Artif Intell Med - Patterns for collaborative work in health care teams.

Tópicos

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{ take(945) account(800) differ(722) }
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{ framework(1458) process(801) describ(734) }
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Resumo

JECTIVE: The problem of designing and managing teams of workers that can collaborate working together towards common goals is a challenging one. Incomplete or ambiguous specification of responsibilities and accountabilities, lack of continuity in teams working in shifts, inefficient organization of teams due to lack of information about workers' competences and lack of clarity to determine if the work is delegated or assigned are examples of important problems related to collaborative work in healthcare teams. Here we address these problems by specifying goal-based patterns for abstracting the delegation and assignment of services. The proposed patterns should provide generic and reusable solutions and be flexible enough to be customizable at run time to the particular context of execution. Most importantly the patterns should support a mechanism for detecting abnormal events (exceptions) and for transferring responsibility and accountability for recovering from exceptions to the appropriate actor.METHOD: To provide a generic solution to the problematic issues arising from collaborative work in teams of health workers we start from definitions of standard terms relevant for team work: competence, responsibility, and accountability. We make explicit the properties satisfied by service assignment and delegation in terms of competences, responsibilities, and accountability in normal scenarios and abnormal situations that require the enactment of recovery strategies. Based on these definitions we specify (1) a basic terminology, (2) design patterns for service assignment and delegation (with and without supervision), and (3) an exception manager for detecting and recovering from exceptions. We use a formal framework to specify design patterns and exceptions.RESULTS: We have proved using Owicki-Gries Theory that the proposed patterns satisfy the properties that characterize service assignment and delegation in terms of competence, responsibility and accountability in normal and abnormal (exceptional) scenarios. We show that although abstract, the proposed patterns can be instantiated in an executable COGENT prototype, and can be mapped into the Tallis tool that enacts PROforma language specifications of medical guidelines.CONCLUSIONS: The proposed patterns are generic and abstract enough to capture the normal and abnormal scenarios of assignment and delegation of tasks in collaborative work in health care teams.

Resumo Limpo

jectiv problem design manag team worker can collabor work togeth toward common goal challeng one incomplet ambigu specif respons account lack continu team work shift ineffici organ team due lack inform worker compet lack clariti determin work deleg assign exampl import problem relat collabor work healthcar team address problem specifi goalbas pattern abstract deleg assign servic propos pattern provid generic reusabl solut flexibl enough customiz run time particular context execut import pattern support mechan detect abnorm event except transfer respons account recov except appropri actormethod provid generic solut problemat issu aris collabor work team health worker start definit standard term relev team work compet respons account make explicit properti satisfi servic assign deleg term compet respons account normal scenario abnorm situat requir enact recoveri strategi base definit specifi basic terminolog design pattern servic assign deleg without supervis except manag detect recov except use formal framework specifi design pattern exceptionsresult prove use owickigri theori propos pattern satisfi properti character servic assign deleg term compet respons account normal abnorm except scenario show although abstract propos pattern can instanti execut cogent prototyp can map talli tool enact proforma languag specif medic guidelinesconclus propos pattern generic abstract enough captur normal abnorm scenario assign deleg task collabor work health care team

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