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The aim of this paper is to discuss the concept of Routine Dynamics from the perspective of knowledge-intensive business processes. The traditional approach to business processes assumes control of the flow of well-structured activities that the organisation carries out to achieve its goals, and managing them focuses on their improvement through increased efficiency. However, an increasingly important role in the knowledge economy is played by knowledge-intensive business processes, which are highly dependent on human judgment, as well as real knowledge, which requires partially structured and unstructured decision-making. This demands a change in the approach to process management and its improvement, beyond efficiency only. It requires the use of the dynamism of process executors to create value by using and creating knowledge during the execution of pro-cesses. To illustrate this transformation, processes from the healthcare sector were used as a case study, as they encapsulate the limitations of the traditional approach to process management and the need to move to a dynamic one. As a result, two process models were presented, showing the need for a dynamic approach to health process management as a way to create and use rapidly changing knowledge, and to incorporate new technologies that not only increase the efficiency of processes (e.g. automate them), but above all create new knowledge, and use data on patients in real-time.
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