Skip to main content

Advertisement

Log in

Applying Ontology Techniques to Develop a Medication History Search and Alert System in Department of Nuclear Medicine

  • Original Paper
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

Nowadays, patients usually take more than three drugs for diseases such as hypertension, diabetes, and dyslipidemia. Hence, nuclear medicine physicians should be very careful about the medication history of each patient and ensure that their medication will not cause false positive or false negative imaging results, because either condition will interfere with adequate treatment of the patient and result in a wrong diagnosis. The aim of the present paper is to develop an ontology-based medication search and alert system for scintiphotography of Chang Gung Memorial hospital at Kaohsiung. Composed of four sub-systems, including Medication History Collect Agent (MHCA), Medication History Search System (MHSS), Patient Medication Consultation System (PMCS), and Patient Medication Alert System (PMAS), this medication search and alert system for scintiphotography is expected to support decision making of nuclear medicine examination, improve accuracy of image reading, and offer detailed data for further research. The ultimate goal of this system is to ensure patient safety.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Ross, K., Joshua, P. M., and Abigail, C., Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors. JAMA 293(10):1197–1203, 2005.

    Article  Google Scholar 

  2. Liu, Y., Zhao, G., Li, F., Huang, X., Hu, D., Juan, Xu, Yao, S., et al., Nursing-related patient safety events in hospitals. J Huazhong Univ Sci Technolog Med Sci 29(2):265–268, 2009.

    Article  Google Scholar 

  3. National Patient Safety Goals (2009). http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals. Accessed February.

  4. Patient Safety in Taiwan (2009). http://www.patientsafety.doh.gov.tw/big5/Content/Content.asp?cid=2. Accessed February.

  5. Frederick, L. D., Gamuts in Nuclear Medicine, 3rd edition. William C. Brown, Norwalk, 1995.

    Google Scholar 

  6. Darren, M. T., Steven, L. C., and Robert, A. H., Risk of Adverse Drug Events by Patient Destination after Hospital Discharge. American Society of Health-System Pharmacists 62:1883–1889, 2005.

    Article  Google Scholar 

  7. OHTA, and Hitoya, M. D., Liver Uptake and Increased Renal Uptake of Tc-99m HMDP in a Patient with Iron Overload. Clin Nucl Med 26(2):164–165, 2001.

    Article  Google Scholar 

  8. Classen, D. C., Pestotnik, S. L., Evans, R. S., and Burke, J. P., Computerized surveillance of adverse drug events in hospital patients. Qual Saf Health Care. 14:221–226, 2005.

    Article  Google Scholar 

  9. Peter, M. K., Campbell, U. C., Cozart, H. B., and Mojarrad, M. G., Automated Surveillance for Adverse Drug Events at a Community Hospital and an Academic Medical Center. J Am Med Inform Assoc. 13:372–377, 2006.

    Article  Google Scholar 

  10. Peter, M. K., Laura, A. N., Richard, M. R., Kathleen, M. B., Kevin, M. H., Miranda, N., et al., Computerized Surveillance for Adverse Drug Events in a Pediatric Hospital. J Am Med Inform Assoc. 16:607–612, 2009.

    Article  Google Scholar 

  11. Kilbridge, P., Implementation of a system for computerized Adverse Drug Event Surveillance and intervention at an Academic Medical Center. J Clin Outcomes (JCOM) 13(2):94–100, 2006.

    Google Scholar 

  12. CMMI Product Team, CMMI® for Development, Version 1.2, 2006.

  13. Wu, Z., David, C., Li, M., and Wang, Q., A Survey of CMM/CMMI Implementation in China. 2005. ISSN 0302–9743 (Print) 1611-3349 (Online).

  14. Trudel, S., Lavoie, J. M., Pare, M. C., and Suryn, W., PEM: The small company-dedicated software process quality evaluation method combining CMMISM and ISO/IEC 14598. Software Quality Journal. 14(1):7–23, 2006.

    Article  Google Scholar 

  15. Zhang, H., Kitchenham, B., and Jeffery, R. A Framework for Adopting Software Process Simulation in CMMI Organizations. Software Process Dynamics and Agility. 2007. ISSN 0302-9743 (Print) 1611–3349 (Online).

  16. Oliveira, S. B. de, Valle, R., and Mahler, C. F. A comparative analysis of CMMI software project management by Brazilian, Indian and Chinese companies. Software Quality Journal. 2009. ISSN 0963-9314 (Print) 1573–1367 (Online).

  17. Terry, S. F., Paula, R., Lee, M., Linda, G., Sujha, S., Sonia, H., et al., Costs Associated with Developing and Implementing a Computerized Clinical Decision Support System for Medication Dosing for Patients with Renal Insufficiency in the Long-term Care Setting. J Am Med Inform Assoc. 15:466–472, 2008.

    Article  Google Scholar 

  18. Dickson, K. W. Chiu, Drake T. T., Lin, Kafeza, E., Wang, M., Hu, H., Hu, H., et al. Alert based disaster notification and resource allocation. Information Systems Frontiers. 2009. ISSN 1387-33.26 (Print) 1572–9419 (Online).

  19. Terry, S. F., Rochon, P., Lee, M., Gavendo, L., Baril, J. L., and Gurwitz, J. H., Computerized Clinical Decision Support During Medication Ordering for Long-term Care Residents with Renal Insufficiency. J Am Med Inform Assoc. 16:480–485, 2009.

    Article  Google Scholar 

  20. Heleen, V. D., JOS, A., Vulto, A., and Marc, B., Overriding of Drug Safety Alerts in Computerized Physician Order Entry. J Am Med Inform Assoc. 13:138–147, 2006.

    Article  Google Scholar 

  21. Bernardo, C. G., Christian, H. W., Yevgeny, K. and Boontawee S. Incremental Classification of Description Logics Ontologies. Journal of Automated Reasoning. 2010. ISSN 0168-7433 (Print) 1573–0670 (Online).

  22. Daniel, L. R., Natalya, F. N., and Mark, A. M., Protégé: A Tool for Managing and Using Terminology in Radiology Applications. J Digit Imaging. 20(1):34–46, 2007.

    Article  Google Scholar 

Download references

Acknowledgement

This system was successfully developed under the support of the grant CMRPG 880651 from Chang Gung Memorial Hospital.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pei-Wen Wang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, JJ., Wang, PW., Huang, YC. et al. Applying Ontology Techniques to Develop a Medication History Search and Alert System in Department of Nuclear Medicine. J Med Syst 36, 737–746 (2012). https://doi.org/10.1007/s10916-010-9541-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10916-010-9541-9

Keywords

Navigation