Knowledge-Driven Adaptive Execution of Care Pathways Based on Continuous Planning Techniques

Care pathways are excellent tools for the standardization of care delivery and the improvement of clinical efficiency. The high dynamism and unpredictability of the clinical environment require pathways to be adaptable to the deviations that may arise during their execution. In this work we present a methodology for the identification, monitoring, detection and managing of these deviations. Such deviations include evolving patient conditions, arbitrary medical modifications and unpredicted clinical settings. The care pathways are dynamically generated based on a knowledge-driven planning process that personalizes treatments according to up-to-date patient conditions and guarantees adherence to clinical guidelines recommendations. The implementation of the proposed methodology in a domain-independent continuous planning architecture is presented.