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A Comparative Process Mining Analysis of Road Trauma Patient Pathways

Author

Listed:
  • Robert Andrews

    (School of Information Systems, Queensland University of Technology (QUT), Brisbane 4000, Australia)

  • Moe T. Wynn

    (School of Information Systems, Queensland University of Technology (QUT), Brisbane 4000, Australia)

  • Kirsten Vallmuur

    (Centre for Healthcare Transformation, Australian Centre for Health Services Innovation (AusHSI), Queensland University of Technology (QUT), Brisbane 4059, Australia
    Jamieson Trauma Institute, Royal Brisbane and Women’s Hospital, Metro North Hospital and Health Service, Brisbane 4029, Australia)

  • Arthur H. M. ter Hofstede

    (School of Information Systems, Queensland University of Technology (QUT), Brisbane 4000, Australia)

  • Emma Bosley

    (Queensland Ambulance Service (QAS), Brisbane 4034, Australia)

Abstract

In this paper we report on key findings and lessons from a process mining case study conducted to analyse transport pathways discovered across the time-critical phase of pre-hospital care for persons involved in road traffic crashes in Queensland (Australia). In this study, a case is defined as being an individual patient’s journey from roadside to definitive care. We describe challenges in constructing an event log from source data provided by emergency services and hospitals, including record linkage (no standard patient identifier), and constructing a unified view of response, retrieval, transport and pre-hospital care from interleaving processes of the individual service providers. We analyse three separate cohorts of patients according to their degree of interaction with Queensland Health’s hospital system (C1: no transport required, C2: transported but no Queensland Health hospital, C3: transported and hospitalisation). Variant analysis and subsequent process modelling show high levels of variance in each cohort resulting from a combination of data collection, data linkage and actual differences in process execution. For Cohort 3, automated process modelling generated ’spaghetti’ models. Expert-guided editing resulted in readable models with acceptable fitness, which were used for process analysis. We also conduct a comparative performance analysis of transport segment based on hospital ‘remoteness’. With regard to the field of process mining, we reach various conclusions including (i) in a complex domain, the current crop of automated process algorithms do not generate readable models, however, (ii) such models provide a starting point for expert-guided editing of models (where the tool allows) which can yield models that have acceptable quality and are readable by domain experts, (iii) process improvement opportunities were largely suggested by domain experts (after reviewing analysis results) rather than being directly derived by process mining tools, meaning that the field needs to become more prescriptive (automated derivation of improvement opportunities).

Suggested Citation

  • Robert Andrews & Moe T. Wynn & Kirsten Vallmuur & Arthur H. M. ter Hofstede & Emma Bosley, 2020. "A Comparative Process Mining Analysis of Road Trauma Patient Pathways," IJERPH, MDPI, vol. 17(10), pages 1-22, May.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3426-:d:358146
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    References listed on IDEAS

    as
    1. Peyman Badakhshan & Ahmad Alibabaei, 2020. "Using Process Mining for Process Analysis Improvement in Pre-hospital Emergency," Lecture Notes in Information Systems and Organization, in: Youcef Baghdadi & Antoine Harfouche & Marta Musso (ed.), ICT for an Inclusive World, pages 567-580, Springer.
    2. Robert Andrews & Moe T. Wynn & Kirsten Vallmuur & Arthur H. M. ter Hofstede & Emma Bosley & Mark Elcock & Stephen Rashford, 2019. "Leveraging Data Quality to Better Prepare for Process Mining: An Approach Illustrated Through Analysing Road Trauma Pre-Hospital Retrieval and Transport Processes in Queensland," IJERPH, MDPI, vol. 16(7), pages 1-25, March.
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