Open Access System for Information Sharing

Login Library

 

Article
Cited 0 time in webofscience Cited 0 time in scopus
Metadata Downloads

Developing data-driven clinical pathways using electronic health records: The cases of total laparoscopic hysterectomy and rotator cuff tears

Title
Developing data-driven clinical pathways using electronic health records: The cases of total laparoscopic hysterectomy and rotator cuff tears
Authors
Cho, M.Kim, K.Lim, J.Baek, H.Kim, S.Hwang, H.Song, M.Yoo, S.
Date Issued
Jan-2020
Publisher
Elsevier Ireland Ltd
Abstract
Objective: A clinical pathway is one of the tools used to support clinical decision making that provides a standardized care process in a specific context. The objective of this research was to develop a method for building data-driven clinical pathways using electronic health record data. Materials and methods: We proposed a matching rate-based clinical pathway mining algorithm that produces the optimal set of clinical orders for each clinical stage by employing matching rates. To validate the approach, we utilized two different datasets of deidentified inpatient records directly related to total laparoscopic hysterectomy (TLH) and rotator cuff tears (RCTs) from a hospital in South Korea. The derived data-driven clinical pathways were evaluated with knowledge-based models by health professionals using a delta analysis. Results: Two different data-driven clinical pathways, i.e., TLH and RCTs, were produced by applying the matching rate-based clinical pathway mining algorithm. We identified that there were significant differences in clinical orders between the data-driven and knowledge-based models. Additionally, the data-driven clinical pathways based on our algorithm outperformed the models by clinical experts, with average matching rates of 82.02% and 79.66%, respectively. Conclusion: The proposed algorithm will be helpful for supporting clinical decisions and directly applicable in medical practices. © 2019 Elsevier B.V.
URI
http://oasis.postech.ac.kr/handle/2014.oak/100064
ISSN
1386-5056
Article Type
Article
Citation
International Journal of Medical Informatics, vol. 133, 2020-01
Files in This Item:
There are no files associated with this item.

qr_code

  • mendeley

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher

 SONG, MINSEOK
Dept of Industrial & Management Enginrg
Read more

Views & Downloads

Browse