Antimicrobial clinical decision support

In development

Antimicrobial decisions. Explicit reasoning.

RX Decision is a clinical decision-support project in development. It is being built around source-linked rules for antimicrobial therapy, with reasoning that physicians can examine.

Explore the principles

Source-linked logicPhysician-led decisions

Denis Medvedev, MD

Denis Medvedev, MD

Clinical pharmacologist
Creator of RX Decision

The origin

Built from
clinical practice.

RX Decision grew from Denis Medvedev’s work in clinical pharmacology and antimicrobial stewardship: translating clinical guidance into decisions for individual patients.

An earlier Telegram-based decision-support system was a first step in making that logic explicit. RX Decision takes the work forward, with sources, reasoning and the limits of each recommendation available for review.

Clinical principles

Clear logic.
Clinical responsibility.

The principles guiding development.

  1. Source-linked
    clinical logic

    Identifiable sources, clear clinical context and documented limits for the rules behind a recommendation.

  2. Explicit and auditable
    recommendations

    A visible path from clinical inputs to a recommendation, with reasoning that can be examined.

  3. Clinical decisions remain
    with the physician

    The physician assesses applicability, considers the patient’s circumstances and makes the final decision.