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Delphi Method to Achieve Clinical Consensus for a BPMN Representation of the Central Venous Access Placement for Training Purposes
Indexado
WoS WOS:000542629600142
Scopus SCOPUS_ID:85085884496
DOI 10.3390/IJERPH17113889
Año 2020
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Proper teaching of the technical skills necessary to perform a medical procedure begins with its breakdown into its constituent steps. Currently available methodologies require substantial resources and their results may be biased. Therefore, it is difficult to generate the necessary breakdown capable of supporting a procedural curriculum. The aim of our work was to breakdown the steps required for ultrasound guided Central Venous Catheter (CVC) placement and represent this procedure graphically using the standard BPMN notation. Methods: We performed the first breakdown based on the activities defined in validated evaluation checklists, which were then graphically represented in BPMN. In order to establish clinical consensus, we used the Delphi method by conducting an online survey in which experts were asked to score the suitability of the proposed activities and eventually propose new activities. Results: Surveys were answered by 13 experts from three medical specialties and eight different institutions in two rounds. The final model included 28 activities proposed in the initial model and four new activities proposed by the experts; seven activities from the initial model were excluded. Conclusions: The proposed methodology proved to be simple and effective, generating a graphic representation to represent activities, decision points, and alternative paths. This approach is complementary to more classical representations for the development of a solid knowledge base that allows the standardization of medical procedures for teaching purposes.

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Disciplinas de Investigación



WOS
Public, Environmental & Occupational Health
Environmental Sciences
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 DE LA FUENTE-SANHUEZA, RENE Hombre Pontificia Universidad Católica de Chile - Chile
1 Fuente, Rene de la Hombre Pontificia Universidad Católica de Chile - Chile
2 FUENTES-HENRIQUEZ, RICARDO SERGIO Hombre Pontificia Universidad Católica de Chile - Chile
3 Munoz-Gama, Jorge Hombre Pontificia Universidad Católica de Chile - Chile
4 Dagnino, Jorge Hombre Pontificia Universidad Católica de Chile - Chile
5 SEPULVEDA-FERNANDEZ, MARCOS ERNESTO Hombre Pontificia Universidad Católica de Chile - Chile

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Financiamiento



Fuente
CONICYT/FONDECYT
Fondo Nacional de Desarrollo Científico y Tecnológico
Comisión Nacional de Investigación Científica y Tecnológica
VRI-UC
VRI-UC INTERDISCIPLINA
FOND-DCC
REDI
CONICYT/REDI

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
The research was partially funded by VRI-UC INTERDISCIPLINA II170003, CONICYT/FONDECYT 11170092, CONICYT/FONDECYT 1181162, CONICYT/REDI 170136, and FOND-DCC 2017-0001.
The research was partially funded by VRI-UC INTERDISCIPLINA II170003, CONICYT/FONDECYT 11170092, CONICYT/FONDECYT 1181162, CONICYT/REDI 170136, and FOND-DCC 2017-0001.

Muestra la fuente de financiamiento declarada en la publicación.