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A meta-model for computer executable dynamic clinical safety checklists

Overview of attention for article published in BMC Medical Informatics and Decision Making, December 2017
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Title
A meta-model for computer executable dynamic clinical safety checklists
Published in
BMC Medical Informatics and Decision Making, December 2017
DOI 10.1186/s12911-017-0551-0
Pubmed ID
Authors

Shan Nan, Pieter Van Gorp, Xudong Lu, Uzay Kaymak, Hendrikus Korsten, Richard Vdovjak, Huilong Duan

Abstract

Safety checklist is a type of cognitive tool enforcing short term memory of medical workers with the purpose of reducing medical errors caused by overlook and ignorance. To facilitate the daily use of safety checklists, computerized systems embedded in the clinical workflow and adapted to patient-context are increasingly developed. However, the current hard-coded approach of implementing checklists in these systems increase the cognitive efforts of clinical experts and coding efforts for informaticists. This is due to the lack of a formal representation format that is both understandable by clinical experts and executable by computer programs. We developed a dynamic checklist meta-model with a three-step approach. Dynamic checklist modeling requirements were extracted by performing a domain analysis. Then, existing modeling approaches and tools were investigated with the purpose of reusing these languages. Finally, the meta-model was developed by eliciting domain concepts and their hierarchies. The feasibility of using the meta-model was validated by two case studies. The meta-model was mapped to specific modeling languages according to the requirements of hospitals. Using the proposed meta-model, a comprehensive coronary artery bypass graft peri-operative checklist set and a percutaneous coronary intervention peri-operative checklist set have been developed in a Dutch hospital and a Chinese hospital, respectively. The result shows that it is feasible to use the meta-model to facilitate the modeling and execution of dynamic checklists. We proposed a novel meta-model for the dynamic checklist with the purpose of facilitating creating dynamic checklists. The meta-model is a framework of reusing existing modeling languages and tools to model dynamic checklists. The feasibility of using the meta-model is validated by implementing a use case in the system.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 51 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 51 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 22%
Student > Bachelor 6 12%
Student > Ph. D. Student 5 10%
Researcher 4 8%
Student > Doctoral Student 3 6%
Other 6 12%
Unknown 16 31%
Readers by discipline Count As %
Computer Science 8 16%
Nursing and Health Professions 4 8%
Business, Management and Accounting 4 8%
Engineering 4 8%
Medicine and Dentistry 4 8%
Other 6 12%
Unknown 21 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 January 2019.
All research outputs
#16,642,310
of 24,484,013 outputs
Outputs from BMC Medical Informatics and Decision Making
#1,383
of 2,084 outputs
Outputs of similar age
#276,715
of 448,539 outputs
Outputs of similar age from BMC Medical Informatics and Decision Making
#23
of 29 outputs
Altmetric has tracked 24,484,013 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
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