Heather M Conboy, George S Avrunin, Lori A Clarke, Leon J Osterweil, Stefan C Christov, Julian M Goldman, Steven J Yule, Marco A Zenati
{"title":"Cognitive Support During High-Consequence Episodes of Care in Cardiovascular Surgery.","authors":"Heather M Conboy, George S Avrunin, Lori A Clarke, Leon J Osterweil, Stefan C Christov, Julian M Goldman, Steven J Yule, Marco A Zenati","doi":"10.1109/COGSIMA.2017.7929610","DOIUrl":null,"url":null,"abstract":"<p><p>Despite significant efforts to reduce preventable adverse events in medical processes, such events continue to occur at unacceptable rates. This paper describes a computer science approach that uses formal process modeling to provide situationally aware monitoring and management support to medical professionals performing complex processes. These process models represent both normative and non-normative situations, and are validated by rigorous automated techniques such as model checking and fault tree analysis, in addition to careful review by experts. Context-aware Smart Checklists are then generated from the models, providing cognitive support during high-consequence surgical episodes. The approach is illustrated with a case study in cardiovascular surgery.</p>","PeriodicalId":91827,"journal":{"name":"... IEEE International Inter-Disciplinary Conference on Cognitive Methods in Situation Awareness and Decision Support. IEEE International Multi-Disciplinary Conference on Cognitive Methods in Situation Awareness and Decision Support","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/COGSIMA.2017.7929610","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"... IEEE International Inter-Disciplinary Conference on Cognitive Methods in Situation Awareness and Decision Support. IEEE International Multi-Disciplinary Conference on Cognitive Methods in Situation Awareness and Decision Support","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1109/COGSIMA.2017.7929610","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2017/5/18 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7
Abstract
Despite significant efforts to reduce preventable adverse events in medical processes, such events continue to occur at unacceptable rates. This paper describes a computer science approach that uses formal process modeling to provide situationally aware monitoring and management support to medical professionals performing complex processes. These process models represent both normative and non-normative situations, and are validated by rigorous automated techniques such as model checking and fault tree analysis, in addition to careful review by experts. Context-aware Smart Checklists are then generated from the models, providing cognitive support during high-consequence surgical episodes. The approach is illustrated with a case study in cardiovascular surgery.