ArticleApplied clinical informatics2018
Mapping the Flow of Pediatric Trauma Patients Using Process Mining.
Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical and operational insights from data-driven care pathway mapping: a systematic review.BMC medical informatics and decision making · 2022Pooled it
- Pathways of Patients With Neurological Emergencies at Pediatric Emergency Department: A Process-Based Data Mining Study.European journal of neurology · 2026Article
- Characterization of Laboratory Flow and Performance for Process Improvements via Application of Process Mining.Applied clinical informatics · 2023Article
- Uncovering Discrepancies in IV Vancomycin Infusion Records between Pump Logs and EHR Documentation.Applied clinical informatics · 2022Article
- Examining Diurnal Differences in Multidisciplinary Care Teams at a Pediatric Trauma Center Using Electronic Health Record Data: Social Network Analysis.Journal of medical Internet research · 2022Article
- Development of a Nomogram Model to Predict in-Hospital Survival in Patients with Multiple Trauma.Computational and mathematical methods in medicine · 2022Article
- Scenario-Based Evaluation of Team Health Information Technology to Support Pediatric Trauma Care Transitions.Applied clinical informatics · 2022Article
- Review
- Utilization of Nursing Defect Management Evaluation and Deep Learning in Nursing Process Reengineering Optimization.Computational and mathematical methods in medicine · 2021Article
- A Comparative Process Mining Analysis of Road Trauma Patient Pathways.International journal of environmental research and public health · 2020Article
- Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.Applied ergonomics · 2020Article
- Information flow during pediatric trauma care transitions: things falling through the cracks.Internal and emergency medicine · 2019Article
- Evaluation of multidisciplinary collaboration in pediatric trauma care using EHR data.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Physician Perceptions of the Electronic Problem List in Pediatric Trauma Care.Applied clinical informatics · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundInhospital pediatric trauma care typically spans multiple locations, which influences the use of resources, that could be improved by gaining a better understanding of the inhospital flow of patients and identifying opportunities for improvement.
objectivesTo describe a process mining approach for mapping the inhospital flow of pediatric trauma patients, to identify and characterize the major patient pathways and care transitions, and to identify opportunities for patient flow and triage improvement.
methodsFrom the trauma registry of a level I pediatric trauma center, data were extracted regarding the two highest trauma activation levels, Alpha (
resultsThe process map for the cohort was similar to a validated process map derived through qualitative methods. The process map for Bravo encounters had a relatively low fitness of 0.887, and 96 (5.6%) encounters were identified as nonconforming with characteristics comparable to Alpha encounters. In total, 28 patient pathways and 20 care transitions were identified. The top five patient pathways were traversed by 92.1% of patients, whereas the top five care transitions accounted for 87.5% of all care transitions. A larger-than-expected number of discharges from the pediatric intensive care unit (PICU) were identified, with 84.2% involving discharge to home without the need for home care services.
conclusionProcess mining was successfully applied to derive process maps from trauma registry data and to identify opportunities for trauma triage improvement and optimization of PICU use.
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