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Knowledge-based clinical pathway for medical quality improvement

机译:基于知识的医疗质量改善临床途径

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摘要

Clinical pathways have been adopted for various diseases in clinical departments for quality improvement as a result of standardization of medical activities in treatment process. Using knowledge-based decision support on the basisudof clinical pathways is a promising strategy to improveudmedical quality effectively. However, the clinical pathwayudknowledge has not been fully integrated into treatment process and thus cannot provide comprehensive support to the actual work practice. Therefore this paper proposes a knowledgebased clinical pathway management method which contributes to make use of clinical knowledge to support andudoptimize medical practice. We have developed a knowledgebased clinical pathway management system to demonstrate how the clinical pathway knowledge comprehensively supports the treatment process. The experiences from the use of this system show that the treatment quality can be effectively improved by the extracted and classified clinical pathway knowledge, seamless integration of patient-specific clinicaludpathway recommendations with medical tasks and theudevaluating pathway deviations for optimization.
机译:由于治疗过程中医疗活动的标准化,临床部门已针对各种疾病采用了临床途径以提高质量。在临床路径的基础上使用基于知识的决策支持是有效改善医疗质量的一种有前途的策略。然而,临床途径知识尚未完全纳入治疗过程,因此无法为实际工作提供全面的支持。因此,本文提出了一种基于知识的临床途径管理方法,该方法有助于利用临床知识来支持和优化医疗实践。我们已经开发了基于知识的临床途径管理系统,以展示临床途径知识如何全面支持治疗过程。使用该系统的经验表明,可以通过提取和分类临床途径知识,将患者特定的临床推荐途径与医疗任务无缝集成以及评估评估途径偏差来有效提高治疗质量。

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