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A prototype of this expert system
has been running since June 1995. It monitors patient clinical data
including demographics, drug orders, lab results, and drug allergies,
for evidence that a patient has suffered an adverse drug event. If the
event is detected early enough, intervention can occur. Whether or not
the event is detected in time to intervene, some types of ADEs must be
reported to external agencies in order for the hospital to maintain its
accreditation status.
The criteria for determining the signs that signal a potential ADE is
being developed by local physicians and pharmacokinetic experts. The
final version of the system will include a software application through
which these experts can specify and modify the expert system rules. The
system will also automate the process of reporting certain types of ADEs
to government agencies such as the FDA.
Languages/Shells Used: CLIPS, Sybase ISQL scripts, Bourne shell scripts.
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Medical Informatics at Washington University in St. Louis