Skip to main content
Erschienen in: Information Systems Frontiers 1/2017

29.09.2015

OptiPres: a distributed mobile agent decision support system for optimal patient drug prescription

verfasst von: Kevin Miller, Gunjan Mansingh

Erschienen in: Information Systems Frontiers | Ausgabe 1/2017

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Prescribing the right drugs for a patient is a difficult task that takes into consideration several factors. The Institute of Medicine (IOM), U.S.A., has reported based on two major studies (1999–2001 & 2006) that prescribing the wrong medication is a big problem, and the effects can sometimes be fatal. To address this problem, we designed and implemented, a distributed intelligent mobile agent-based system by the name, OptiPres. This system will be used by doctors on their smart phones while prescribing medicines. It will assist them in making more informed decisions by either choosing the optimal solution from processing a repository of past decisions or by presenting a set of possible drugs and using criteria specified by them to identify the optimal drug. The evaluation of OptiPres was done by comparing its recommended outcome of three predefined medical scenarios against the recommendations from a group of doctors and the World Health Organization (WHO) manual entitled:‘Guide to Good Prescribing’. The results indicate that OptiPres is effective in prescribing optimal drugs and in reducing the cognitive burden on doctors, especially in subjective decision making contexts where they have to consider multiple parameters.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Fußnoten
1
FIPA is an IEEE Computer Society standards organization that promotes agent-based technology and the interoperability of its standards with other technologies.
 
2
This experiment is where the results from the tests are concealed from the subjects until after the tests, to reduce bias.
 
3
Familiar drugs that are prescribed regularly by a doctor.
 
4
The filters are: Mechanism of Action, Pharmacokinetics,Physiologic Effect and Therapeutic Category.
 
Literatur
Zurück zum Zitat Aamodt, A., & Plaza, E. (1994). Case-based reasoning; foundational issues, methodological variations, and system approaches. AI Communications, 7(1), 39–59. Aamodt, A., & Plaza, E. (1994). Case-based reasoning; foundational issues, methodological variations, and system approaches. AI Communications, 7(1), 39–59.
Zurück zum Zitat Aron, R., Dutta, S., Janakiraman, R., & Pathak, P.A. (2011). The impact of automation of systems on medical errors: Evidence from field research. Information Systems Research, 22(3), 429–446. doi:10.1287/isre.1110.0350.CrossRef Aron, R., Dutta, S., Janakiraman, R., & Pathak, P.A. (2011). The impact of automation of systems on medical errors: Evidence from field research. Information Systems Research, 22(3), 429–446. doi:10.​1287/​isre.​1110.​0350.CrossRef
Zurück zum Zitat Bates, D., Cohen, M., Leape, L., Overhage, J., Shabot, M., & Sheridan, T. (2001). Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 8(4), 299–308.CrossRef Bates, D., Cohen, M., Leape, L., Overhage, J., Shabot, M., & Sheridan, T. (2001). Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 8(4), 299–308.CrossRef
Zurück zum Zitat Bieszczad, A., Pagurek, B., & White, T. (1998). Mobile agents for network management. IEEE Communications Surveys, 1. Bieszczad, A., Pagurek, B., & White, T. (1998). Mobile agents for network management. IEEE Communications Surveys, 1.
Zurück zum Zitat Bozoki, S., Fulop, J., & Ronyai, L. (2009). Incomplete pairwise comparison matrices in multi-attribute decision making. In IEEE International Conference on Industrial Engineering and Engineering Management, 2009. IEEM 2009. doi:10.1109/IEEM.2009.5373064 (pp. 2256–2260). Bozoki, S., Fulop, J., & Ronyai, L. (2009). Incomplete pairwise comparison matrices in multi-attribute decision making. In IEEE International Conference on Industrial Engineering and Engineering Management, 2009. IEEM 2009. doi:10.​1109/​IEEM.​2009.​5373064 (pp. 2256–2260).
Zurück zum Zitat Bryson, N. (1995). A goal programming method for generating priority vectors. The Journal of the Operational Research Society, 46, 641–648.CrossRef Bryson, N. (1995). A goal programming method for generating priority vectors. The Journal of the Operational Research Society, 46, 641–648.CrossRef
Zurück zum Zitat Chen, R.C., Chiu, J.Y., & Bau, C.T. (2011). The recommendation of medicines based on multiple criteria decision making and domain ontology 2014; an example of anti-diabetic medicines. In 2011 International Conference on Machine Learning and Cybernetics (ICMLC). doi:10.1109/ICMLC.2011.6016682, (Vol. 1 pp. 27–32). Chen, R.C., Chiu, J.Y., & Bau, C.T. (2011). The recommendation of medicines based on multiple criteria decision making and domain ontology 2014; an example of anti-diabetic medicines. In 2011 International Conference on Machine Learning and Cybernetics (ICMLC). doi:10.​1109/​ICMLC.​2011.​6016682, (Vol. 1 pp. 27–32).
Zurück zum Zitat de Vries, T.P.G.M., Henning, R.H., Hogerzeil, H.V., & Fresle, D.A. (1994). Guide to Good Prescribing: A Practical Manual. de Vries, T.P.G.M., Henning, R.H., Hogerzeil, H.V., & Fresle, D.A. (1994). Guide to Good Prescribing: A Practical Manual.
Zurück zum Zitat El-Yafouri, R., & Klieb, L. (2014). Electronic medical records adoption and use: Understanding the barriers and the levels of adoption for physicians in the USA. In 2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom),. doi:10.1109/HealthCom.2014.7001894 (pp. 506–512). El-Yafouri, R., & Klieb, L. (2014). Electronic medical records adoption and use: Understanding the barriers and the levels of adoption for physicians in the USA. In 2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom),. doi:10.​1109/​HealthCom.​2014.​7001894 (pp. 506–512).
Zurück zum Zitat Gund, M., Andhalkar, S., Patil, D., & Wadhai, V. M. (2011). An intelligent architecture for multi-agent based m-Health care system. International Journal, 1–5. Gund, M., Andhalkar, S., Patil, D., & Wadhai, V. M. (2011). An intelligent architecture for multi-agent based m-Health care system. International Journal, 1–5.
Zurück zum Zitat Khan, A., Doucette, J.A., & Cohen, R. (2013). Validation of an ontological medical decision support system for patient treatment using a repository of patient data: Insights into the value of machine learning. ACM Transactions on Intelligent Systems and Technology, 4(4), 68:1–68:31. doi:10.1145/2508037.2508049.CrossRef Khan, A., Doucette, J.A., & Cohen, R. (2013). Validation of an ontological medical decision support system for patient treatment using a repository of patient data: Insights into the value of machine learning. ACM Transactions on Intelligent Systems and Technology, 4(4), 68:1–68:31. doi:10.​1145/​2508037.​2508049.CrossRef
Zurück zum Zitat Kirn, S. (2002). Ubiquitous Healthcare: The OnkoNet Mobile Agents Architecture. In Proceeding of Workshop on Mobile Computing in Medicine (MCM 02) (pp. 105–118): BJHC, Springer Verlag. Kirn, S. (2002). Ubiquitous Healthcare: The OnkoNet Mobile Agents Architecture. In Proceeding of Workshop on Mobile Computing in Medicine (MCM 02) (pp. 105–118): BJHC, Springer Verlag.
Zurück zum Zitat Kohn, L., Corrigan, J., & Donaldson, M. (2000). To err is human: building a safer health system. Washington: National Academy Press. Kohn, L., Corrigan, J., & Donaldson, M. (2000). To err is human: building a safer health system. Washington: National Academy Press.
Zurück zum Zitat Liu, V., May, L.J., Caelli, W.J., & Croll, P.R. (2007). A sustainable approach to security and privacy in health information systems. In Toleman, M., Cater-Steel, A., & Roberts, D. (Eds.) 18th Australasian Conference on Information Systems. http://eprints.qut.edu.au/11192/, the contents of this paper can be freely accessed online via the conference web page (see ACIS link). For more information, please contact the authors (pp. 255–265). Toowoomba, Qld, Australia: The University of Southern Queensland. Liu, V., May, L.J., Caelli, W.J., & Croll, P.R. (2007). A sustainable approach to security and privacy in health information systems. In Toleman, M., Cater-Steel, A., & Roberts, D. (Eds.) 18th Australasian Conference on Information Systems. http://​eprints.​qut.​edu.​au/​11192/​, the contents of this paper can be freely accessed online via the conference web page (see ACIS link). For more information, please contact the authors (pp. 255–265). Toowoomba, Qld, Australia: The University of Southern Queensland.
Zurück zum Zitat Lucas, P., Bruijn, N. D., Schurink, K., & Hoepelman, A. (2000). A probabilistic and decision-theoretic approach to the management of infectious disease at the icu. Artificial Intelligence in Medicine, 19, 251–279.CrossRef Lucas, P., Bruijn, N. D., Schurink, K., & Hoepelman, A. (2000). A probabilistic and decision-theoretic approach to the management of infectious disease at the icu. Artificial Intelligence in Medicine, 19, 251–279.CrossRef
Zurück zum Zitat Mateo, R. M., Cervantes, L. F., Yang, H. K., & Lee, J. (2007). Mobile Agents Using Data Mining for Diagnosis Support in Ubiquitous Healthcare. In Proceedings of the 1st KES International Symposium on Agent and Multi-Agent Systems: Technologies and Applications. KES-AMSTA ’07 (pp. 795–804). Berlin, Heidelberg: Springer-Verlag. Mateo, R. M., Cervantes, L. F., Yang, H. K., & Lee, J. (2007). Mobile Agents Using Data Mining for Diagnosis Support in Ubiquitous Healthcare. In Proceedings of the 1st KES International Symposium on Agent and Multi-Agent Systems: Technologies and Applications. KES-AMSTA ’07 (pp. 795–804). Berlin, Heidelberg: Springer-Verlag.
Zurück zum Zitat Miller, K., & Mansingh, G. (2013). Towards a distributed mobile agent decision support system for optimal patient drug prescription. In 2013 Third International Conference on Innovative Computing Technology (INTECH),. doi:10.1109/INTECH.2013.6653659 (pp. 233–238). Miller, K., & Mansingh, G. (2013). Towards a distributed mobile agent decision support system for optimal patient drug prescription. In 2013 Third International Conference on Innovative Computing Technology (INTECH),. doi:10.​1109/​INTECH.​2013.​6653659 (pp. 233–238).
Zurück zum Zitat Miller, K.J., & Sankaranarayanan, S. (2010). Applications of policy based agents in wireless body sensor mesh networks for health monitoring. International Journal of E-Health and Medical Communications. Miller, K.J., & Sankaranarayanan, S. (2010). Applications of policy based agents in wireless body sensor mesh networks for health monitoring. International Journal of E-Health and Medical Communications.
Zurück zum Zitat Pollock, M., Bazaldua, OV, & Dobbie, AE (2007). Appropriate Prescribing of Medications: An eight-step approach. Americal Family Physician, 75(2), 231–236. Pollock, M., Bazaldua, OV, & Dobbie, AE (2007). Appropriate Prescribing of Medications: An eight-step approach. Americal Family Physician, 75(2), 231–236.
Zurück zum Zitat Smyth, B., & McKenna, E. (1999). Footprint-based retrieval. In Proceedings of the Third International Conference on Case-Based Reasoning (pp. 343–357): Springer Verlag. Smyth, B., & McKenna, E. (1999). Footprint-based retrieval. In Proceedings of the Third International Conference on Case-Based Reasoning (pp. 343–357): Springer Verlag.
Zurück zum Zitat Wang, P., Ding, Z., Jiang, C., & Zhou, M. (2013). Design and implementation of a web-service-based public-oriented personalized health care platform. IEEE Transactions on Systems, Man, and Cybernetics: Systems, 43(4), 941–957. doi:10.1109/TSMCA.2012.2210412.CrossRef Wang, P., Ding, Z., Jiang, C., & Zhou, M. (2013). Design and implementation of a web-service-based public-oriented personalized health care platform. IEEE Transactions on Systems, Man, and Cybernetics: Systems, 43(4), 941–957. doi:10.​1109/​TSMCA.​2012.​2210412.CrossRef
Zurück zum Zitat Zhu, Q., Liu, C., & Holroyd, K.A. (2012). From a traditional behavioral management program to an m-health app: Lessons learned in developing m-health apps for existing health care programs. In Proceedings of the 4th International Workshop on Software Engineering in Health Care. http://dl.acm.org/citation.cfm?id=2667036.2667048(pp. 69–72). Piscataway, NJ, USA, SEHC’12: IEEE Press. Zhu, Q., Liu, C., & Holroyd, K.A. (2012). From a traditional behavioral management program to an m-health app: Lessons learned in developing m-health apps for existing health care programs. In Proceedings of the 4th International Workshop on Software Engineering in Health Care. http://​dl.​acm.​org/​citation.​cfm?​id=​2667036.​2667048(pp. 69–72). Piscataway, NJ, USA, SEHC’12: IEEE Press.
Metadaten
Titel
OptiPres: a distributed mobile agent decision support system for optimal patient drug prescription
verfasst von
Kevin Miller
Gunjan Mansingh
Publikationsdatum
29.09.2015
Verlag
Springer US
Erschienen in
Information Systems Frontiers / Ausgabe 1/2017
Print ISSN: 1387-3326
Elektronische ISSN: 1572-9419
DOI
https://doi.org/10.1007/s10796-015-9595-9

Weitere Artikel der Ausgabe 1/2017

Information Systems Frontiers 1/2017 Zur Ausgabe