Fuzzy Cognitive Map Hierarchical Triage Decision Support for the Elderly

Voula C. Georgopoulos, Chrysostomos D. Stylios

Abstract

Fuzzy Cognitive Maps (FCMs) is a soft computing technique that has successfully been used to model complex systems and to develop Medical Decision Support Systems for many medical discipline applications. FCMs have a great ability to handle complexity, uncertainty and abstract inference as is the case in the health care sector. In this work a Hierarchical structure is introduced within an integrated health system where the Supervisor is modelled as an abstract FCM to support the triaging procedure. At the lower level, the FCM-ESI DSS is used to estimate the Triage ESI level of every patient. This FCM-ESI DSS is developed based on a novel approach, which ensures a high degree of inferring from human experts.

References

  1. Aminzadeh, F. & Dalziel, W. B., 2002. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions, Ann Emerg Med, 39:238-47.
  2. Barbee, G. A. et al., 2010. The effect of provider level triage in a military treatment facility emergency department. Journal of Emergency Primary Health Care (JEPHC), 8:Article 990386.
  3. Christian, C. K. et al., 2006. A prospective study of patient safety in the operating room, Surgery, 139:159-173.
  4. Emergency Nurses Association (ENA), 2001. Making the right decision: A triage curriculum (2nd ed.). Des Plaines, IL.
  5. Fernandes, C. et al., 2004. Five level triage: A report from the ACEP/ENA Five Level Triage Task Force. JEN 31(1):39-50.
  6. Grossmann, F. F. et al. 2012. At risk of undertriage? Testing the performance and accuracy of the emergency severity index in older emergency department patients, Annals of Emergency Medicine, 60(3):317-325.e3.
  7. Georgopoulos, V. C., Malandraki G. A., & Stylios, C. D., 2003. A Fuzzy Cognitive Map Approach To Differential Diagnosis of Specific Language Impairment, Journal of Artificial Intelligence in Medicine 29(3):261-278.
  8. Georgopoulos, V. C. & Stylios, C. D., 2012. Introducing Fuzzy Cognitive Maps for Developing Decision Support System for Triage at Emergency Room Admissions for the Elderly. Proceedings of the 8th IFAC Symposium on Biological and Medical Systems, 29-31 August 2012, Budapest, Hungary.
  9. Georgopoulos, V. C. & Stylios, C. D., 2013. Fuzzy Cognitive Map Decision Support System for Successful Triage to Reduce Unnecessary Emergency Room Admissions for the Elderly. In Fuzziness and Medicine: Philosophical Reflections and Application Systems in Health Care, pp. 415-436, Springer Berlin Heidelberg.
  10. Gilboy, N. et al., 2005. Emergency Severity Index, Vers. 4: Implementation Handbook. Agency for Healthcare Research & Quality, Publication No. 05-0046-2, Rockville, MD. http://www.ahrq.gov/research/esi/ McCall, B. et al., 2009. Mistriage of elderly in the emergency de-partment, Connecting the Dots: Geriatric Nursing, Education, and Clinical Simulation, Chapel Hill, NC, 2009.
  11. Nawar, E. W., Niska, R. W., & Xu J., 2007. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary, Adv Data, 386:1-32.
  12. Patel, V. L. et al., 2008. Calibrating urgency: triage decision-making in a pediatric emergency department. Advances in health sciences education, 13(4):503-520.
  13. Travers, D. A. et al., 2002. Five-level triage system more effective than three-level in tertiary emergency department, JEN 28(5):395-400.
  14. Wuerz, R., 2001. Emergency severity index triage category is associated with six-month survival. ESI triage study grou, Academic Emergency Medicine, 8:61-64.
  15. Yim, V. W., Graham, C. A., & Rainer, T. H., 2009. A comparison of emergency department utilization by elderly and younger adult patients presenting to three hospitals in Hong Kong, Int J Emerg Med, 2:19-24.
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Paper Citation


in Harvard Style

C. Georgopoulos V. and D. Stylios C. (2013). Fuzzy Cognitive Map Hierarchical Triage Decision Support for the Elderly . In Proceedings of the 3rd International Conference on Simulation and Modeling Methodologies, Technologies and Applications - Volume 1: HA, (SIMULTECH 2013) ISBN 978-989-8565-69-3, pages 577-583. DOI: 10.5220/0004634105770583


in Bibtex Style

@conference{ha13,
author={Voula C. Georgopoulos and Chrysostomos D. Stylios},
title={Fuzzy Cognitive Map Hierarchical Triage Decision Support for the Elderly },
booktitle={Proceedings of the 3rd International Conference on Simulation and Modeling Methodologies, Technologies and Applications - Volume 1: HA, (SIMULTECH 2013)},
year={2013},
pages={577-583},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004634105770583},
isbn={978-989-8565-69-3},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 3rd International Conference on Simulation and Modeling Methodologies, Technologies and Applications - Volume 1: HA, (SIMULTECH 2013)
TI - Fuzzy Cognitive Map Hierarchical Triage Decision Support for the Elderly
SN - 978-989-8565-69-3
AU - C. Georgopoulos V.
AU - D. Stylios C.
PY - 2013
SP - 577
EP - 583
DO - 10.5220/0004634105770583