Clerkin D, Fos P J, Petry F E
Tulane University Medical Center, New Orleans, LA 70112, USA.
Hosp Health Serv Adm. 1995 Fall;40(3):386-400.
This article presents the use of a computer-based decision support system for hospital bed assignment. The specific computer application discussed involves the development of an expert system, which mimics the decision-making process typically used by experts in a field. Expert systems are useful as consultants for problems that are best approached from the perspective of an expert. The prototype expert system presented in this article can be used to efficiently assign hospital beds to specific patients at the time of hospital admission or during the hospital stay. This assignment is based on a matching process by the expert system of patient needs and hospital bed characteristics. Data needed for this assignment are routinely collected at admission and updated during the patient's stay in the hospital. Use of this computer-based decision support system in conjunction with existing hospital information systems will result in more effective management of physical and human resources. As may be expected, any improvement in efficiency of use of resources will have an associated reduction in cost. Implications of using expert systems for future practice are also discussed.
本文介绍了一种用于医院床位分配的基于计算机的决策支持系统。所讨论的具体计算机应用涉及一个专家系统的开发,该系统模仿了某一领域专家通常使用的决策过程。对于那些最好从专家角度解决的问题,专家系统可作为顾问发挥作用。本文介绍的原型专家系统可用于在患者入院时或住院期间有效地将医院床位分配给特定患者。这种分配基于专家系统对患者需求和医院床位特征的匹配过程。该分配所需的数据在入院时常规收集,并在患者住院期间更新。将这种基于计算机的决策支持系统与现有的医院信息系统结合使用,将实现对物力和人力资源更有效的管理。可以预期,资源使用效率的任何提高都将带来相关成本的降低。还讨论了使用专家系统对未来实践的影响。