Structuring clinical nursing knowledge using PCAPS - Patient condition adaptive path system

Satoko Tsuru*, Yoshinori Iizuka, Masahiko Munechika

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contribution

5 Citations (Scopus)


Quality assurance has become key concerns in healthcare and it is important to standardize the processes for healthcare properly. Though it was needed to describe process of healthcare diagnosis and treatment, it was very difficult by the reason of being service products including complexity and expertise. We challenged to visible, structurize, standardize and IT-systematize of clinical knowledge for healthcare quality management. The patient condition adaptive path system (PCAPS) was developed. PCAPS describes an overall flow of possible clinical pathways that a patient's disease state may trace and detailed medical judgment and treatments for each disease state. It suggests possibility of quality assurance using the standard plan of medical treatment process. PCAPS comprises two major tools: clinical process chart and unit sheet. These describe the total flow of treatment and the concrete medical treatments involved in each step. The PCAPS master is proposed. This is a glossary of the terms that are used in the unit sheet. Each master file has special structure for each work domain. In other words, PCAPS describes the standard process of healthcare using the clinical process chart, unit sheet, and PCAPS master. We apply nursing master file for nursing care action and observation offered by MEDIS-DC in Japan. Through we developed many PCAPS contents, we identified description of structured nursing knowledge. The nursing master file was brushed up by designing PCAPS content using it. It was suggested that PCAPS contents as standard clinical plan designed by medical specialist team included nursing knowledge.

Original languageEnglish
Title of host publicationConnecting Health and Humans - Proceedings of NI2009
Subtitle of host publicationThe 10th International Congress on Nursing Informatics
PublisherIOS Press
Number of pages5
ISBN (Print)9781607500247
Publication statusPublished - 2009 Jan 1
Event10th International Congress on Nursing Informatics: Connecting Health and Humans, NI2009 - Helsinki, Finland
Duration: 2009 Jun 282009 Jul 1

Publication series

NameStudies in Health Technology and Informatics
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


Conference10th International Congress on Nursing Informatics: Connecting Health and Humans, NI2009


  • Nursing knowledge
  • Quality assurance
  • Standardize
  • Structurize

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management


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