Browsing by Author "de la Fuente, Rene"

Now showing 1 - 4 of 4
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    Biomarkers as predictors of renal damage in neonates undergoing cardiac surgery
    (SAGE PUBLICATIONS LTD, 2020) Borchert, Evelyn; de la Fuente, Rene; Guzman, Ana Maria; Gonzalez, Katia; Rolle, Augusto; Morales, Karina; Gonzalez, Rodrigo; Jalil, Roberto; Lema, Guillermo
    Background:
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    Process-oriented metrics to provide feedback and assess the performance of students who are learning surgical procedures: The percutaneous dilatational tracheostomy case
    (TAYLOR & FRANCIS LTD, 2022) Jose Martinez, Juan; Galvez-Yanjari, Victor; de la Fuente, Rene; Kychenthal, Catalina; Kattan, Eduardo; Bravo, Sebastian; Munoz-Gama, Jorge; Sepulveda, Marcos
    Purpose Assessing competency in surgical procedures is key for instructors to distinguish whether a resident is qualified to perform them on patients. Currently, assessment techniques do not always focus on providing feedback about the order in which the activities need to be performed. In this research, using a Process Mining approach, process-oriented metrics are proposed to assess the training of residents in a Percutaneous Dilatational Tracheostomy (PDT) simulator, identifying the critical points in the execution of the surgical process. Materials and methods A reference process model of the procedure was defined, and video recordings of student training sessions in the PDT simulator were collected and tagged to generate event logs. Three process-oriented metrics were proposed to assess the performance of the residents in training. Results Although the students were proficient in classic metrics, they did not reach the optimum in process-oriented metrics. Only in 25% of the stages the optimum was achieved in the last session. In these stages, the four more challenging activities were also identified, which account for 32% of the process-oriented metrics errors. Conclusions Process-oriented metrics offer a new perspective on surgical procedures performance, providing a more granular perspective, which enables a more specific and actionable feedback for both students and instructors.
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    ProDeM: A Process-Oriented Delphi Method for systematic asynchronous and consensual surgical process modelling
    (ELSEVIER, 2023) Gonzalez-Lopez, Fernanda; Martin, Niels; de la Fuente, Rene; Galvez-Yanjari, Victor; Guzman, Javiera; Kattan, Eduardo; Sepulveda, Marcos; Muñoz Gama, Jorge
    Surgical process models support improving healthcare provision by facilitating communication and reasoning about processes in the medical domain. Modelling surgical processes is challenging as it requires integrating information that might be fragmented, scattered, and not process-oriented. These challenges can be faced by involving healthcare domain experts during process modelling. This paper presents ProDeM: a novel ProcessOriented Delphi Method for the systematic, asynchronous, and consensual modelling of surgical processes. ProDeM is an adaptable and flexible method that acknowledges that: (i) domain experts have busy calendars and might be geographically dispersed, and (ii) various elements of the process model need to be assessed to ensure model quality. The contribution of the paper is twofold as it outlines ProDeM, but also demonstrates its operationalisation in the context of a well-known surgical process. Besides showing the method's feasibility in practice, we also present an evaluation of the method by the experts involved in the demonstration.
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    Understanding Undesired Procedural Behavior in Surgical Training: The Instructor Perspective
    (SPRINGER INTERNATIONAL PUBLISHING AG, 2019) Galvez, Victor; Meneses, Cesar; Fagalde, Gonzalo; Munoz Gama, Jorge; Sepulveda, Marcos; Fuentes, Ricardo; de la Fuente, Rene; DiFrancescomarino, C; Dijkman, R; Zdun, U
    In recent years, a new approach to incorporate the process perspective in the surgical procedural training through Process Mining has been proposed. In this approach, training executions are recorded, to later generate end-to-end process models for the students, describing their execution. Although those end-to-end models are useful for the students, they do not fully capture the needs of the instructors of the training programs. This article proposes a taxonomy of activities for surgical process models, analyzes the specific questions instructors have about the student execution and their undesired procedural behavior, and proposes the Procedural Behavior Instrument, an instrument to answer them in an easy-to-interpret way. A real case was used to test the approach, and a preliminary validity was developed by a medical expert.