An Antimicrobial Prescription Surveillance System that Learns from Experience
Bibliographic record
Abstract
Inappropriate prescribing of antimicrobials is a major clinical and health concern, as well as a financial burden, in hospitals worldwide. In this paper, we describe a deployed automated antimicrobial prescription surveillance system that has been assisting hospital pharmacists in identifying and reporting inappropriate antimicrobial prescriptions. One of the key characteristics of this system is its ability to learn new rules for detecting inappropriate prescriptions based on previous false alerts. The supervised learning algorithm combines instancebased learning and rule induction techniques. It exploits temporal abstraction to extract a meaningful time interval representation from raw clinical data, and applies nearest neighbor classification with a distance function on both temporal and non-temporal parameters. The learning capability is valuable both in configuring the system for initial deployment and improving its long term use. We give an overview of the application, point to lessons learned so far and provide insight into the machine learning capability.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.002 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".