Skip to main content

Accuracy and Performance Evaluation of a Laboratory Results Alerting

  • Conference paper
Security-Enriched Urban Computing and Smart Grid (SUComS 2010)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 78))

  • 2474 Accesses

Abstract

This study was designed to evaluate the accuracy and performance of clinical decision support (CDS) architecture which consisted of a knowledge engine and data interface adaptor (DIA) developed as knowledge sharing tools. A laboratory alerting system was selected for the test field and 10 rules represented by SAGE formalism were used. Laboratory results (N=323,455) captured from a tertiary and teaching hospital over three months were retrospectively evaluated. We were able to confirm accuracy, stability, and feasibility of the CDS application architecture and the knowledge engine. However, DIA throughput time suggested the need for further improvements.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Reichley, R.M., Seaton, T.L., Resetar, E., Micek, S.T., Scott, K.L., Fraser, V.J., Dunagan, C., Bailey, T.C.: Implementing a Commercial Rule Base as a Medication Order Safety Net. Journal of the American Medical Informatics Association (JAMIA) (ScienceDirect) 12, 383 (2005)

    Article  Google Scholar 

  2. de Clercq, P.A., Blom, J.A., Korsten, H.H., Hasman, A.: Approaches for creating computer-interpretable guidelines that facilitate decision support. Artificial Intelligence in Medicine 31, 1–27 (2004)

    Article  Google Scholar 

  3. Shahar, Y., Miksch, S., Johnson, P.: The Asgaard project: a task-specific framework for the application and critiquing of time-oriented clinical guidelines. Artificial Intelligence In Medicine 14, 29–51 (1998)

    Article  Google Scholar 

  4. Boxwala, A., Peleg, M., Tu, S., Ogunyemi, O., Zeng, Q., Wang, D., Patel, V., Greenes, R., Shortliffe, E.: GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines. J. Biomed. Inform. 37, 147–161 (2004)

    Article  Google Scholar 

  5. Shiffman, R., Karras, B., Agrawal, A., Chen, R., Marenco, L., Nath, S.: GEM: A proposal for a more comprehensive guideline document model using XML. J. Am. Med. Inform. Assoc. 7, 488–498 (2000)

    Article  Google Scholar 

  6. Musen, M., Tu, S., Das, A., Shahar, Y.: EON: a component-based approach to automatiuon of protocol-directed therapy. J. Am. Med. Inform. Assoc. 3, 367–388 (1996)

    Article  Google Scholar 

  7. Tu, S.W., Campbell, J.R., Glasgow, J., Nyman, M.A., McClure, R., McClay, J., Parker, C., Hrabak, K.M., Berg, D., Weida, T., Mansfield, J.G., Musen, M.A., Abarbanel, R.M.: The SAGE Guideline Model: achievements and overview. Journal of the American Medical Informatics Association 14, 589–598 (2007)

    Article  Google Scholar 

  8. Purves, I., Sugden, B., Booth, N., Sowerby, M.: The PRODIGY project - the iterative development of the release one model. Presented at AMIA Annual Symposium (1999)

    Google Scholar 

  9. Fox, J., Johns, N., Rahmanzadeh, A.: Disseminating medical knowledge: the PROforma approach. Artificial Intelligence In Medicine 14, 157–181 (1998)

    Article  Google Scholar 

  10. Kim, J., Cho, I., Kim, Y.: Knowledge Translation of SAGE-based guidelines for Executing with Knowledge Engine. Presented at Proceedings of the Annual Symposium of the American Medical Informatics Association Washington, DC, USA (2008)

    Google Scholar 

  11. Iordache, S.D., Orso, D., Zelingher, J.: A comprehensive computerized critical laboratory results alerting system for ambulatory and hospitalized patients. Studies In Health Technology And Informatics 84, 469–473 (2001)

    Google Scholar 

  12. Chen, H.-T., Ma, W.-C., Liou, D.M.: Design and implementation of a real-time clinical alerting system for intensive care unit. In: Proceedings / AMIA... Annual Symposium. AMIA Symposium, pp. 131–135 (2002)

    Google Scholar 

  13. Park, H.-i., Min, W.-K., Lee, W., Park, H., Park, C.-J., Chi, H.-S., Chun, S.: Evaluating the short message service alerting system for critical value notification via PDA telephones. Annals Of Clinical And Laboratory Science 38, 149–156 (2008)

    Google Scholar 

  14. Schedlbauer, A., Prasad, V., Mulvaney, C., Phansalkar, S., Stanton, W., Bates, D.W., Avery, A.J.: What evidence supports the use of computerized alerts and prompts to improve clinicians’ prescribing behavior? Journal of the American Medical Informatics Association 16, 531–538 (2009)

    Article  Google Scholar 

  15. Howanitz, P.J., Steindel, S.J., Heard, N.V.: Laboratory critical values policies and procedures: a College of American Pathologists Q-Probes study in 623 institutions. Archives of Pathology & Laboratory Medicine 126, 663–669 (2002)

    Google Scholar 

  16. Kuperman, G.J., Teich, J.M., Tanasijevic, M.J., Ma’Luf, N., Rittenberg, E., Jha, A., Fiskio, J., Winkelman, J., Bates, D.W.: Improving response to critical laboratory results with automation: results of a randomized controlled trial. Journal of the American Medical Informatics Association 6, 512–522 (1999)

    Article  Google Scholar 

  17. Goldberg, H.S., Vashevko, M., Pastilnik, A., Smith, K., Plaks, N., Blumenfeld, B.M.: Evaluation of a commercial rule engine as a basis for a clinical decision support service. In: AMIA... Annual Symposium Proceedings / AMIA Symposium. AMIA Symposium, pp. 294–298 (2006)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Cho, I., Kim, J., Kim, JH., Ha, K.S., Kim, Y. (2010). Accuracy and Performance Evaluation of a Laboratory Results Alerting. In: Kim, Th., Stoica, A., Chang, RS. (eds) Security-Enriched Urban Computing and Smart Grid. SUComS 2010. Communications in Computer and Information Science, vol 78. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16444-6_66

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-16444-6_66

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-16443-9

  • Online ISBN: 978-3-642-16444-6

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics