ArticleBMC medical informatics and decision making2017
A meta-model for computer executable dynamic clinical safety checklists.
Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Implementation of a Business Process Model and Notation for Modeling Patient Health Care Trajectories: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Design and application of an enteral nutrition nursing checklist based on whole-course nutrition management in critically ill neurological patients.Frontiers in nutrition · 2026Article
- Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review.International journal of environmental research and public health · 2023Review
- Quality Improvement in the Preoperative Evaluation: Accuracy of an Automated Clinical Decision Support System to Calculate CHAMedicina (Kaunas, Lithuania) · 2022Article
- Digital Cognitive Aids to Support Adaptation of Surgical Processes to COVID-19 Protective Policies.IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA) · 2020Article
- Toward Improving Surgical Outcomes by Incorporating Cognitive Load Measurement into Process-Driven Guidance.Software Engineering in Healthcare Systems (SEHS), IEEE/ACM International Workshop on · 2018Article
- Process Driven Guidance for Complex Surgical Procedures.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundSafety checklist is a type of cognitive tool enforcing short term memory of medical workers with the purpose of reducing medical errors caused by overlook and ignorance. To facilitate the daily use of safety checklists, computerized systems embedded in the clinical workflow and adapted to patient-context are increasingly developed. However, the current hard-coded approach of implementing checklists in these systems increase the cognitive efforts of clinical experts and coding efforts for informaticists. This is due to the lack of a formal representation format that is both understandable by clinical experts and executable by computer programs.
methodsWe developed a dynamic checklist meta-model with a three-step approach. Dynamic checklist modeling requirements were extracted by performing a domain analysis. Then, existing modeling approaches and tools were investigated with the purpose of reusing these languages. Finally, the meta-model was developed by eliciting domain concepts and their hierarchies. The feasibility of using the meta-model was validated by two case studies. The meta-model was mapped to specific modeling languages according to the requirements of hospitals.
resultsUsing the proposed meta-model, a comprehensive coronary artery bypass graft peri-operative checklist set and a percutaneous coronary intervention peri-operative checklist set have been developed in a Dutch hospital and a Chinese hospital, respectively. The result shows that it is feasible to use the meta-model to facilitate the modeling and execution of dynamic checklists.
conclusionsWe proposed a novel meta-model for the dynamic checklist with the purpose of facilitating creating dynamic checklists. The meta-model is a framework of reusing existing modeling languages and tools to model dynamic checklists. The feasibility of using the meta-model is validated by implementing a use case in the system.
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