Study on Self-Adaptive Clinical Pathway Decision Support System Based on Case-Based Reasoning
To regulate medical behavior, improve medical quality and reduce health-care costs, clinical pathway is served as a standard treating model for both reducing the sources and sticking to the principles of managing the quality, which has been adopted worldw
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Study on Self-Adaptive Clinical Pathway Decision Support System Based on Case-Based Reasoning Gang Qu, Zhe Liu, Shengnan Cui and Jiafu Tang
Abstract To regulate medical behavior, improve medical quality and reduce health-care costs, clinical pathway is served as a standard treating model for both reducing the sources and sticking to the principles of managing the quality, which has been adopted worldwide. Thus we introduce an artificial intelligence method to meet this need which complete origin system of self-adaptive clinical pathway based on some cases inducing, give the whole framework and procedures of working, realize several key managements. Take the classified files of clinical path and electrical medical records as the origin database. Meanwhile, regard the unimplemented clinical pathways and as new cases. Then the clinical pathway can be calculated by using the above self-adaptive system based on CBR. The results are of great importance when to examining the feasibility and effectiveness of the system, determine a flexible, self-adaptive clinical pathway in the treatment process.
Keywords Case-based reasoning (CBR) Clinical pathway (CP) Self-adaption Decision
G. Qu (&) Z. Liu J. Tang School of Business Administration, Northeastern University, Shenyang 110819, China e-mail: [email protected] G. Qu Xinhua Hospital Affiliated to Dalian University, Dalian 116000, China Z. Liu School of Medical Devices, Shenyang Pharmaceutical University, Shenyang 11016, China S. Cui School of Information Science and Engineering, Northeastern University, Shenyang 110819, China
S. Li et al. (eds.), Frontier and Future Development of Information Technology in Medicine and Education, Lecture Notes in Electrical Engineering 269, DOI: 10.1007/978-94-007-7618-0_95, Springer Science+Business Media Dordrecht 2014
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95.1 Introduction According to the definition of, foreign scholars like Coffey [3], Spath, Ibarra [2] as well as domestic scholars like Zhang Yin, Li Congdong. The clinical pathway is a method of organization and management which by medical experts and based on evidence-based medicine for the disease treatment, is to build a standard treatment mode and treatment programs, and is a integrated model for the clinical treatment. When implemented, clinical pathway is the guidance principles of the overall service planning documents with a sequence requirement and time list for the diagnosis and treatment of certain diseases. After that, the hospital can analyze and evaluate the differences of each patient, so that to specify individualized treatment plan. The fundamental purpose of the clinical pathway is to standardize medical behaviors, reduce variation, decrease costs, and improve health care quality and patient satisfaction, following the PDCA (Plan-Do-Check-Act-Cycle) circle of Deming. During the latest 30 years, the clinical pathway has been widely used in the United States, Europe and some developed countries in Asia, such as Hong Kong, Macao and Taiwan regions. Clinical data
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