, avenue Reine Victoria-BP 1179, 06003 Nice. staccini.p@chu-nice.fr
Joubert
Michel
M
Quaranta
Jean-François
JF
Fieschi
Marius
M
D019091:Critical Pathways; D005602:France; D006739:Hospital Administration / Q000592:standards*; D006751:Hospital Information Systems; D006801:Humans; D020407:Internet; D010347:Patient Care Planning / Q000592:standards*; D017064:Process Assessment, Health Care; D013597:Systems Analysis; D018511:Systems Integration