A principled approach to the design of healthcare systems: Autonomy vs. governance [An article from: Reliability Engineering and System Safety]

This digital document is a journal article from Reliability Engineering and System Safety, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

Description:
In this paper, we look at decision support for post-operative breast cancer care. Our main concerns are to support autonomy of decision making whilst maintaining the governance and reliability of the decision-making process. We describe the context of our work in the wider medical setting. We then present a set of decision support tools based on the situation calculus as a means of maintaining the integrity of rule bases underlying the decision-making system. The decision support system, Neptune, allows for the authoring, maintenance and delivery of decisions in a self-governing framework. Finally we discuss the implications of our work.