Yıl: 2018 Cilt: 6 Sayı: 3 Sayfa Aralığı: 375 - 382 Metin Dili: İngilizce DOI: 10.21923/jesd.378742 İndeks Tarihi: 21-02-2020

A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES

Öz:
Emergency departments are one of the most important units in the hospital wherethere are special units and many problems. At the beginning of these problems,emergency services are crowded and urgent patient care planning is difficult. Theapplications such as triage system are used for these problems. However it is knownthat such applications do not fully solve these problems. In this study, a fuzzy logicbased clinical decision support system (CDSS) was developed for the classificationof emergency patients. In the study, application complaints and medical data of 180non-anonymous patients in Muğla Sıtkı Koçman University Training and ResearchHospital were used. The 95 of the patients are female, 85 are male and the averageage is 46. In order to analysis the performance of the performed system, the resultsof the application and the decisions of the specialist doctor were comparedstatistically (accuracy, sensitivity and specificity). Consequently, the accuracy of therealized system 83%, sensitivity 87% and specificity 76.6% was found. Providedthat the most recent decision belongs to the expert physician, the development ofthis kind of CDSS is thought to be beneficial in terms of serious time and space in theemergency departments of the hospitals, especially during intensive periods.
Anahtar Kelime:

ACİL SERVİSLER İÇİN BULANIK MANTIK TABANLI BİR KLİNİK KARAR DESTEK SİSTEMİ

Öz:
Acil servisler, her hastanede olan ve içerisinde özel birimlerin bulunduğu, birçok problemi olan en önemli birimlerinden biridir. Bu sorunların başında, acil servislerin kalabalık olması ve acil hasta bakım planlamasının zorluğu gelmektedir. Bu problemler için triyaj sistemi gibi uygulamalar kullanılmaktadır. Fakat bu gibi uygulamalarında problemlere tam olarak çözüm getiremediği bilinmektedir. Bu çalışmada acil servise gelen hastaların sınıflandırılmasına yönelik bulanık mantık tabanlı bir klinik karar destek sistemi (KKDS) gerçekleştirilmiştir. Çalışmada Muğla Sıtkı Koçman Üniversitesi Eğitim ve Araştırma Hastanesi'nde anonim olmayan 180 hastanın başvuru şikâyetleri ve medikal verileri kullanılmıştır. Hastaların 95'i kadın, 85'i erkek olup yaş ortalamaları 46’dır. Gerçekleştirilen sistemin performansını test etmek için uygulamanın sonuçları ve uzman hekimin kararları istatistiksel olarak değerlendirilerek (doğruluk, duyarlılık ve özgüllük) karşılaştırılmıştır. Sonuç olarak, gerçekleştirilen sistemin doğruluğu %83, duyarlılığı %87, özgüllüğü %76,6 bulunmuştur. En son kararın uzman hekime ait olması şartıyla bu tür KKDS’nin geliştirilmesi hastanelerin acil servislerinde özellikle yoğun olduğu dönemlerde ciddi zaman ve mekân açısından kazançlı olacağı düşünülmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Özkaraca O, ACAR E, PEKER M, TÜRK E (2018). A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. , 375 - 382. 10.21923/jesd.378742
Chicago Özkaraca Osman,ACAR ETHEM,PEKER Musa,TÜRK ERDEM A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. (2018): 375 - 382. 10.21923/jesd.378742
MLA Özkaraca Osman,ACAR ETHEM,PEKER Musa,TÜRK ERDEM A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. , 2018, ss.375 - 382. 10.21923/jesd.378742
AMA Özkaraca O,ACAR E,PEKER M,TÜRK E A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. . 2018; 375 - 382. 10.21923/jesd.378742
Vancouver Özkaraca O,ACAR E,PEKER M,TÜRK E A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. . 2018; 375 - 382. 10.21923/jesd.378742
IEEE Özkaraca O,ACAR E,PEKER M,TÜRK E "A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES." , ss.375 - 382, 2018. 10.21923/jesd.378742
ISNAD Özkaraca, Osman vd. "A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES". (2018), 375-382. https://doi.org/10.21923/jesd.378742
APA Özkaraca O, ACAR E, PEKER M, TÜRK E (2018). A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. Mühendislik Bilimleri ve Tasarım Dergisi, 6(3), 375 - 382. 10.21923/jesd.378742
Chicago Özkaraca Osman,ACAR ETHEM,PEKER Musa,TÜRK ERDEM A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. Mühendislik Bilimleri ve Tasarım Dergisi 6, no.3 (2018): 375 - 382. 10.21923/jesd.378742
MLA Özkaraca Osman,ACAR ETHEM,PEKER Musa,TÜRK ERDEM A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. Mühendislik Bilimleri ve Tasarım Dergisi, vol.6, no.3, 2018, ss.375 - 382. 10.21923/jesd.378742
AMA Özkaraca O,ACAR E,PEKER M,TÜRK E A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. Mühendislik Bilimleri ve Tasarım Dergisi. 2018; 6(3): 375 - 382. 10.21923/jesd.378742
Vancouver Özkaraca O,ACAR E,PEKER M,TÜRK E A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES. Mühendislik Bilimleri ve Tasarım Dergisi. 2018; 6(3): 375 - 382. 10.21923/jesd.378742
IEEE Özkaraca O,ACAR E,PEKER M,TÜRK E "A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES." Mühendislik Bilimleri ve Tasarım Dergisi, 6, ss.375 - 382, 2018. 10.21923/jesd.378742
ISNAD Özkaraca, Osman vd. "A FUZZY LOGIC BASED CLINICAL DECISION SUPPORT SYSTEM FOR EMERGENCY SERVICES". Mühendislik Bilimleri ve Tasarım Dergisi 6/3 (2018), 375-382. https://doi.org/10.21923/jesd.378742