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The Utilization of Case-Based Reasoning                233

                                                      Table 1. ED Cases

                         Case          Reference                          Summary
                           #
                         Case    (Chetouane, Barker, &   This case is about a problem related to
                         1       Oropeza, 2012)          optimizing the operation and processes of a
                                                         regular ED
                         Case    (Patvivatsiri, 2006)    Operation and processes of the ED is optimized
                         2                               for a mid-size hospital during extreme events
                         Case    (Gul & Guneri, 2012)    The purpose of this study is to optimize the
                         3                               operation and processes of the ED of a regional
                                                         hospital
                         Case    (Yeh & Lin, 2007)       Optimizing the operation and processes of the
                         4                               ED of a small hospital in a city is the target of
                                                         this case
                         Case    (Zeinali, Mahootchi, &   The aim of this research is to optimize the
                         5       Sepehri, 2015)          operation and processes of the ED in a
                                                         specialized hospital.
                         Case    (Ahmed & Alkhamis,      This is about optimized processes and
                         6       2009)                   operations in an ED of a mid-size governmental
                                                         hospital
                         Case    (Lim, Worster, Goeree,   The case solved in this problem is to optimize
                         7       & Tarride, 2013)        the operation and processes of the ED of a local
                                                         hospital
                         Case    (Meng, 2013)            The effort done in this study was directed to
                         8                               optimize operation and processes of the ED of a
                                                         large hospital
                         Case    (Wylie, 2004)           The operation and related processes of a
                         9                               Primary Care Clinic in a university are
                                                         optimized to improve the student health services
                         Case    (Terry & Chao, 2012)    The crowding problem in an ED of a medical
                         10                              center that is located in a metropolitan area is
                                                         solved in this study


                       The Indexing System

                          The second step in constructing the case base system involves defining the indexing
                       system to identify the specifics of the attributes of the solved cases for easy indexing and
                       retrieval.  Attributes  could  be  either  numerical  or  non-numerical  such  as  locations,
                       programs used, or type of employees to name a few. A retrieval engine will then use the
                       identified attributes of the new case to retrieve similar cases from the case-base.
                          The Emergency department’s operations attributes include:
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