Managing complexity in pre-operative information management systems

  • Authors:
  • Matt-Mouley Bouamrane;Frances Mair;Cui Tao

  • Affiliations:
  • The University of Glasgow, Glasgow, United Kingdom;The University of Glasgow, Glasgow, United Kingdom;Mayo Clinic, Rochester, MN, USA

  • Venue:
  • Proceedings of the first international workshop on Managing interoperability and complexity in health systems
  • Year:
  • 2011

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Abstract

Preoperative assessment is composed of a set of clinical investigations that precede anaesthesia and surgery. Due to the vast scope of pre-operative assessment, the clinical domain knowledge potentially relevant for assessment is virtually limitless. For this reason, a generic preoperative assessment has traditionally focused on identifying common allergies, cardiovascular and respiratory risks and pre-empting potential airway complications, such as difficult intubation during anaesthesia. Complex surgical procedures may require additional precautions or even have separate specific pre-operative protocols. This article contributes to a review of the layers of knowledge management complexity within preoperative assessment processes which -- although often approached from a clinical perspective have seldom been addressed specifically from an information elucidation and knowledge management perspective.