Information Technology Reference
In-Depth Information
FCMs have been successfully used to develop Medical Decision Support Sys-
tems and here the general framework of Competitive FCM is used. In addition to
this, here a novel hybrid design methodology for FCM is applied that combines
the knowledge and experience of human experts along with information and biblio-
graphic data, in order to create a more efficient CFCM-MDSS.
The clinical decision support system based on CFCM for the 5-level ESI triage
scale was developed and presented in detail: it considers 22 factors and concludes to
one of the 5 ESI triage levels. The CFCM for ESI triage was tested using real patient
cases from the literature and the assessment results showed that it reached the cor-
rect triage decision. It is considered that the CFCM is an efficient modeling method
for the complex decision-making process of triage, and it is developed and evalu-
ated into an advanced CFCM-ESI system for the ED. This advanced CFCM-ESI,
following the designing methodology presented here, will take into consideration
more factors and will also interaction between factors, so that to create a generic in-
tegrated CFCM-MDSS. This CFCM-ESI was tested and its accuracy was compared
with the rating of experienced triage nurse. Further, comparison of CFCM-ESI to
the rates of undertriage and overtriage will be analyzed, in future work.
Acknowledgement.
This work is partially supported by the programme “Greece-Czech
Joint Research and Technology projects 2011-2013” of the General Secretariat of Research
& Development, Greek Ministry of Education, Lifelong Learning and Religious Affairs co-
financed by the Greece and the European Union.
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