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Open AccessArticle

Process-Oriented Feedback through Process Mining for Surgical Procedures in Medical Training: The Ultrasound-Guided Central Venous Catheter Placement Case

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Department of Computer Science, School of Engineering, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile
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Department of Anesthesiology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile
3
Department of Business Computer Science, Universidad de Costa Rica, San Ramón 111-4250, Costa Rica
*
Author to whom correspondence should be addressed.
This article is an extended version of our article “Tailored Process Feedback through Process Mining for Surgical Procedures in Medical Training: The Central Venous Catheter case”. In Proceedings of the International Workshop on Process-Oriented Data Science for Healthcare 2018 (PODS4H18), Sydney, Australia, 10 September 2018.
Int. J. Environ. Res. Public Health 2019, 16(11), 1877; https://doi.org/10.3390/ijerph16111877
Received: 13 April 2019 / Revised: 16 May 2019 / Accepted: 22 May 2019 / Published: 28 May 2019
(This article belongs to the Special Issue Process-Oriented Data Science for Healthcare 2018 (PODS4H18))
Developing high levels of competence in the execution of surgical procedures through training is a key factor for obtaining good clinical results in healthcare. To improve the effectiveness of the training, it is advisable to provide feedback to each student tailored to how the student has performed the procedure on each occasion. Current state-of-the-art feedback is based on Checklists and Global Rating Scales, which indicate whether all process steps have been carried out and the quality of each execution step. However, there is a process perspective that is not captured successfully by these instruments, e.g., steps performed, but in an undesired order, group of activities that are repeated an unnecessary number of times, or an excessive transition time between two consecutive steps. In this research, we propose a novel use of process mining techniques to effectively identify desired and undesired process patterns regarding rework, the order in which activities are performed, and time performance, in order to complement the tailored feedback for surgical procedures using a process perspective. The proposed approach was applied to analyze a real case of ultrasound-guided Central Venous Catheter placement training. It was quantitatively and qualitatively validated that the students who participated in the training program perceived the process-oriented feedback they received as favorable for their learning. View Full-Text
Keywords: process mining; healthcare; feedback; medical training; surgical procedures process mining; healthcare; feedback; medical training; surgical procedures
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Lira, R.; Salas-Morales, J.; Leiva, L.; Fuente, R.; Fuentes, R.; Delfino, A.; Nazal, C.H.; Sepúlveda, M.; Arias, M.; Herskovic, V.; Munoz-Gama, J. Process-Oriented Feedback through Process Mining for Surgical Procedures in Medical Training: The Ultrasound-Guided Central Venous Catheter Placement Case. Int. J. Environ. Res. Public Health 2019, 16, 1877.

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