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Journal of Medical Systems

, Volume 14, Issue 5, pp 297–306 | Cite as

“NEONATE”—An expert application for the “HELP” system: Comparison of the computer's and the physician's problem list

  • Arie Franco
  • Fred L. Farr
  • Jerald D. King
  • Justin S. Clark
  • Peter J. Haug
Articles

Abstract

NEONATE is a prototype of an expert application for the HELP Hospital Information System. Its goal is to improve documentation in the Newborn Intensive Care Unit. The decision module of NEONATE is designed to produce an admission problem list. In this paper, the admission problem list that NEONATE generates was compared to the admission problem list of the current CETUS system for 30 patients. These were compared to a retrospectively constructed gold standard problem list. Of 101 problems in the gold standard list, 56 were on the current admission reports; 82 were found by NEONATE. NEONATE found 31 problems missed on the current admission reports; the current admission reports contained 5 problems missed by NEONATE. The current admission reports contained 9 false positives; whereas NEONATE's reports contained 27. Of the 27, 16 were caused by a single rule in NEONATE. We conclude that an expert system has great potential for improving the documentation of the patient problem list.

Keywords

Gold Intensive Care Unit Information System Gold Standard False Positive 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Plenum Publishing Corporation 1990

Authors and Affiliations

  • Arie Franco
    • 1
  • Fred L. Farr
    • 1
  • Jerald D. King
    • 2
  • Justin S. Clark
    • 3
  • Peter J. Haug
    • 3
  1. 1.From the Department of Information SystemsPrimary Children's Medical CenterSalt Lake City
  2. 2.Department of PediatricsUniversity of UtahSalt Lake City
  3. 3.Department of Medical InformaticsUniversity of UtahSalt Lake City

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