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Towards a “Just-in-Time” Distributed Decision Support System in Health Care Research

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Supporting Real Time Decision-Making

Part of the book series: Annals of Information Systems ((AOIS,volume 13))

Abstract

The application of semi-automated decision support systems in health care faces challenging tasks mainly in generating evidence-based recommendations in a short critical time window. Traditional data collection and survey methodology to generate evidence for the decision support systems also suffers from a slow turn-around time. This chapter reports on a multi-disciplinary project between computer and health sciences to introduce a cumulative framework encapsulating innovative distributed data collection methodology, coupled with an intelligent multi-agent, socially driven decision support system. We report on the current design and implementation aspects of this integrated system with a case study in injury prevention to verify the initial model.

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References

  • Ahmad, R., L. Yung-Chuan, S. Rahimi and B. Gupta, “A multi-agent based approach for particle swarm optimization,” International Conference on Integration of Knowledge Intensive ­Multi-Agent Systems (KIMAS 2007), Waltham, 2007, 267–271.

    Google Scholar 

  • Baqer, M., A.I. Khan and Z.A. Baig, “Implementing a graph neuron array for pattern recognition within unstructured wireless sensor networks,” Lecture Notes in Computer Science, 3823, 2005, 208–217.

    Article  Google Scholar 

  • Bates, D.W. and A.A. Gawande, “Patient safety: Improving safety with information technology,” New England Journal of Medicine, 348(25), 2003, 2526–2534.

    Article  Google Scholar 

  • Bedard, M., G.H. Guyatt, M.J. Stones and J.P. Hirdes, “The independent contribution of driver, crash, and vehicle characteristics to driver fatalities,” retrieved from Social Sciences Citation Index® (1965 to present) database, 2002.

    Google Scholar 

  • Berry, D.L., L.G. Trigg, W.B. Lober, B.T. Karras, M.L. Galligan and M. Austin-Seymour, et al., “Computerized symptom and quality-of-life assessment for patients wtih cancer part I: Development and pilot testing,” Oncology Nursing Forum, 31(5), 2004, 75–83.

    Article  Google Scholar 

  • Bilykh, I., Y. Bychkov, D. Dahlem, J.H. Jahnke, G. McCallum and C. Obry, et al., “Can GRID services provide answers to the challenges of national health information sharing?” 2003 Conference of the Centre for Advanced Studies on Collaborative Research, Toronto, 2003, 39–53.

    Google Scholar 

  • Blanquer, I., V. Hernandez, D. Segrelles, M. Robles, J.M. Garcia and J.V. Robledo, “Clinical ­decision support systems (CDSS) in GRID environments, from grid to healthgrid,” Healthgrid 2005, 112, 2005, 80–89.

    Google Scholar 

  • Bodenheimer, T., “High and rising health care costs. Part 1: Seeking an explanation,” Annals of Internal Medicine, 142(10), 2005, 847–854.

    Google Scholar 

  • Chervenak, A.L. and M. Cai, “Applying peer-to-peer techniques to grid replica location services,” Journal of Grid Computing, 4(1), 2006, 1572–9814.

    Article  Google Scholar 

  • Chouinard, A., and B. Hurley, Towards the development of a national child restraint survey. In: Proceedings of Canadian Multidisciplinary Road Safety Conference XV, Fredericton, New Brunswick, June 6–9, 2005.

    Google Scholar 

  • Coelho, L. and V.C. Mariani, “An efficient particle swarm optimization approach based on cultural algorithm applied to mechanical design,” IEEE Congress on Evolutionary Computation (CEC 2006), Vancouver, 2006, 1099–1104.

    Google Scholar 

  • Collier, N., T. Howe and M. North, “Onward and upward: The transition to Repast 2.0,” Proceedings of First Annual North American Association for Computational Social and Organizational Science Conference, Pittsburgh, 2003.

    Google Scholar 

  • Conrad, D., T. Wickizer, C. Maynard, T. Klastorin, D. Lessler, A. Ross, N. Soderstrom, S. Sullivan, J. Alexander and K. Travis, “Managing care, incentives, and information: An exploratory look inside the “black box” of hospital efficiency,” Health Services Research, 31(3), 1996, 235–259.

    Google Scholar 

  • De Leeuw, E.D., J.J. Hox and D.A. Dillman, International handbook of survey methodology, European Association of Methodology. New York: Lawrence Erlbaum, 2008.

    Google Scholar 

  • Dorigo, M., M. Birattari and T. Stutzle, “Ant colony optimization,” IEEE Computational Intelligence Magazine, 1(4), 2006, 28–39.

    Google Scholar 

  • Ehiri, J.E., H.O.D. Ejere, L. Magnussen, D. Emusu, W. King and J.S. Osberg, “Interventions for promoting booster seat use in four to eight year olds traveling in motor vehicles,” The Cochrane Database of Systematic Reviews, 1, 2006, 1–45.

    Google Scholar 

  • Glass, R.J., M. Segui-Gomez and J.D. Graham, “Child passenger safety: Decisions about seating location, airbag exposure, and restraint use,” Risk Analysis, 20, 2000, 521–528.

    Article  Google Scholar 

  • Gorry, G.A. and M.S. Scott Morton, “A framework for management information systems,” Sloan Management Review, 13, 1971, 1.

    Google Scholar 

  • Hine, N., A. Judson, S. Ashraf, J. Arnott, A. Sixsmith and S. Brown, et al., “Modelling the behaviour of elderly people as a means of monitoring well being,” Lecture Notes in Computer Science, 3538, 2005, 241–250.

    Article  Google Scholar 

  • Homer, J. and G. Hirsch, “System dynamics modeling for public health: Background and opportunities,” American Journal of Public Health, 96 (3), 2006, 452–458.

    Article  Google Scholar 

  • Huang, C., V. Lanza, S. Rajasekaran and W. Dubitzky, “HealthGrid – Bridging life science and information technology,” Journal of Clinical Monitoring and Computing, 19(4–5), 2005, 259–262.

    Article  Google Scholar 

  • Hwang, J. and P. Aravamudham, “Middleware services for P2P computing in wireless grid ­networks,” IEEE Internet Computing, 8(4), 2004, 40–46

    Article  Google Scholar 

  • Keen, P.G.W. and M.S. Scott Morton, Decision support systems: An organizational perspective. Reading: Addison-Wesley, 1978.

    Google Scholar 

  • Kent, R. D., A. Snowdon, P. Preney, D. Kim, J. Ren and A. Aggarwal, et al., “USMS: An open-source IT solution for effective health and safety data collection and decision support,” Halifax 7 (CPSI: Canadian Patient Safety Institute), Ottawa, 2007.

    Google Scholar 

  • Kim, D., R. Kent, A. Aggarwal and P. Preney, “Flexible multi-layer virtual machine design for virtual laboratory in distributed systems and grids,” Proceeding of 1st WSEAS International Symposium on GRID COMPUTING, Corfu Island, 2005.

    Google Scholar 

  • Kobti, Z., R.G. Reynolds and T. Kohler, “A multi-agent simulation using cultural algorithms: The effect of culture on the resilience of social systems,” Proceedings of IEEE Conference on Evolutionary Computation, CEC ‘03, 3, 2003, 1988–1995.

    Google Scholar 

  • Kohli, R., J.K. Tan, F.A.D. Piontek, E. Ziege and H. Groot, “Integrating cost information with health management support system: An enhanced methodology to assess health care quality drivers,” Topics in Health Information Management, 20(1), 1999, 80–95.

    Google Scholar 

  • Kopec, D., R. Eckhardt, S. Tamang and D. Reinharth, “Towards a mobile intelligent information system with application to HIV/AIDS,” Studies in Health Technology and Informatics, 114, 2005, 30–35.

    Google Scholar 

  • Krug, E.G., G.K. Sharma and R. Lozano, “The global burden of injuries,” American Journal of Public Health, 90(4), 2000, 523–526. URL = http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=2001043079&site=ehost-live

    Google Scholar 

  • Kuljis, J., L. Paul and K. Stergioulas, “Can health care benefit from modeling and simulation methods in the same way as business and manufacturing has?” Proceedings of the 2007 Winter Simulation Conference, Washington, DC, 2007.

    Google Scholar 

  • Leitch, K., “Reaching for the top: A report by the advisor on health children and youth,” Health Canada, 2008. URL = http://www.hc-sc.gc.ca/hl-vs/pubs/child-enfant/advisor-conseillere/index-eng.php

  • Lim, B., K. Choi and D. Shin, “A JXTA-based architecture for efficient and adaptive healthcare services,” Lecture Notes in Computer Science, 3391, 2005, 776–785.

    Article  Google Scholar 

  • Liu, M., Relationlog: A Typed Extension to Datalog with Sets and Tuples (Extended Abstract). In Proceedings of the International Symposium on Logic Programming (ILPS ‘95, Portland, Oregon, Dec. 4–7). MIT Press, Cambridge, MA, 1995, 83–97.

    Google Scholar 

  • Lu, J., T. Naeem, and J.B. Stav, “A distributed information system for healthcare web services,” Lecture Notes in Computer Science, 3842, 2006, 783–790.

    Article  Google Scholar 

  • Lund, U.J., “The effect of seating location on the injury of properly restrained children in child safety seats,” Accident Analysis & Prevention, 37, 2005, 435–439.

    Article  Google Scholar 

  • Lyell D, Sadsad R, Georgiou A., Health Systems Simulation. In N. Wickramasinghe & E. Geisler (Eds), Encyclopaedia of Healthcare Information Systems. Hershey, PA: Medical Information Science Reference, 2008, pp 646–655.

    Google Scholar 

  • Minoli, D., A networking approach to grid computing. New Jersey: Wiley, 2005.

    Google Scholar 

  • National Highway Traffic Safety Administration (NHTSA), Traffic safety facts 2002: Occupant protection No. DOT HS 809 610), 2003.

    Google Scholar 

  • Newsted, P., S. Huff and M. Munro, “Survey instruments in IS,” MISQ Discovery, December 1998.

    Google Scholar 

  • OGSA-DAI 3.0 documentation. URL = http://people.ucalgary.ca/∼newsted/tutor.htm

    Google Scholar 

  • O’Hare, G.M.P., R.W. O’Grady, R.W. Collier and S. Keegan, “Agents as catalysts for mobile computing,” Lecture Notes in Computer Science, 3508, 2005, 182–197.

    Article  Google Scholar 

  • Omar, W.M. and A. Taleb-Bendiab, “Service oriented architecture for E-health support services based on grid computing,” Proceedings of IEEE International Conference on Services Computing (SCC’06), Chicago, 2006, 135–142.

    Google Scholar 

  • Paik, W., N.M. Kang, H. Choi and E. Ham, “Collaborative web-based nursing practice learning system,” Lecture Notes in Computer Science, 3807, 2005, 152–161.

    Article  Google Scholar 

  • Peden, M., R. Scurfield, D. Sleet, D. Mohan, A.A. Hyder and E. Jarawan, et al., World report on road traffic injury prevention. Geneva: World Health Organization, 2004.

    Google Scholar 

  • Reynolds, R.G., Cultural algorithm: A tutorial, 2002. URL = http://ai.cs.wayne.edu/ai/availablePapersOnLine/CULTURAL_ALGORITHMS_2002-05-03/CULTURAL_ALGORITHMS_2002-05-03.ppt

  • Safe Kids Canada, Booster seat use in Canada: A national challenge. Toronto: Safe Kids Canada, 2004.

    Google Scholar 

  • Salem, F.D., S. Krishnaswamy, S.W. Loke and A. Rakotonirainy, “Context-aware ubiquitous data mining based agent model for intersection safety,” Lecture Notes in Computer Science, 3823, 2005, 61–70.

    Article  Google Scholar 

  • Sanderson, N., V. Goebel and E. Munthe-Kaas, “Medtadata management for ad-hoc InfoWare – A rescue and emergency use case for mobile ad-hoc scenarios,” Lecture Notes in Computer Science, 3761, 2005, 1365–1380.

    Article  Google Scholar 

  • Schaffers, H., “Innovation and systems change: The example of mobile, collaborative ­workplaces,” AI & Society, 19(4), 2005, 334–347.

    Article  Google Scholar 

  • Simon, H., The new science of management decision. Englewood Cliffs: Prentice Hall, 1977.

    Google Scholar 

  • Skov, M.B. and R.T. Hoegh, “Supporting information access in a hospital ward by a context-aware mobile electronic patient record,” Personal and Ubiquitous Computing, 10(4), 2006, 205–214.

    Article  Google Scholar 

  • Smirnov, A., M. Pashkin, N. Chilov and T. Levashova, “Ontology-based knowledge repository support for healthgrids, from grid to healthgrid,” Healthgrid 2005, 112, 2005, 47–56.

    Google Scholar 

  • Snowdon, A., R. Kent, Z. Kobti and A. Howard, “Development of a wireless, web-services based survey for road to measure vehicle safety for Canadian children,” Proceedings of 8th World Conference on Injury Prevention and Safety Promotion, Durban, 2006.

    Google Scholar 

  • Snowdon, A., A. Howard and P. Boase, “The development of a protocol for a national study of Canadian children’s safety in vehicles,” Canadian Association of Road Safety Professionals, Canadian Multidisciplinary Road Safety Conference Proceedings, Montreal, June 2007.

    Google Scholar 

  • Snowdon, A., A. Hussein and E. Ahmed, “Children at risk: Predictors of car seat safety misuse in Ontario,” Accident Analysis and Prevention, 40, 2008a, 1418–1423.

    Article  Google Scholar 

  • Snowdon, A.W., A. Hussein, L. High, L. Stamler, J. Polgar and L. Patrick, et al., “The effectiveness of a multi-media intervention on parents’ knowledge and use of vehicle safety systems for children,” Journal of Pediatric Nursing, 23(2), 2008b, 126–139.

    Article  Google Scholar 

  • Snowdon, A.W., A. Hussein, R. Purc-Stevenson, B. Bruce, C. Kolga and P. Boase, et al., “Are we there yet? Canada’s progress towards achieving road safety vision 2010 for children travelling in vehicles,” International Journal of Injury Control and Safety Promotion, 16(4), 2008c, 231–237.

    Article  Google Scholar 

  • Snowdon, A.W., A. Hussein, R. Purc-Stevenson, G. Follo and E. Ahmed, “A longitudinal study of the effectiveness of a multi-media intervention on parents’ knowledge and use of vehicle safety systems for children,” Accident Analysis & Prevention, 41(3), 2009, 498–505. doi:10.1016/j.aap.2009.01.013.

    Article  Google Scholar 

  • Srinivasan, H., “Pervasive wireless grid architecture,” Proceedings of Second Annual Conference on Wireless on-Demand Network Systems and Services (WONS’05), St. Moritz, 2005, 83–88.

    Google Scholar 

  • Taylor, I.J., From P2P to web services and grids. London: Springer, 2005.

    Google Scholar 

  • Transport Canada, Canadian motor vehicle traffic collision statistics (No. T45-3/2003) Transport Canada, 2004.

    Google Scholar 

  • Transport Canada, “Fatalities and injuries by age group, 2006,” 2006, viewed February 15, 2009, URL = http://www.tc.gc.ca/eng/roadsafety/tp-tp3322-2006-page2-591.htm

  • Turban, E. and J.E. Aronson, Decision support systems and intelligent systems. Upper Saddle River: Prentice Hall, 2000.

    Google Scholar 

  • Turner, C., R. McClure, J. Nixon and A. Spinks, “Community-based programs to promote car seat restraints in children 0–16 years – A systematic review,” Accident Analysis & Prevention, 37, 2005, 77–83.

    Article  Google Scholar 

  • Ulieru, M., M. Hadzic and E. Chang, “Soft computing agents for e-health in application to the research and control of unknown diseases,” Information Sciences, 176(9), 2006, 1190–1214.

    Article  Google Scholar 

  • Ullman, J.D., Chapter 12, Principles of database and knowledge-base systems: Volume ii: The new technologies. New York: W. H. Freeman, 1990.

    Google Scholar 

  • Von Lubitz, D. and N. Wickramasinghe, “Network centric healthcare: Applying the tools, ­techniques, and strategies of knowledge management to create superior healthcare operations,” International Journal of Electronic Healthcare, 2(4), 2006, 415–429.

    Google Scholar 

  • Weber, K., “Crash protection for child passengers: A review of best practice,” UMTRI Research Review, 31(3), 2003, 1–27. Retrieved from PAIS International database.

    Google Scholar 

  • Wegner, M.V. and D.C. Girasek, “How readable are child safety seat installation instructions?” Pediatrics, 111, 2003, 588.

    Article  Google Scholar 

  • Wigton, R.S., “Use of linear-models to analyze physicians decisions,” Medical Decision Making, 8(4), 1988, 241–252.

    Article  Google Scholar 

  • Wright, K.B., “Researching internet-based populations: Advantages and disadvantages of online survey research, online questionnaire authoring software packages, and web survey services,” Journal of Computer-Mediated Communication, 10(3), 2005.

    Google Scholar 

  • Yao, J. and S. Warren, “Applying the ISO/IEEE 11073 standards to wearable home health ­monitoring systems,” Journal of Clinical Monitoring and Computing, 19(6), 2005, 427–436.

    Article  Google Scholar 

  • Zaza, S., D.A. Sleet, R.S. Thompson, D.M. Sosin, J.C. Bolen and Task Force on Community Preventive Services, Atlanta, GA, “Reviews of evidence regarding interventions to increase use of child safety seats,” American Journal of Preventive Medicine, 21(4 Suppl), 2001, 31–47. doi:10.1016/S0749-3797(01)00377-4.

    Google Scholar 

  • Zhu, L., C.I. Ezeife and R.D. Kent, “Generic query toolkit: A query interface generator integrating data mining,” Information Resources Management Association (IRMA), Vancouver, 2007.

    Google Scholar 

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Acknowledgement

The authors acknowledge the work of the USMS team and volunteers who worked on collecting the survey data throughout Canada. RDK and AWS thank Research in Motion for providing Blackberry units for use in this research and NCE Auto21 and NSERC Discovery for funding support.

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Authors and Affiliations

  1. Odette School of Business, University of Windsor, Windsor, Ontario, Canada

    Anne W. Snowdon & Gokul Bhandari

  2. School of Computer Science, University of Windsor, Windsor, Ontario, Canada

    Ziad Kobti, Robert D. Kent, Shamual F. Rahaman, Paul D. Preney & Lichun Zhu

  3. Kingston General Hospital, Kingston, Ontario, Canada

    Carol A. Kolga

  4. Leamington District Memorial Hospital, Leamington, Ontario, Canada

    Barbara Tiessen

Authors
  1. Ziad Kobti
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  2. Anne W. Snowdon
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  3. Robert D. Kent
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  4. Gokul Bhandari
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  5. Shamual F. Rahaman
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  6. Paul D. Preney
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  7. Carol A. Kolga
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  8. Barbara Tiessen
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  9. Lichun Zhu
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Corresponding author

Correspondence to Anne W. Snowdon .

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Editors and Affiliations

  1. Monash University, Caulfield East, Victoria, Australia

    Frada Burstein

  2. LIP 6, Université Paris VI, place Jussieu 4, Paris CX 05, 75252, France

    Patrick Brézillon

  3. School of Computer Science &, Software Engineering, Monash University, Dandenong Road 900, Caulfield East, 3145, Victoria, Australia

    Arkady Zaslavsky

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Kobti, Z. et al. (2011). Towards a “Just-in-Time” Distributed Decision Support System in Health Care Research. In: Burstein, F., Brézillon, P., Zaslavsky, A. (eds) Supporting Real Time Decision-Making. Annals of Information Systems, vol 13. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-7406-8_13

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