Abstract
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.
Highlights
The development of procedural skills is critical for physicians of any specialty
We propose a novel use of process mining techniques in order to complement the tailored feedback of surgical procedures using a process perspective
To the best of our knowledge, this is the first application of process mining for providing structured feedback in procedural training
Summary
We propose a novel method for applying process mining techniques to identify desired and undesired process patterns regarding rework, order, and performance, in order to complement the tailored feedback of surgical procedures using a process perspective. We illustrate how this method can be applied to provide feedback to students of ultrasound-guided Central Venous Catheter placement training. Our main research goal is to propose how process mining can be used to identify desired/undesired process patterns as part of the tailored feedback on medical procedural training. It can be broken down into specific objectives: O1: To identify desired/undesired process patterns regarding rework.
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