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Problems detected by a ripple-down rules based medication review decision support system: are they relevant?
conference contribution
posted on 2023-05-23, 09:31 authored by Ivan BindoffIvan Bindoff, Colin CurtainColin Curtain, Gregory PetersonGregory Peterson, Juanita BreenJuanita Breen, Tristan LingTristan LingA ripple-down rules based clinical decision support system to detect drug-related problems (DRPs) has been previously designed and discussed. A commercial implementation of this system (MRM) was evaluated to determine how many additional DRPs would be identified by the reviewing pharmacist when supported by MRM, and whether these additional DRPs were clinically relevant. The DRPs identified by pharmacists were compared against those found by MRM on a dataset of 570 medication review cases, MRM found 2854 DRPs, pharmacists found 1974 DRPs, yet only 389 of the problems that MRM found were also found by the pharmacist. A sample of 20 of these cases were assessed by an expert panel to determine if the DRPs found by each source were clinically relevant. It was determined that DRPs found by both sources were clinically relevant. It is estimated that a pharmacist supported by MRM will find 2.25 times as many DRPs.
History
Publication title
Knowledge Management and Acquisition for Smart Systems and Services: Proceedings of the 13th Pacific Rim Knowledge Acquisition WorkshopVolume
LNCS 8863Editors
Kim, YS; Kang, BH; Richards, DPagination
59-68ISBN
9783319133317Department/School
School of Pharmacy and PharmacologyPublisher
SpringerPlace of publication
LondonEvent title
13th Pacific Rim Knowledge Acquisition Workshop: PKAW 2014Event Venue
Gold Coast, AustraliaDate of Event (Start Date)
2014-12-01Date of Event (End Date)
2014-12-02Rights statement
COpyright 2014 Springer International Publishing SwitzerlandRepository Status
- Restricted