Using a ChatBot to support clinical decision-making in free flap monitoring

Abstract

Flap monitoring charts and escalation protocols are ubiquitous amongst microsurgical departments and can facilitate converting flap observations into flap monitoring decisions. However, human factors in the recognition-communication process of decision-making still pose a threat to timely intervention and thus are a key determinant of success in microvascular surgery. Digitally transforming paper-based pathways may facilitate early recognition and escalation to potentially salvage a free flap with compromised vascularity. We describe the early adoption and use case of a ChatBot to support clinical decision-making support for free flap monitoring - the 'FlapBot'.

Keywords: Chatbot; Clinical decision support; Free flap; Monitoring; Protocol.