An Antimicrobial Prescription Surveillance System That Learns from Experience

One of the difficulties of antimicrobial prescribing lies in the necessity to sequentially adjust the treatment of a patient as new clinical data become available. The lack of specialized healthcare resources and the overwhelming amount of information to process make manual surveillance unsustainable. To solve this problem, we have developed and deployed an automated antimicrobial prescription surveillance system that assists hospital pharmacists in identifying and reporting inappropriate prescriptions. Since its deployment, the system has improved antimicrobial prescribing and decreased antimicrobial use. However, the highly sensitive knowledge base used by the system leads to many false alerts.