AMIA Annu Symp Proc - An Algorithm Using Twelve Properties of Antibiotics to Find the Recommended Antibiotics, as in CPGs.

Tópicos

{ clinic(1479) use(1117) guidelin(835) }
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Resumo

CKGROUND: Clinical Decision Support Systems (CDSS) incorporating justifications, updating and adjustable recommendations can considerably improve the quality of healthcare. We propose a new approach to the design of CDSS for empiric antibiotic prescription, based on implementation of the deeper medical reasoning used by experts in the development of clinical practice guidelines (CPGs), to deduce the recommended antibiotics.METHODS: We investigated two methods ("exclusion" versus "scoring") for reproducing this reasoning based on antibiotic properties.RESULTS: The "exclusion" method reproduced expert reasoning the more accurately, retrieving the full list of recommended antibiotics for almost all clinical situations.DISCUSSION: This approach has several advantages: (i) it provides convincing explanations for physicians; (ii) updating could easily be incorporated into the CDSS; (iii) it can provide recommendations for clinical situations missing from CPGs.

Resumo Limpo

ckground clinic decis support system cdss incorpor justif updat adjust recommend can consider improv qualiti healthcar propos new approach design cdss empir antibiot prescript base implement deeper medic reason use expert develop clinic practic guidelin cpgs deduc recommend antibioticsmethod investig two method exclus versus score reproduc reason base antibiot propertiesresult exclus method reproduc expert reason accur retriev full list recommend antibiot almost clinic situationsdiscuss approach sever advantag provid convinc explan physician ii updat easili incorpor cdss iii can provid recommend clinic situat miss cpgs

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