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
收藏
页数:14
相关论文
共 50 条
[41]   Challenges nurses experienced in caring for patients with COVID-19 admitted to the Intensive Care Units: A Qualitative Study [J].
Rad, Mojtaba ;
Fallahi-Khoshknab, Masoud ;
Mohammadi-Shahboulaghi, Farahnaz ;
Nourozi, Kian ;
Khankeh, Hamid Reza .
NURSING AND MIDWIFERY STUDIES, 2023, 12 (03) :173-180
[42]   Accuracy of D-dimer:fibrinogen ratio to diagnose pulmonary thromboembolism in patients admitted to intensive care units [J].
Hajsadeghi, Shokoufeh ;
Kerman, Scott R. ;
Khojandi, Mojtaba ;
Vaferi, Helen ;
Ramezani, Roza ;
Jourshari, Negar M. ;
Mousavi, Sayyed A. J. ;
Pouraliakbar, Hamidezar .
CARDIOVASCULAR JOURNAL OF AFRICA, 2012, 23 (08) :446-450
[43]   Outcomes for Mechanically Ventilated Patients With Acute Myocardial Infarction Admitted to Medical vs Cardiac Intensive Care Units [J].
Shahu, Andi ;
Namburar, Sathvik ;
Banna, Soumya ;
Harris, Alyssa ;
Schenck, Christopher ;
Trejo-Paredes, Camila ;
Thomas, Alexander ;
Ali, Tariq ;
Carnicelli, Anthony P. ;
Barnett, Christopher F. ;
Solomon, Michael A. ;
Miller, P. Elliott .
JACC-ADVANCES, 2024, 3 (09)
[44]   The effects of hypomagnesemia on delirium in middle-aged and older adult patients admitted to medical intensive care units [J].
Kim, Joong-Yub ;
Lee, Hyo Jin ;
Lee, Hong Yeul ;
Lee, Sang-Min ;
Lee, Jinwoo ;
Park, Tae Yun .
ACUTE AND CRITICAL CARE, 2022, 37 (03) :407-414
[45]   Molecular Characterization of Influenza Strains in Patients Admitted to Intensive Care Units during the 2017-2018 Season [J].
Piralla, Antonio ;
Pariani, Elena ;
Giardina, Federica ;
Galli, Cristina ;
Sapia, Davide ;
Pellegrinelli, Laura ;
Novazzi, Federica ;
Anselmi, Giovanni ;
Rovida, Francesca ;
Mojoli, Francesco ;
Cereda, Danilo ;
Senatore, Sabrina ;
Baldanti, Fausto .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2019, 20 (11)
[46]   Developing a decision support system for geriatric patients in prehospital care [J].
Vicente, Veronica ;
Sjostrand, Fredrik ;
Sundstrom, Birgitta W. ;
Svensson, Leif ;
Castren, Maaret .
EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2013, 20 (04) :240-247
[47]   Clinical outcomes of cardiogenic shock among critically ill patients admitted to intensive care units in Australia and New Zealand from 2003 to 2022 [J].
Al-Bassam, Wisam ;
Noaman, Samer ;
Kumar, Rahul ;
Glassford, Neil ;
Jones, Daryl ;
Jones, Carys ;
Chan, William ;
Kaye, David M. ;
Pilcher, David ;
Bellomo, Rinaldo ;
Shehabi, Yehya ;
Neto, Ary Serpa .
JOURNAL OF CRITICAL CARE, 2025, 86
[48]   Six-month mortality and functional outcomes in aneurysmal sub-arachnoid haemorrhage patients admitted to intensive care units in Australia and New Zealand: A prospective cohort study [J].
Udy, Andrew .
JOURNAL OF CLINICAL NEUROSCIENCE, 2020, 80 :92-99
[49]   Application of the new Sepsis-3 definition in a cohort of patients with severe sepsis and septic shock admitted to Intensive Care Unit from the Emergency Department [J].
Garcia-Gigorro, Renata ;
Molina-Collado, Zaira ;
Saez-de la Fuente, Ignacio ;
Angel Sanchez-Izquierdo, Jose ;
Montejo Gonzalez, Juan Carlos .
MEDICINA CLINICA, 2019, 152 (01) :13-16
[50]   The Effect of Using Communication Boards on Ease of Communication and Anxiety in Mechanically Ventilated Conscious Patients Admitted to Intensive Care Units [J].
Hosseini, Seyede-Roghayeh ;
Valizad-Hasanloei, Mohammad-Amin ;
Feizi, Aram .
IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH, 2018, 23 (05) :358-362