Modelling Variations in Newborn Life Support Procedure Using Colored Petri Nets

Leva, Maria Chiara; Patelli, Edoardo; Podofillini, Luca; Wilson, Simon; Tan, Alfian; Remenyte-Prescott, Rasa; Valstar, Michel; Sharkey, Don

Abstract

This research is conducted to study variations in the Newborn Life Support procedure. This procedure follows an evidence-based protocol to resuscitate and stabilize newborn babies requiring assistance at birth. Errors and ineffective actions in this procedure may cause disability or even death of the baby. Therefore, a detailed understanding of variations in this procedure is essential. The Colored Petri Nets approach is applied to model the procedure. Its properties are used to describe the main steps of the procedure, their conditional rules, the required checks, and repetition of necessary steps. A Monte Carlo simulation of the Petri Nets model is used to observe the proportion of babies with unsatisfactory outcome. In-field data and literatures are used to determine the parameter values of the model. Some scenarios with variations relating to the maximum number of trials of respiratory procedure are implemented in the simulation. The results demonstrate that, for example, the higher the maximum limit of the standard ventilation trials is, the lower the proportion of babies with unsatisfactory condition becomes. This type of approach can be utilized to explore additional improvements in the way that the clinical procedure can be performed to enhance newborn care.

Citation

Leva, M. C., Patelli, E., Podofillini, L., Wilson, S., Tan, A., Remenyte-Prescott, R., …Sharkey, D. (2022). Modelling Variations in Newborn Life Support Procedure Using Colored Petri Nets. In M. Chiara Leva, E. Patelli, L. Podofillini, & S. Wilson (Eds.), Proceedings of the 32nd European Safety and Reliability Conference (ESREL 2022) (489-496). https://doi.org/10.3850/978-981-18-5183-4_R12-08-152-cd

• Conference Name: 32nd European Safety and Reliability Conference (ESREL 2022)
• Conference Location: Dublin, Ireland
• Start Date: Aug 28, 2022
• End Date: Sep 1, 2022
• Acceptance Date: Aug 28, 2022
• Publication Date: Sep 1, 2022
• Deposit Date: Nov 18, 2022
• Publicly Available Date: Nov 18, 2022
• Pages: 489-496
• Book Title: Proceedings of the 32nd European Safety and Reliability Conference (ESREL 2022)
• ISBN: 9789811851834
• DOI: https://doi.org/10.3850/978-981-18-5183-4_R12-08-152-cd
• Keywords: Newborn Life Support; Clinical Practice Variations; Colored Petri Nets; Simulation
• Public URL: https://nottingham-repository.worktribe.com/output/13753351
• Publisher URL: https://www.rpsonline.com.sg/proceedings/esrel2022/html/R12-08-152.xml
• Related Public URLs: https://www.esrel2022.com/