University of Leeds, UK; Telkom University, Indonesia.
Pontificia Universidad Catolica de Chile, Chile.
Health Informatics J. 2019 Dec;25(4):1878-1893. doi: 10.1177/1460458218810760. Epub 2018 Nov 29.
There is a growing body of literature on process mining in healthcare. Process mining of electronic health record systems could give benefit into better understanding of the actual processes happened in the patient treatment, from the event log of the hospital information system. Researchers report issues of data access approval, anonymisation constraints, and data quality. One solution to progress methodology development is to use a high-quality, freely available research dataset such as Medical Information Mart for Intensive Care III, a critical care database which contains the records of 46,520 intensive care unit patients over 12 years. Our article aims to (1) explore data quality issues for healthcare process mining using Medical Information Mart for Intensive Care III, (2) provide a structured assessment of Medical Information Mart for Intensive Care III data quality and challenge for process mining, and (3) provide a worked example of cancer treatment as a case study of process mining using Medical Information Mart for Intensive Care III to illustrate an approach and solution to data quality challenges. The electronic health record software was upgraded partway through the period over which data was collected and we use this event to explore the link between electronic health record system design and resulting process models.
越来越多的文献关注医疗保健领域的流程挖掘。通过对电子健康记录系统进行流程挖掘,可以从医院信息系统的事件日志中,更好地了解患者治疗过程中的实际情况。研究人员报告了数据访问批准、匿名限制和数据质量等问题。推进方法开发的一个解决方案是使用高质量、免费的研究数据集,例如 Medical Information Mart for Intensive Care III,这是一个重症监护数据库,其中包含了 12 年中 46520 名重症监护病房患者的记录。我们的文章旨在:(1)使用 Medical Information Mart for Intensive Care III 探索医疗保健流程挖掘中的数据质量问题;(2)对 Medical Information Mart for Intensive Care III 数据质量和流程挖掘挑战进行结构化评估;(3)提供癌症治疗的示例作为使用 Medical Information Mart for Intensive Care III 进行流程挖掘的案例研究,以说明解决数据质量挑战的方法和解决方案。电子健康记录软件在数据收集期间的中途进行了升级,我们利用这一事件来探索电子健康记录系统设计与最终流程模型之间的联系。