Abstract
This paper describes an operational computer-based system for conducting Drug Prescribing Review (DPR). The system was designed to: arrive at specific judgements about the potential problems of drug orders taking into account the characteristics of the patient and their medical conditions; be relatively independent of the structure of the data base; and be capable of expressing and evaluating any DPR criteria. This was accomplished by developing a hierarchical, rule-based system for expressing and evaluating DPR criteria. This system was then linked with a specific patient data base for implementation. Drug orders for 65 patients have been evaluated and the results agree with expert judgement. The rule-based DPR system appears to be a feasible method of evaluation of drug orders.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Stolley, P.D. and Lasagna, L., “Prescribing patterns of physicians,” J. Chronic Dis., 22, 395 (1969).
Knapp, D.A., Brandon, B.M., Knapp, D.E., Klein, L.S., Palumbo, F.B. and Rohit Shah, “Incorporating diagnosis information into a manual drug use review system,” Am. J. Pharm. Assoc., NS17, 103(February 1977 ).
Brandon, B.M., Knapp, D.A., Klein, L.S. and John G, “Drug usage screening criteria,” Am. J. Hosp. Pharm., 34 (2), (February 1977).
Knapp, D.A., Brandon, B.M., and West, S., “Development and application of criteria in drug use review programs,” Am. J. Hosp. Pharm., 31(1), 648(July 1974).
Helling, D.K. Hepler, C.D. and Herman, R.A., “Comparison of computer- assisted medical record audit with other drug use review methods,” Am. J. Hosp. Pharm., 36, 1665 (December 1979).
Maronde, R. Drug Utilization Review with On-Line Computer Capability, Social Security Administration, Washington, D.C., 1973.
Waterman, D.A. and Hayes-Roth, F. Pattern Directed Inference Systems, New York: Academic Press, 1978.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 Institute of Electrical and Electronics Engineers, Inc.
About this chapter
Cite this chapter
Speedie, S.M., Palumbo, F.B., Knapp, D.A., Beardsley, R. (1981). Rule-Based Drug Prescribing Review: An Operational System. In: Reggia, J.A., Tuhrim, S. (eds) Computer-Assisted Medical Decision Making. Computers and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5108-8_4
Download citation
DOI: https://doi.org/10.1007/978-1-4612-5108-8_4
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-9567-9
Online ISBN: 978-1-4612-5108-8
eBook Packages: Springer Book Archive