title: [Realization of an assisted system for medical decision and follow-up in hematologic diseases treated with sequential chemotherapy].
abstract: The follow-up of patients treated with sequential chemotherapy in internal medicine departments with special interest in haematology imposes a heavy burden on the entire treating staff. The chances of errors, notably in medical prescriptions and care, are not negligible, and these errors result in iatrogenic complications, readmissions and prolonged stays in hospitals. Designing a medical decision and therapeutic follow-up aid system should be time-saving for the staff and ensure good quality and safe prescriptions as well as reliable therapeutic evaluations and better hospital management. The system described here is developed on 4D Macintosh computer which handles a relational data-base. It includes the data-base, i.e. a knowledge-based system devised by the expert clinician containing "declarative" data and deduced rules which represent the expert's reasoning and determine the action to be taken, and the interface between them. The system easily accepts many parameters, thereby enabling medical knowledge and therapeutic attitudes to be updated.
authors.affiliation: Service de Médecine A orienté vers les maladies du sang, C.H.U.-Barbois, Vandoeuvre-Les-Nancy.
authors.forename: A
authors.initials: A
authors.lastname: Guerci
authors.forename: N
authors.initials: N
authors.lastname: Faccin
authors.forename: N
authors.initials: N
authors.lastname: Frenkiel
authors.forename: R
authors.initials: R
authors.lastname: Ferry
authors.forename: F
authors.initials: F
authors.lastname: Witz
authors.forename: F
authors.initials: F
authors.lastname: Kohler
authors.forename: P
authors.initials: P
authors.lastname: Lederlin
authors.forename: O
authors.initials: O
authors.lastname: Guerci
mesh_terms: D003658:Decision Making, Computer-Assisted; D004359:Drug Therapy, Combination; D004360:Drug Therapy, Computer-Assisted; D006402:Hematologic Diseases / Q000188:drug therapy*; D006801:Humans; D013997:Time Factors
vernacular_title: Réalisation d'un système d'aide à la décision médicale et au suivi pour les hémopathies traitées par chimiothérapie séquentielle.