Methods Inf Med - A business rules design framework for a pharmaceutical validation and alert system.

Tópicos

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Resumo

JECTIVES: Several alert systems have been developed to improve the patient safety aspects of clinical information systems (CIS). Most studies have focused on the evaluation of these systems, with little information provided about the methodology leading to system implementation. We propose here an 'agile' business rule design framework (BRDF) supporting both the design of alerts for the validation of drug prescriptions and the incorporation of the end user into the design process.METHODS: We analyzed the unified process (UP) design life cycle and defined the activities, subactivities, actors and UML artifacts that could be used to enhance the agility of the proposed framework. We then applied the proposed framework to two different sets of data in the context of the Georges Pompidou University Hospital (HEGP) CIS.RESULTS: We introduced two new subactivities into UP: business rule specification and business rule instantiation activity. The pharmacist made an effective contribution to five of the eight BRDF design activities. Validation of the two new subactivities was effected in the context of drug dosage adaption to the patients' clinical and biological contexts. Pilot experiment shows that business rules modeled with BRDF and implemented as an alert system triggered an alert for 5824 of the 71,413 prescriptions considered (8.16%).CONCLUSION: A business rule design framework approach meets one of the strategic objectives for decision support design by taking into account three important criteria posing a particular challenge to system designers: 1) business processes, 2) knowledge modeling of the context of application, and 3) the agility of the various design steps.

Resumo Limpo

jectiv sever alert system develop improv patient safeti aspect clinic inform system cis studi focus evalu system littl inform provid methodolog lead system implement propos agil busi rule design framework brdf support design alert valid drug prescript incorpor end user design processmethod analyz unifi process design life cycl defin activ subact actor uml artifact use enhanc agil propos framework appli propos framework two differ set data context georg pompidou univers hospit hegp cisresult introduc two new subact busi rule specif busi rule instanti activ pharmacist made effect contribut five eight brdf design activ valid two new subact effect context drug dosag adapt patient clinic biolog context pilot experi show busi rule model brdf implement alert system trigger alert prescript consid conclus busi rule design framework approach meet one strateg object decis support design take account three import criteria pose particular challeng system design busi process knowledg model context applic agil various design step

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