Evaluation of a clinical decision support algorithm for patient-specific childhood immunization英语教案.pdf

Artificial Intelligence in Medicine 56 (2012) 51–57 Contents lists available at SciVerse ScienceDirect Artificial Intelligence in Medicine j o u r n a l h o m e p a ge : w w w. elsev /locate/aiim Evaluation of a clinical decision support algorithm for patient-specific childhood immunization Vivienne J. Zhu a,b,∗ , Shaun J. Grannis a,b,1, Wanzhu Tu a,b,2 , Marc B. Rosenman a,b,1, Stephen M. Downs a,b,c,3 a Regenstrief Institute, Inc., Indianapolis, IN, United States b Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States c Children’s Health Research Services, Indianapolis, IN, United States a r t i c l e i n f o a b s t r a c t Article history: Objective: To evaluate the effectiveness of a clinical decision support system (CDSS) implementing stan- Received 19 July 2011 dard childhood immunization guidelines, using real-world patient data from the Regenstrief Medical Received in revised form 19 April 2012 Record System (RMRS). Accepted 25 April 2012 Methods: Study subjects were age 6-years or younger in 2008 and had visited the pediatric clinic on the campus of Wishard Memorial Hospital. Immunization records were retrieved from the RMRS for Keywords: 135 randomly selected pediatric patients. We compared vaccine recommendations from the CDSS for Clinical decision support system both eligible and recommended timelines, based on the child’s