Design and Definition of a New Decision Support System Aimed to the Hierarchization of Patients Candidate to Be Admitted to Intensive Care Units

被引:4
作者
Casal-Guisande, Manuel [1 ]
Comesana-Campos, Alberto [1 ]
Cerqueiro-Pequeno, Jorge [1 ]
Bouza-Rodriguez, Jose-Benito [1 ]
机构
[1] Univ Vigo, Dept Design Engn, Vigo 36208, Spain
关键词
catastrophe medicine; intensive care unit; medical decision-making; triage; hierarchization; vague fuzzy set; MANAGEMENT;
D O I
10.3390/healthcare10030587
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The triage processes prior to the assignation of healthcare resources in hospitals are some of the decision-making processes that more severely affect patients. This effect gets even worse in health emergency situations and intensive care units (ICUs). Aiming to facilitate the decision-making process, in this work the use of vague fuzzy numbers is proposed, aiming to define a multi-attribute patient hierarchization method to be used in emergency situations at hospital ICUs. The incorporation of fuzzy models allows for modelling the vagueness and uncertainty associated with decision criteria evaluation, with which more efficient support is provided to the decision-making process. After defining the methodology, the effectiveness of this new system for patient hierarchization is shown in a case study. As a consequence of that, it is proved that the integration of decision-support systems into healthcare environments results to be efficient and productive, suggesting that if a part of the decision process is supported by these systems, then the errors associated with wrong interpretations and/or diagnoses might be reduced.
引用
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页数:14
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