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利用数据驱动的流程模拟为医疗保健提供能力管理决策支持。

Supporting capacity management decisions in healthcare using data-driven process simulation.

机构信息

Hasselt University, Research group Business Informatics, Martelarenlaan 42, 3500 Hasselt, Belgium.

Hasselt University, Research group Business Informatics, Martelarenlaan 42, 3500 Hasselt, Belgium; Research Foundation Flanders (FWO), Egmontstraat 5, 1000 Brussels, Belgium.

出版信息

J Biomed Inform. 2022 May;129:104060. doi: 10.1016/j.jbi.2022.104060. Epub 2022 Mar 31.

Abstract

Healthcare managers are confronted with various Capacity Management decisions to determine appropriate levels of resources such as equipment and staff. Given the significant impact of these decisions, they should be taken with great care. The increasing amount of process execution data - i.e. event logs - stored in Hospital Information Systems (HIS) can be leveraged using Data-Driven Process Simulation (DDPS), an emerging field of Process Mining, to provide decision-support information to healthcare managers. While existing research on DDPS mainly focuses on the fully automated discovery of simulation models from event logs, the interaction between process execution data and domain expertise has received little attention. Nevertheless, data quality issues in real-life process execution data stored in HIS prevent the discovery of accurate and reliable models from this data. Therefore, complementary information from domain experts is necessary. In this paper, we describe the application of DDPS in healthcare by means of an extensive real-life case study at the radiology department of a Belgium hospital. In addition to formulating our recommendations towards the radiology management, we will elaborate on the experienced challenges and formulate recommendations to move research on DDPS within a healthcare context forward. In this respect, explicit attention is attributed to data quality assessment, as well as the interaction between the use of process execution data and domain expertise.

摘要

医疗保健管理人员面临着各种能力管理决策,以确定设备和人员等资源的适当水平。鉴于这些决策的重大影响,应慎重作出这些决策。存储在医院信息系统 (HIS) 中的大量流程执行数据(即事件日志)可以利用数据驱动的流程模拟 (DDPS) 加以利用,这是流程挖掘领域的一个新兴领域,可以向医疗保健管理人员提供决策支持信息。虽然现有的 DDPS 研究主要集中在从事件日志中自动发现模拟模型,但流程执行数据和领域专业知识之间的交互作用却很少受到关注。然而,存储在 HIS 中的实际流程执行数据中的数据质量问题会阻止从这些数据中发现准确可靠的模型。因此,需要来自领域专家的补充信息。在本文中,我们通过比利时一家医院放射科的广泛实际案例研究来描述 DDPS 在医疗保健中的应用。除了为放射科管理制定建议外,我们还将详细阐述所经历的挑战,并提出建议,以推动医疗保健背景下的 DDPS 研究向前发展。在这方面,明确关注数据质量评估,以及使用流程执行数据和领域专业知识之间的交互作用。

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