ReviewJournal of the American Medical Informatics Association : JAMIA
Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems.
Review in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Structural Patterns in Chronic Disease Clinical Practice Guidelines Formalized for Clinical Decision Support.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Guideline
- Health information technologies in geriatrics and gerontology: a mixed systematic review.Journal of the American Medical Informatics Association : JAMIAPooled it
- Driving and Restraining Forces in the Implementation of Information Systems in the Public Sector: Scoping Review.JMIR human factors · 2025Article
- Enhancing medical coding efficiency through domain-specific fine-tuned large language models.npj health systems · 2025Article
- Electronic health record-supported implementation of an evidence-based pathway for perioperative surgical care.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Transforming evidence-based clinical guidelines into implementable clinical decision support services: the CAREPATH study for multimorbidity management.Frontiers in medicine · 2024Article
- An empirical investigation into the preferences of the elderly for user interface design in personal electronic health record systems.Frontiers in digital health · 2023Article
- Use of Electronic Medical Records (EMR) in Gerontology: Benefits, Considerations and a Promising Future.Clinical interventions in aging · 2023Review
- Scaling-up digital follow-up care services: collaborative development and implementation of Remote Patient Monitoring pilot initiatives to increase access to follow-up care.Frontiers in digital health · 2022Article
- Physical and information workflow mapping of vancomycin therapeutic drug management: A single site case study revealing potential gaps in the process.Journal of medical systems · 2021Article
- Leveraging American College of Obstetricians and Gynecologists Guidelines for Point-of-Care Decision Support in Obstetrics.Applied clinical informatics · 2021Article
- Electronic display of a patient treatment over time: a perspective on clinicians' burn-out.BMJ health & care informatics · 2021Article
- Changing practice: assessing attitudes toward a NICE-informed collaborative treatment pathway for bipolar disorder.BJPsych open · 2021Article
- Implementation of an electronic care pathway for hip fracture patients: a pilot before and after study.BMC musculoskeletal disorders · 2020Article
- What Role Can Process Mining Play in Recurrent Clinical Guidelines Issues? A Position Paper.International journal of environmental research and public health · 2020Article
- Quality of care for acute abdominal pain in children.BMJ quality & safety · 2020Article
- Article
- The Financial and Clinical Impact of an Electronic Health Record Integrated Pathway in Elective Colon Surgery.Applied clinical informatics · 2020Article
- [Promoting directives of the Quality Law of the Spanish National Health System: Computer-interpretable clinical practice guidelines].Atencion primaria · 2018Article
- Using telephony data to facilitate discovery of clinical workflows.Applied clinical informatics · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThere is a need to integrate the various theoretical frameworks and formalisms for modeling clinical guidelines, workflows, and pathways, in order to move beyond providing support for individual clinical decisions and toward the provision of process-oriented, patient-centered, health information systems (HIS). In this review, we analyze the challenges in developing process-oriented HIS that formally model guidelines, workflows, and care pathways.
methodsA qualitative meta-synthesis was performed on studies published in English between 1995 and 2010 that addressed the modeling process and reported the exposition of a new methodology, model, system implementation, or system architecture. Thematic analysis, principal component analysis (PCA) and data visualisation techniques were used to identify and cluster the underlying implementation 'challenge' themes.
resultsOne hundred and eight relevant studies were selected for review. Twenty-five underlying 'challenge' themes were identified. These were clustered into 10 distinct groups, from which a conceptual model of the implementation process was developed. DISCUSSION AND
conclusionWe found that the development of systems supporting individual clinical decisions is evolving toward the implementation of adaptable care pathways on the semantic web, incorporating formal, clinical, and organizational ontologies, and the use of workflow management systems. These architectures now need to be implemented and evaluated on a wider scale within clinical settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.