An automated technique to identify potential inappropriate traditional Chinese medicine (TCM) prescriptions.

作者: Hsuan‐Chia Yang , Usman Iqbal , Phung Anh Nguyen , Shen‐Hsien Lin , Chih‐Wei Huang

DOI: 10.1002/PDS.3976

关键词:

摘要: Purpose Medication errors such as potential inappropriate prescriptions would induce serious adverse drug events to patients. Information technology has the ability prevent medication errors; however, pharmacology of traditional Chinese medicine (TCM) is not clear in western medicine. The aim this study was apply appropriateness prescription (AOP) model identify TCM prescriptions. Methods We used association rule mining techniques analyze 14.5 million from Taiwan National Health Insurance Research Database. disease and (DTCM) medicine–traditional (TCMM) associations are computed by their co-occurrence, associations' strength measured Q-values, which often referred interestingness or life values. By considering number AOP applied prescriptions. Afterwards, three physicians evaluated 1920 validated detected outcomes model. Result Out prescriptions, 97.1% positive predictive value 19.5% negative were shown system compared with those experts. sensitivity analysis indicated that could improve up 27.5% when model's threshold changed 0.4. Conclusion We successfully automatically This be a clinical decision support order safety quality care. Copyright © 2016 John Wiley & Sons, Ltd.

参考文章(34)
Sunita Sarawagi, Shiby Thomas, Rakesh Agrawal, None, Integrating Association Rule Mining with Relational Database Systems: Alternatives and Implications Data Mining and Knowledge Discovery. ,vol. 4, pp. 89- 125 ,(2000) , 10.1023/A:1009887712954
Ann W. Hsing, John P. A. Ioannidis, Nationwide Population Science JAMA Internal Medicine. ,vol. 175, pp. 1527- 1529 ,(2015) , 10.1001/JAMAINTERNMED.2015.3540
Fang-Pey Chen, Tzeng-Ji Chen, Yen-Ying Kung, Yu-Chun Chen, Li-Fang Chou, Fan-Jou Chen, Shinn-Jang Hwang, Use frequency of traditional Chinese medicine in Taiwan BMC Health Services Research. ,vol. 7, pp. 26- 26 ,(2007) , 10.1186/1472-6963-7-26
Reema Harrison, Merrilyn Walton, Elizabeth Manias, Jennifer Smith–Merry, Patrick Kelly, Rick Iedema, Lauren Robinson, The missing evidence: a systematic review of patients' experiences of adverse events in health care International Journal for Quality in Health Care. ,vol. 27, pp. 424- 442 ,(2015) , 10.1093/INTQHC/MZV075
S. J. W. Evans, P. C. Waller, S. Davis, Use of proportional reporting ratios (PRRs) for signal generation from spontaneous adverse drug reaction reports Pharmacoepidemiology and Drug Safety. ,vol. 10, pp. 483- 486 ,(2001) , 10.1002/PDS.677
Gianluca Trifirò, Antoine Pariente, Preciosa M Coloma, Jan A Kors, Giovanni Polimeni, Ghada Miremont‐Salamé, Maria Antonietta Catania, Francesco Salvo, Anaelle David, Nicholas Moore, Achille Patrizio Caputi, Miriam Sturkenboom, Mariam Molokhia, Julia Hippisley‐Cox, Carlos Diaz Acedo, Johan van der Lei, Annie Fourrier‐Reglat, None, Data mining on electronic health record databases for signal detection in pharmacovigilance: which events to monitor? Pharmacoepidemiology and Drug Safety. ,vol. 18, pp. 1176- 1184 ,(2009) , 10.1002/PDS.1836
Xiao-Long Liu, Qian-Yun Xi, Lin Yang, Hong-Yi Li, Qing-Yan Jiang, Gang Shu, Song-Bo Wang, Ping Gao, Xiao-Tong Zhu, Yong-Liang Zhang, The effect of dietary Panax ginseng polysaccharide extract on the immune responses in white shrimp, Litopenaeus vannamei Fish & Shellfish Immunology. ,vol. 30, pp. 495- 500 ,(2011) , 10.1016/J.FSI.2010.11.018
Heleen van der Sijs, Alexandra Mulder, Teun van Gelder, Jos Aarts, Marc Berg, Arnold Vulto, Drug safety alert generation and overriding in a large Dutch university medical centre. Pharmacoepidemiology and Drug Safety. ,vol. 18, pp. 941- 947 ,(2009) , 10.1002/PDS.1800
Juei-Tang Cheng, Review: Drug Therapy in Chinese Traditional Medicine The Journal of Clinical Pharmacology. ,vol. 40, pp. 445- 450 ,(2000) , 10.1177/00912700022009198