Challenges in Using the Arden Syntax for Computer-Based Nosocomial Infection Surveillance
Challenges in Using the Arden Syntax for Computer-Based Nosocomial Infection Surveillance
复制标题
使用 Arden 语法进行基于计算机的医院感染监测的挑战
DOI：
10.1197/jamia.m1237
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Anuj P. Shah
中科院分区：
文献类型：
--
作者：
R. Jenders;Anuj P. Shah
CONTEXT
Detection of outbreaks of infection in the hospital typically requires daily manual review of microbiology laboratory test results. This process is time-consuming, tedious, prone to error and may miss trends in infection. A standard formalism for procedural knowledge representation, the Arden Syntax, provides a vehicle for implementing algorithms for detecting such infections.
OBJECTIVE
To design and implement a computer-based system for detection of concerning patterns of infection or antibiotic resistance.
SETTING
Computer-based event monitor and central patient data repository at the Columbia-Presbyterian Medical Center (CPMC).
RESULTS
We designed a two-phase system, including initial filtering of individual patient laboratory results by Arden Syntax Medical Logic Modules (MLMs) and subsequent aggregation and analysis across patients and locations using a statistical monitor. Preliminary data for the filtration phase demonstrate a 94.8% reduction in the volume of messages that must be considered in surveillance.
CONCLUSIONS
Filtering raw laboratory results using a standard formalism eases the process of aggregating data across patients and sites as well as detecting trends in infection. There is a need for augmenting such formalisms in order to enable population-based decision support.
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DOI：
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期刊：
Proceedings. Symposium on Computer Applications in Medical Care
影响因子：
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期刊：
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George Hripczak;P. Clayton;R. Jenders;J. Cimino;Stephen B. Johnson
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发表时间：
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期刊：
Computers and biomedical research, an international journal
影响因子：
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作者：
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