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Applied Topicmapping
Derek Hoy
Research Fellow
School of Nursing and Community Health
Glasgow Caledonian University
[email protected]
1
Knowledge base example
•
•
Healthcare Associated Infections
for the NHS in Scotland (Property & Estates)
3
Design problem
• many, diverse sources
• variable quality
4
Meeting the requirement
•
•
•
user roles
levels of authority in sources
navigating the knowledge
5
User roles
clinical
soft facilities management
patients
visitors
clinical staff
labs, etc
strategic management
service
planning
politicians
service
managers
waste mgt
cleaning
hard facilities management
estates
engineering
design
building
6
Quality of sources
codes of practice, regulations,
policy manuals…
0
guidelines, best practice …
1
peer-reviewed journals …
2
unfiltered content …
3
7
Top level organisers
content maps
sources
8
Content maps
Exogenous
Hand
Equipment
Building surfaces
Routes of spread
Environmental
Air-borne contamination
Water-borne contamination
Pests
Cross infection
Sterilisation
Disinfection
Prevention
Cleaning
Hand washing
Waste management
Organisms
9
Content map: Handwashing
Routine
Aseptic
Surgical
Technique
Rationale
Agents
Hand washing
Sinks
Skin care
Compliance
Staff/carer issues
Equipment/services
Taps
Cleaning
Waste
10
Example Domain Topic Map
This is an early draft based on a small initial scan of source documents.
Organism
(MRSA)
(HIV)
Time
Regulatory body
Cleaning
(Auditor General Scotland)
Professional association
Hand washing
Infection control intervention
(APIC)
Organisation
Individual level act
Government
Aministrative structure
Sterilization
(World Health Organization)
(NHS trust)
FM
Act
Service
(Organization
level act)
Waste management
Policy development
Facility
Staffing
Structure
(abstract and
concrete)
Strategic planning
Process
Barrier practice
Infection control during
construction
Device
Gowns
needs more structure for eg
mech vent, surfaces, cleaning agents
Masks
Standard
Guideline
Infection control
guideline
Infection control
Policy
Practice
Patient isolation
Artifact
Standard additional contact droplet
and airborne precautions
Infectious disease
Hospital
Gloves
Governance structure
HAI topic map
Disease
Plan
Principle
Pathological process
Legislation
Infection control management plan
Infection control programme
Infection control principle
Recommendation
Infection
Needle stick injury
Country
Adverse event
Geographical structure
Town
Done by
(USA)
(Australia)
(Brisbane)
(Edinburgh)
Decided by
Planned by
Setting
Designed by
Managed by
Happens at
Happens in
Associations
scopes
Scope of practice
Role
Has organism
Day care center
Child health
Aged care
Cleaner
Prevented by
Caused by
Healthcare setting
Person
Manager
Infection control practitioner
Professional in the construction industry
more structure:
- clinical
- soft_FM
- hard_FM
11
Ontology
topic map
type
procedure
device
setting
hand
hygiene
sterilisation
…
instances
cleaning
agent
gloves
…
home
training
…
uses equipment
done in setting
12
topic map
web server
topic map
application
software
player
classes
+
web page templates
task
theme
pefex
nes
1
…
2
…
guidance
training
instances
player has task
…
task has theme
Tools:
• Protégé/TMTab editor
• Tomcat
• TM4J engine
• Velocity
user
13
demo
•
•
•
Protégé editor
HAI Knowledge Base
SEHD IM&T Strategy
Lessons learnt: ontologies
•
large, ‘freeform’ concept map
– suits editor (eg Protégé)
– change management?
•
small, typed
– large number of instances
– constraints required
– easier for user editing
•
application specific v ‘pure’
20
TopicResource
(MRSA)
Organism
(HIV)
Time
Regulatory body
(APIC)
Organisation
Basic hand wash
Hand hygiene for
theatre and
invasive
procedures
(Auditor General Scotland)
Professional association
Cleaning
Government
Aministrative structure
Antiseptic hand hygiene
Hand hygiene
(World Health Organization)
Individual level act"procedure"
(NHS trust)
Environment
Hospital
Home care hand hygiene
Gloves
Act
Infection control intervention
Apron, gown, footwear
Sterilization
Mask, eye protection, face shield
FM
Waste management
Policy development
Patient care equipment
Service
(Organization
level act)
Linen
Wash hand basins
Taps
Staffing
Strategic planning
Device
Process
Barrier practice
Infection control during
construction
Structure
(abstract and
concrete)
Infection control
Patient isolation
Artifact
Dispensers
HAI topic map
Soap dispensers
Hand cream dispensers
Audit
Disease
Guideline
Standard
Pathological process
Infection
Blood and body fluid spillage
Disposal bins
Skin care products
Patient placement
Needle stick injury
Alcohol hand gel
Waste disposal equipment
Practice
Skin care
Infectious disease
Liquid soap
Cleaning agents
Occupational exposure prevention
Standard additional contact droplet
and airborne precautions
Mixer taps
Hand towels
Policy
Governance structure
Adverse event
Plan
Legislation
Infection control management plan
Infection control programme
Infection control principle
Principle
Recommendation
Done by
Decided by
Geographical structure
Designed by
Managed by
Happens at
(USA)
Country
Planned by
Town
Associations
Happens in
Waste product
Prevented by
(Australia)
(Brisbane)
(Edinburgh)
Clinical waste
Caused by
Has organism
Setting
Standard precautions
Atkins' project lifecycle
Organiser
scopes
Healthcare setting
Scope of practice
Role
Day care center
Child health
Aged care
Cleaner
Person
Manager
Infection control practitioner
Professional in the construction industry
Infection control
guideline
more structure:
- clinical
- soft_FM
- hard_FM
Lessons learnt: techie stuff
•
•
•
constraints
scope
merging
22
Next steps
•
•
•
application as user interface for LOR?
(Spoken Word project)
TopicMaps + Wiki
TopiCat - managing multiple topic map
applications
23
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