Deriving a Sophisticated Clinical Pathway Based on Patient Conditions from Electronic Health Record Data
SCOPUS
- Title
- Deriving a Sophisticated Clinical Pathway Based on Patient Conditions from Electronic Health Record Data
- Authors
- Lim, J.; Kim, K.; Cho, M.; Baek, H.; Kim, S.; Hwang, H.; Yoo, S.; Song, M.
- Date Issued
- 2021-02
- Publisher
- Springer Verlag
- Abstract
- Clinical pathway (CP), a standardized treatment process based on a clinical guideline, is widely used to reduce costs while maintaining or improving patient care quality. However, there is a gap between the actual clinical process and the guideline, that causes CP application to be disturbed. A study on developing a data-driven automated clinical pathway to obtain insight into real clinical processes has been conducted. Still, patient characteristics and conditions, which could cause a variation, have not been fully considered. In this study, we aimed to develop a framework to derive a sophisticated clinical pathway from electronic health records (EHRs) data by exploring process variations according to the patient characteristics and conditions. To validate the applicability of the proposed framework, We conducted a case study using the Total Laparoscopic Hysterectomy (TLH) CP data, which was retrieved from an EHR system of a tertiary general hospital in South Korea between January 2012 and April 2016. We found that diabetic TLH patients show different medical performances with other TLH patients. We developed a tailored CP that adds eleven orders over the standard TLH CP, and experts evaluated it as meaningful. ? 2021, Springer Nature Switzerland AG.
- URI
- https://oasis.postech.ac.kr/handle/2014.oak/107157
- DOI
- 10.1007/978-3-030-72693-5_27
- ISSN
- 1865-1348
- Article Type
- Article
- Citation
- Lecture Notes in Business Information Processing, vol. 406 LNBIP, page. 356 - 367, 2021-02
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