Clinical care consists of processes, and workflows are the means by which processes are carried out. Supporting clinical work with software requires, at a minimum, a detailed understanding of clinicians’ workflows, a means of representing those workflows in a computable format, and systems that can make use of the computable formats.   Clinical workflow analysis (CWFA) is required at every step — from gathering requirements to testing and optimizing implemented systems. CWFA is both a tool for understanding clinical care pre/post software implementation as well as a tool for designing safe, usable systems that promote productivity.

Workflow disruptions
Workflow disruptions resulting from EHR implementations bring misery to some clinicians. Here’s why.

Preventing Your EHR from Working Against You, Part I: EHR Workflow and Personal Work Habits
Preventing Your EHR from Working Against You, Part II: Personal Workflow Analysis
Preventing Your EHR from Working Against You, Part III: Creating a Test Script
Clinician Productivity after EHR Implementation—We’re Measuring it Incorrectly.

Clinical Processes
Software intended for use by clinicians should be designed specifically to support clinical work.  Workflows are how processes happen.  Avoiding workflow disruptions requires process thinking, which is NOT the same thing as forcing everyone to do everything the same way.

Clinical Process Management – The Patient in the Age of Processes
Clinical Process Management, Next Steps
Care Coordination and Clinical Care Systems: A Look at Clinical Work Support Needs
From Clinical Work to Clinical Productivity: It’s the Little Things…

Clinical Workflow Analysis
CWFA is a powerful tool for solving care delivery problems, especially in the presence of HIT. HIT design and implementation would benefit greatly if CWFA methods and approaches were standard across the human factors, informatics, clinical, and software engineering communities.

 Clinical Workflow Analysis—More Useful than You Thought, I
Clinical Workflow Analysis—More Useful than You Thought, II
Clinical Workflow Analysis—More Useful than You Thought, III
Clinical Workflow Analysis—More Useful than You Thought, IV

Workflow Patterns, Part I: A Pattern-based View of Clinical Workflows
Workflow Patterns, Part II: Control and Flow of Task Execution
Workflow Patterns, Part III: Using Patterns as Clinical Workflow Modeling Hints
Workflow Patterns, Part IV: A Clinical Workflow Analysis Case Study
Workflow Patterns, Part V: Information Use in Clinical Workflows

A plea for consensus…
Workflows with Friends…

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