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Proceedings of the AMIA Annual Fall Symposium logoLink to Proceedings of the AMIA Annual Fall Symposium
. 1997:61–65.

Knowledge based functions for routine use at a German university hospital setting: the issue of fine tuning.

T Bürkle 1, H U Prokosch 1, G Hussak 1, J Dudeck 1
PMCID: PMC2233448  PMID: 9357589

Abstract

In this paper we present the introduction of knowledge based functions into clinical routine at Giessen University Hospital. For this purpose a therapy planning module at the medical intensive care unit has been extensively redesigned in order to support the structured documentation of drug prescriptions. After introduction of this new HIS component in January 1996 research has been initiated to establish a basic drug therapy knowledge base. The main components of a knowledge based system have been fully incorporated into the hospital information system WING and are in routine use since December 1996. During a pre-production phase warnings of reminder functions were logged and reviewed by an interdisciplinary team in order to adapt the system to the actual clinical environment. The paper describes experiences during this fine tuning and adaptation process which was necessary to bring a small set of knowledge modules into clinical routine.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adlassnig K. P., Horak W. Development and retrospective evaluation of Hepaxpert-I: a routinely-used expert system for interpretive analysis of hepatitis A and B serologic findings. Artif Intell Med. 1995 Feb;7(1):1–24. doi: 10.1016/0933-3657(94)00023-l. [DOI] [PubMed] [Google Scholar]
  2. Aikins J. S., Kunz J. C., Shortliffe E. H., Fallat R. J. PUFF: an expert system for interpretation of pulmonary function data. Comput Biomed Res. 1983 Jun;16(3):199–208. doi: 10.1016/0010-4809(83)90021-6. [DOI] [PubMed] [Google Scholar]
  3. Bergeron B. Iliad: a diagnostic consultant and patient simulator. MD Comput. 1991 Jan-Feb;8(1):46–53. [PubMed] [Google Scholar]
  4. Evans R. S. The HELP system: a review of clinical applications in infectious diseases and antibiotic use. MD Comput. 1991 Sep-Oct;8(5):282-8, 315. [PubMed] [Google Scholar]
  5. McDonald C. J., Tierney W. M., Overhage J. M., Martin D. K., Wilson G. A. The Regenstrief Medical Record System: 20 years of experience in hospitals, clinics, and neighborhood health centers. MD Comput. 1992 Jul-Aug;9(4):206–217. [PubMed] [Google Scholar]
  6. Prokosch H. U., Dudeck J., Junghans G., Marquardt K., Sebald P., Michel A. WING--entering a new phase of electronic data processing at the Giessen University Hospital. Methods Inf Med. 1991 Oct;30(4):289–298. [PubMed] [Google Scholar]
  7. Rind D. M., Safran C., Phillips R. S., Slack W. V., Calkins D. R., Delbanco T. L., Bleich H. L. The effect of computer-based reminders on the management of hospitalized patients with worsening renal function. Proc Annu Symp Comput Appl Med Care. 1991:28–32. [PMC free article] [PubMed] [Google Scholar]
  8. Shortliffe E. H. The adolescence of AI in medicine: will the field come of age in the '90s? Artif Intell Med. 1993 Apr;5(2):93–106. doi: 10.1016/0933-3657(93)90011-q. [DOI] [PubMed] [Google Scholar]
  9. Sumner W., 2nd, Shultz E. K. Expert systems and expert behavior. J Med Syst. 1992 Oct;16(5):183–193. doi: 10.1007/BF01000271. [DOI] [PubMed] [Google Scholar]
  10. Wong E. T., Pryor T. A., Huff S. M., Haug P. J., Warner H. R. Interfacing a stand-alone diagnostic expert system with a hospital information system. Comput Biomed Res. 1994 Apr;27(2):116–129. doi: 10.1006/cbmr.1994.1012. [DOI] [PubMed] [Google Scholar]

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