Development of the method for checking the flowcharts of medical algorithms

Authors

  • Алексей Георгиевич Дубинский State Establishment "Dnipropetrovsk Medical Academy", 49044, Dnipropetrovsk, Dzerzhinsky str., 9, Ukraine https://orcid.org/0000-0001-8536-1603
  • Олег Алексеевич Хорольский State Establishment "Dnipropetrovsk Medical Academy", 49044, Dnipropetrovsk, Dzerzhinsky str., 9, Ukraine https://orcid.org/0000-0001-6667-6562

DOI:

https://doi.org/10.15587/2312-8372.2016.66444

Keywords:

algorithm, standard, flowchart, clinical protocols, clinical guidelines

Abstract

This paper is about the using of the information technologies in medicine for ensuring the unambiguity and reliability of the algorithms of doctor's actions in the stages of diagnosis and therapy. The main goal of this work is development of the method for errors detection in the flowcharts of medical algorithms. The error is an any record or figure drawing, which do not correspond to the requirements of existing national and international standards (ISO 5807-85 etc.) for denoting flowchart algorithms.

We developed the algorithm for check-up flowcharts. The executor of the algorithm will check the strict implementation of the standard requirements for the blocks and links in the flowchart. In addition, the algorithm provides text checking. If there are detected the phrases specific for the other types of blocks, such blocks and texts require additional analysis.

The developed method allows systematizing the detection of common errors in flowcharts. Any employee who has a higher education can perform this method. We tested the method with the group of medical students. A case of errors finding in the flowchart from the clinical guideline «Psoriasis and psoriatic arthritis» is given.

The results of this papers will be used in the public discussion stage of the new medical and technological documents on medical care standardization as well as at stage of reviewing for updating the documents, that are scheduled every five years for the documents accepted in the registry.

Author Biographies

Алексей Георгиевич Дубинский, State Establishment "Dnipropetrovsk Medical Academy", 49044, Dnipropetrovsk, Dzerzhinsky str., 9

Candidate of Technical Sciences, Associate Professor

Department of Medical-biological Physics and Informatics

Олег Алексеевич Хорольский, State Establishment "Dnipropetrovsk Medical Academy", 49044, Dnipropetrovsk, Dzerzhinsky str., 9

Laboratory assistant

Department of Biochemistry Medical and Pharmaceutical Chemistry

References

  1. Yarosh, N. P., Lupei-Tkach, S. I. (2012). Suchasnyi stan, problemy standartyzatsii medychnoi dopomohy ta shliakhy yikh vyrishennia v umovakh reformuvannia systemy okhorony zdorovia Ukrainy. Ukraina. Zdorovia natsii, 1, 95–100.
  2. Blikhar, V. Ye. et al. (2010). Analiz medyko-tekhnolohichnykh dokumentiv zi standartyzatsii medychnoi dopomohy ta obgruntuvannia shliakhiv yikh udoskonalennia. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy, 4, 72–80.
  3. Dubinskii, A. G., Horol'skii, O. A. (2013). Graficheskaia vizualizatsiia meditsinskih algoritmov diagnostiki i lecheniia. 15 Mizhnarodna naukovo-tekhnichna konferentsiia SAIT 2013 «Systemnyi analiz ta informatsiini tekhnolohii». Kyiv: NNK «IPSA» NTUU «KPI».
  4. Samwald, M., Fehre, K., de Bruin, J., Adlassnig, K.-P. (2012, August). The Arden Syntax standard for clinical decision support: Experiences and directions. Journal of Biomedical Informatics, Vol. 45, № 4, 711–718. doi:10.1016/j.jbi.2012.02.001
  5. Peleg, M. et al. (2000). GLIF3: the evolution of a guideline representation format. Proc. of the AMIA Symposium. American Medical Informatics Association, 645–649.
  6. Parondzhanov, V. D. (2016). Zachem vrachu blok-shemy algoritmov? Udobnyi sposob predstavleniia meditsinskih znanii i predotvrashcheniia vrachebnyh oshibok. Algoritmy dlia effektivnogo klinicheskogo myshleniia. Moscow: Preprint, 219. Available: http://drakon.su/_media/16._zachem_vrachu_2016_17_glav_127_risunkov_219_str_literat_200.pdf
  7. Litvinov, V. V., Bogdan, I. V., Slivko, K. S. (2013). Instrumental'nye sredstva verifikatsii modelei programmnogo obespecheniia. Visnyk Chernihivskoho derzhavnoho tekhnolohichnoho universytetu. Seriia: Tekhnichni nauky, 2, 120–125.
  8. Buzovskii, O. V., Aleshchenko, A. V. (2015). Sistema verifikatsii graficheskih shem algoritmov i generatsii programmnyh kodov. Problemy informatyzatsii ta upravlinnia, Vol. 2, № 50, 32–35.
  9. Pérez, B., Porres, I. (2010, August). Authoring and verification of clinical guidelines: A model driven approach. Journal of Biomedical Informatics, Vol. 43, № 4, 520–536. doi:10.1016/j.jbi.2010.02.009
  10. Bottrighi, A., Giordano, L., Molino, G., Montani, S., Terenziani, P., Torchio, M. (2010, January). Adopting model checking techniques for clinical guidelines verification. Artificial Intelligence in Medicine, Vol. 48, № 1, 1–19. doi:10.1016/j.artmed.2009.09.003
  11. Dubinskii, A. G., Horol'skii, O. A. (2016). Metod proverki blok-shem meditsinskih algoritmov. Materialy mezhdunarodnoi nauchno-tehnicheskoi konferentsii «Informatsionnye tehnologii v metallurgii i mashinostroenii». Dnepropetrovsk: NMetAU. Available: http://nmetau.edu.ua/file/itmm_2016_program.pdf
  12. Adaptirovannoe klinicheskoe rukovodstvo, osnovannoe na dokazatel'stvah «Psoriaz, vkliuchaia psoriaticheskie artropatii». Order of the Ministry of Health of Ukraine from 20.11.2015 № 762. Available: http://www.dec.gov.ua/mtd/reestr_r.html

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Published

2016-03-29

How to Cite

Дубинский, А. Г., & Хорольский, О. А. (2016). Development of the method for checking the flowcharts of medical algorithms. Technology Audit and Production Reserves, 2(2(28), 16–20. https://doi.org/10.15587/2312-8372.2016.66444

Issue

Vol. 2 No. 2(28) (2016): Information technologies. Mathematical modeling

Section

Information Technologies: Original Research

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Copyright (c) 2016 Алексей Георгиевич Дубинский, Олег Алексеевич Хорольский

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