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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 傅楸善(Chiou-Shann Fuh) | |
| dc.contributor.author | Kuan-Liang Kuo | en |
| dc.contributor.author | 郭冠良 | zh_TW |
| dc.date.accessioned | 2021-06-15T05:13:35Z | - |
| dc.date.available | 2010-07-29 | |
| dc.date.copyright | 2010-07-29 | |
| dc.date.issued | 2010 | |
| dc.date.submitted | 2010-07-22 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/46523 | - |
| dc.description.abstract | Health examinations are important for the personal and public health management. Besides they play a key role in preventive medicine. We propose a health examination system named Health Examination Automatic Logic System (HEALS) to efficiently assist clinical workers in improving the total quality of health examinations. In order to customize the clinical decision support system intuitively and flexibly, we also propose a novel rule syntax to implement computer-interpretable logic for health examinations. Quality of automated inference is confirmed by the zero inference error where during 6 months and 14,773 cases. Automated inference time is less than one second per case in contrast to two to five minutes for physicians. The most significant result of efficiency evaluation is that 3,494 of 4,356 (80.2%) cases take less than three minutes per case for making a report summary. In the evaluation of effectiveness, novice physicians got 18 percent improvement in making decisions with the assistance of our system. A survey on user satisfaction revealed high satisfaction with our system. We conclude that a health examination system integrated with a clinical decision support system can markedly reduce the mundane burden on clinical workers and improve the quality and efficiency of health examination tasks. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T05:13:35Z (GMT). No. of bitstreams: 1 ntu-99-D93922009-1.pdf: 1318203 bytes, checksum: f3bbecc1cbf33c6dd4ca2fb759e38c7c (MD5) Previous issue date: 2010 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
Acknowledgements ii 中文摘要 iii Abstract v 1 Introduction 1 1.1 Clinical Decision Support 1 1.2 The Academic Importance of Clinical Decision Support 2 1.3 Health Examination 3 1.4 Health Examinations and the Need of Clinical Decision Support 4 1.5 The Importance of Ontology 7 1.6. The Health Examination Ontology 8 1.7 Clinical Knowledge Representation Models 10 2 Design Objectives 16 2.1 Reduce the Mundane Daily Tasks of Clinical Workers 16 2.2 Improve the Quality of Health Examination 16 2.3 Improve the Efficiency of Health Examination 17 2.4 Provide Education for Novice Clinical Workers 17 2.5 Eliminate Common Mistakes in Health Reports 17 2.6 Provide Services Beyond the Territory Boundary 18 3 A Rule-based Clinical Decision Model to Support Interpretation of Multiple Data in Health Examinations 19 3.1 Architecture 19 3.2 CDSS Architecture 21 3.3 Rule Syntax 27 3.4 Modular Design 29 3.5 Content Base 35 3.6 Database Contains Health Examination Results of Cases 36 4 Implementation 37 4.1 Prototypical System for Health Examination 37 4.2 Implementation 39 5 Execution of the CDSS 43 5.1 Hepatitis B Markers 44 5.2 Anemia Related Tests 55 6 Evaluation and Result 63 6.1 Evaluation of Quality 63 6.2 Evaluation of Effectiveness 68 6.3 Evaluation of System Performance 72 6.3 Evaluation of System Performance 72 6.4 Evaluation of Efficiency 73 6.5 Evaluation of User Satisfaction 78 7 Discussions 79 8 Conclusion 85 Bibliography 87 Appendices 93 A. Backus–Naur Form (BNF) Grammar of the Proposed Rule Syntax in HEALS CDSS 93 B. The Measurement of End-User Computing Satisfaction on HEALS CDSS 96 C. The Questions for Evaluating Effectiveness of HEALS CDSS 97 Publication List 102 | |
| dc.language.iso | en | |
| dc.subject | 診斷錯誤 | zh_TW |
| dc.subject | 預防醫學 | zh_TW |
| dc.subject | 病人安全 | zh_TW |
| dc.subject | 健康檢查 | zh_TW |
| dc.subject | 預防性健康服務 | zh_TW |
| dc.subject | 規則式推理 | zh_TW |
| dc.subject | 臨床決策支援 | zh_TW |
| dc.subject | Patient Safety | en |
| dc.subject | Clinical Decision Support | en |
| dc.subject | Rule-Based Reasoning | en |
| dc.subject | Preventive Medicine | en |
| dc.subject | Health Examination | en |
| dc.subject | Preventive Health Service | en |
| dc.subject | Diagnostic Error | en |
| dc.title | 整合臨床決策支援之健檢系統 | zh_TW |
| dc.title | A Health Examination System Integrated with Clinical Decision Support System | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 98-2 | |
| dc.description.degree | 博士 | |
| dc.contributor.oralexamcommittee | 侯勝茂,張天鈞,楊榮森,賴飛羆,劉秀雯 | |
| dc.subject.keyword | 臨床決策支援,規則式推理,預防醫學,健康檢查,預防性健康服務,診斷錯誤,病人安全, | zh_TW |
| dc.subject.keyword | Clinical Decision Support,Rule-Based Reasoning,Preventive Medicine,Health Examination,Preventive Health Service,Diagnostic Error,Patient Safety, | en |
| dc.relation.page | 104 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2010-07-23 | |
| dc.contributor.author-college | 電機資訊學院 | zh_TW |
| dc.contributor.author-dept | 資訊工程學研究所 | zh_TW |
| 顯示於系所單位： | 資訊工程學系 | |
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| ntu-99-1.pdf 未授權公開取用 | 1.29 MB | Adobe PDF |
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