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ABSTRACT: Background
The purpose of this evaluation was to develop a novel framework for large language model (LLMs) iterative prompt optimization for the specialized domain of medication decision-making in the intensive care unit (ICU). This serves as a first step towards the use of LLMs as clinical decision support (CDS) tools capable of performing pharmacy related tasks.Methods
Using a cohort of 1,000 adult patients managed in the ICU for greater than 24 h, an iterative optimization process in the GPT-4 framework was applied to enhance performance of various medication-related tasks, including patient disease state clustering by medication regimen, medication regimen generation, and outcome prediction with the intent to develop PharmacyGPT. Within this feedback loop, the input pro
SUBMITTER: Liu Z
PROVIDER: S-EPMC12570815 | biostudies-literature | 2025 Oct
REPOSITORIES: biostudies-literature