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https://ah.lib.nccu.edu.tw/handle/140.119/103455
題名: | A Smart Medication Recommendation Model for The Electronic Prescription | 作者: | 黃鼎鈞 | 貢獻者: | 資管博三 | 關鍵詞: | NHI database; Medications; Inappropriate prescription; Diagnosis-Medication association; Smart medication recommendation model | 日期: | 十一月-2014 | 上傳時間: | 7-十一月-2016 | 摘要: | Background\r\n\r\nThe report from the Institute of Medicine, To Err Is Human: Building a Safer Health System in 1999 drew a special attention towards preventable medical errors and patient safety. The American Reinvestment and Recovery Act of 2009 and federal criteria of ‘Meaningful use’ stage 1 mandated e-prescribing to be used by eligible providers in order to access Medicaid and Medicare incentive payments. Inappropriate prescribing has been identified as a preventable cause of at least 20% of drug-related adverse events. A few studies reported system-related errors and have offered targeted recommendations on improving and enhancing e-prescribing system.\r\n\r\nObjective\r\n\r\nThis study aims to enhance efficiency of the e-prescribing system by shortening the medication list, reducing the risk of inappropriate selection of medication, as well as in reducing the prescribing time of physicians.\r\n\r\nMethod\r\n\r\n103.48 million prescriptions from Taiwan`s national health insurance claim data were used to compute Diagnosis-Medication association. Furthermore, 100,000 prescriptions were randomly selected to develop a smart medication recommendation model by using association rules of data mining.\r\n\r\nResults and conclusion\r\n\r\nThe important contribution of this model is to introduce a new concept called Mean Prescription Rank (MPR) of prescriptions and Coverage Rate (CR) of prescriptions. A proactive medication list (PML) was computed using MPR and CR. With this model the medication drop-down menu is significantly shortened, thereby reducing medication selection errors and prescription times. The physicians will still select relevant medications even in the case of inappropriate (unintentional) selection. | 關聯: | Computer Methods and Programs in Biomedicine · November 2014, Vol.117, No.2, pp.218-224 | 資料類型: | article | DOI: | http://dx.doi.org/10.1016/j.cmpb.2014.06.019 |
Appears in Collections: | 期刊論文 |
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