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Probably the most widely used aspect of expert systems in the hospital environment is decision support for antibiotic prescribing and antibiotic stewardship. These topics have been well reviewed by MillerSintchenko et al. Many studies described improved antibiotic use, more appropriate use of guidelines, improved patient care, reduced costs, and stabilization of antibiotic resistance Expert systems have been used for clinical case simulations. AST Advantage! Adv Plus
For example, ALERT 29 was used to assist in the training of general practitioners regarding the control of serious, communicable, and rare diseases, such as anthrax, plague, and smallpox. In one study, clinicians using an expert system compared with conventional practice ordered fewer laboratory tests during the diagnostic process, completed the diagnostic workup with fewer sample collections, generated lower laboratory costs, shortened the time required to reach a diagnosis, showed closer adherence to established clinical practice guidelines, and exhibited a more uniform and diagnostically successful investigation Expert systems have been used to diagnose a variety of clinical conditions, including community-acquired pneumonias 9, septicemiafemale genital disease and abdominal painurinary tract infection 51, viral and infantile 90 meningitis, febrile tropical diseases 27chronic prostatitis 31infective endocarditis 76and infectious diseases Some systems have used fuzzy-logic methods 14 ; others have used the World Wide Web Its objectives are to highlight errors that can occur when the kit is in use.
It can indicate the presence of new groups or species and give advice or suggest additional tests for the differentiation of the new species from those included in the kit Expert systems have also been used for parasite identification Hospital-acquired infections represent a significant cause of prolonged inpatient days and additional hospital charges. As the demands on hospital infection control teams increase, it becomes less efficient for them to use paper-based surveillance AST Advantage! Adv Plus, and several expert systems have AST Advantage! Adv Plus developed.
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Early systems included Help 37 and Germwatcher Hospital information system-based alerts can play an important role in the surveillance and early prevention of methicillin-resistant Staphylococcus aureus MRSA transmission and can help to recognize patterns of colonization and transmission Some systems, e. Others support multiple hospitals, e. A major application of expert systems to microbiology is the interpretation of an organism's antibiogram. This was facilitated by the concept of interpretive reading, driven largely by one of the coauthors of this review 55 - In AST Advantage! Adv Plus, Alan Turing considered artificial intelligence to be activity carried out by a machine that if carried out by a human would be AST Advantage!
Adv Plus intelligent. An expert system is a computer program designed to simulate the problem-solving behavior of a human who is an expert in a narrow task domain or discipline, and the terms expert system and knowledge-based system are often used synonymously; the terms knowledge application system and decision support system are also used.
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Expert systems are best suited to problems requiring experience, knowledge, judgment, and complex interactions to arrive at a solution. Conventional software processes passive data, using algorithms to solve problems, and expert systems process active factual knowledge that can be used to infer new information from what is already known; they also process less rigorous, more experiential, and more judgmental knowledge known as heuristics. Expert systems can deliver quantitative information and interpret qualitatively derived values. Whether or not the problem merits the use of an expert system is dependent on several criteria:exe, AST Advantage!
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