Construction of a Supporting System with a Modular Critical Pathway for Differential Diagnosis for Optimization of Bed Control

Abstract

　The purpose of this study was to develop tools to support admission schema and bed control for neurological patients. These actions have previously been difficult to adapt to clinical path. In this system, we defined medical care actions necessary for differential diagnoses as individual modules. For each medical care action, a weight on the basis of a time-variant constraint was assigned. When an attending physician chooses a differential diagnosis, our system lists the related medical care actions and calculates a weight on the basis of this time-variant constraint. When the attending physician executes a medical care action in this system, the system displays a patient list as an achievement rate calculated with each action's weight. This system is useful as a business support system for bed managers. In addition, we hope that we utilize this system as a database which can support the medical care of patients by attending physicians, as well as in case databases.