Jurnal Komputer Teknologi Informasi Sistem Komputer (JUKTISI)
Vol. 5 No. 2 (2026): September 2026

Sistem Pendukung Keputusan Triase Poliklinik Menggunakan Pendekatan Hybrid K-Means Clustering dan Rule-Based

Khoeruddin (Universitas Bina Sarana Informatika)
Farhan Hidayat (Universitas Bina Sarana Informatika)
Khoirul Yudi (Universitas Bina Sarana Informatika)
Hendra Supendar (Universitas Bina Sarana Informatika)
Riza Fapihla (Universitas Bina Sarana Informatika)



Article Info

Publish Date
01 Jul 2026

Abstract

Delays in the emergency department triage process often precipitate severe clinical deterioration, exposing a critical vulnerability in orthodox healthcare management. While the proliferation of Machine Learning (ML) promises computational efficiency, purely unsupervised models like K-Means frequently misclassify extreme clinical anomalies due to the dominance of imbalanced historical data. This study engineered a Clinical Decision Support System (CDSS) utilizing a hybrid architecture that synthesizes K-Means clustering with a deterministic rule-based heuristic. Operating on a simulated medical dataset extracting variables such as age, heart rate, body temperature, and oxygen saturation (SpO2), the methodology standardized feature weights before executing a dual-layer validation. The system intercepts life-threatening parameters (e.g., SpO2 < 90%) through pre-defined clinical thresholds, bypassing algorithmic bias, while delegating stable cases to the spatial grouping logic of K-Means. Empirical testing on simulated triage scenarios demonstrated that the hybrid model eradicated the critical misclassification inherent in standalone unsupervised algorithms, achieving absolute alignment with the Emergency Severity Index (ESI) standards. The resultant cross-platform application, deployed via a Flutter desktop interface and a Python-Flask backend, operationalizes this logic to minimize human error and drastically reduce diagnostic response time.

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Journal Info

Abbrev

juktisi

Publisher

Subject

Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Education Engineering

Description

Focus dan scope dari JUKTISI (Jurnal Komputer Teknologi Informasi Sistem Komputer) terbit pertama kali pada tahun 2022 yang dimaksudkan sebagai media kajian ilmiah dari hasil pemikirian yang dituangkan kedalam Jurnal. Jurnal JUKTISI Lembaga Kursus dan Pelatihan Karya Prima terbit 3 (tiga) kali ...