Automatic generation of checklists from business process model and notation (BPMN) models for surgical assist systems

Claudia Ryniak,Oliver Burgert

doi:10.1515/cdbme-2020-0005

Claudia Ryniak, Oliver Burgert

Open Access

https://doi.org/10.1515/cdbme-2020-0005

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Abstract

Abstract Checklists are a valuable tool to ensure process quality and quality of care. To ensure proper integration in clinical processes, it would be desirable to generate checklists directly from formal process descriptions. Those checklists could also be used for user interaction in context-aware surgical assist systems. We built a tool to automatically convert Business Process Model and Notation (BPMN) process models to checklists displayed as HTML websites. Gateways representing decisions are mapped to checklist items that trigger dynamic content loading based on the placed checkmark. The usability of the resulting system was positively evaluated regarding comprehensibility and end-user friendliness.

Highlights

MotivationTo avoid adverse events during surgery, the use of checklists is suggested as a helpful tool
To derive checklists from Business Process Model and Notation (BPMN), we developed a schema for the transformation of BPMN elements to checklist items
We demonstrated that BPMN models representing surgical interventions could be automatically transformed into surgical checklists resulting in a more intuitive representation, especially for non-BPMN-experts

Summary

Motivation

To avoid adverse events during surgery, the use of checklists is suggested as a helpful tool. A system is developed that can automatically convert Business Process Model and Notation (BPMN) process models into dynamic checklists. A checklist is called a memory aid, which consists of a detailed list of tasks and during a specific process to be done. The Surgical Patient Safety System (SURPASS) was developed by the Academic Medical Center (AMC) to reduce the mortality rate and complications during surgery This checklist standardizes all procedures of a surgical process and defines responsibilities and specific controls. A three-phase methodology is proposed, in which hospitalinternal transfer processes are first designed and combined into workflows These are checked by machine and translated into a series of checklists that are intended to support hospital staff while maintaining the dependencies between different tasks. A guideline on how to model surgical procedures based on those standards can be found in [15]

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Discussion