Methods Inf Med - From clinical practice guidelines to computer-interpretable guidelines. A literature overview.

Tópicos

{ clinic(1479) use(1117) guidelin(835) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ studi(2440) review(1878) systemat(933) }
{ implement(1333) system(1263) develop(1122) }
{ concept(1167) ontolog(924) domain(897) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ general(901) number(790) one(736) }
{ research(1085) discuss(1038) issu(1018) }
{ research(1218) medic(880) student(794) }
{ method(2212) result(1239) propos(1039) }
{ can(774) often(719) complex(702) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ system(1050) medic(1026) inform(1018) }
{ model(3480) simul(1196) paramet(876) }
{ process(1125) use(805) approach(778) }
{ learn(2355) train(1041) set(1003) }
{ model(2341) predict(2261) use(1141) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ cost(1906) reduc(1198) effect(832) }
{ time(1939) patient(1703) rate(768) }
{ method(1969) cluster(1462) data(1082) }
{ system(1976) rule(880) can(841) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ patient(2837) hospit(1953) medic(668) }
{ signal(2180) analysi(812) frequenc(800) }
{ analysi(2126) use(1163) compon(1037) }
{ result(1111) use(1088) new(759) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }

Resumo

CKGROUND: Guidelines are among us for over 30 years. Initially they were used as algorithmic protocols by nurses and other ancillary personnel. Many physicians regarded the use of guidelines as cookbook medicine. However, quality and patient safety issues have changed the attitude towards guidelines. Implementing formalized guidelines in a decision support system with an interface to an electronic patient record (EPR) makes the application of guidelines more personal and therefore acceptable at the moment of care.OBJECTIVE: To obtain, via a literature review, an insight into factors that influence the design and implementation of guidelines.METHODS: An extensive search of the scientific literature in PubMed was carried out with a focus on guideline characteristics, guideline development and implementation, and guideline dissemination.RESULTS: We present studies that enable us to explain the characteristics of high-quality guidelines, and new advanced methods for guideline formalization, computerization, and implementation. We show how the guidelines affect processes of care and the patient outcome. We discuss the reasons of low guideline adherence as presented in the literature and comment upon them.CONCLUSIONS: Developing high-quality guidelines requires a skilled team of people and sufficient budget. The guidelines should give personalized advice. Computer-interpretable guidelines (CIGs) that have access to the patient's EPR are able to give personal advice. Because of the costs, sharing of CIGs is a critical requirement for guideline development, dissemination, and implementation. Until now this is hardly possible, because of the many models in use. However, some solutions have been proposed. For instance, a standardized terminology should be imposed so that the terms in guidelines can be matched with terms in an EPR. Also, a dissemination model for easy updating of guidelines should be established. The recommendations should be based on evidence instead of on consensus. To test the quality of the guideline, appraisal instruments should be used to assess the guideline as a whole, as well as checking the quality of the recommendations individually. Only in this way optimal guideline advice can be given on an individual basis at a reasonable cost.

Resumo Limpo

ckground guidelin among us year initi use algorithm protocol nurs ancillari personnel mani physician regard use guidelin cookbook medicin howev qualiti patient safeti issu chang attitud toward guidelin implement formal guidelin decis support system interfac electron patient record epr make applic guidelin person therefor accept moment careobject obtain via literatur review insight factor influenc design implement guidelinesmethod extens search scientif literatur pubm carri focus guidelin characterist guidelin develop implement guidelin disseminationresult present studi enabl us explain characterist highqual guidelin new advanc method guidelin formal computer implement show guidelin affect process care patient outcom discuss reason low guidelin adher present literatur comment upon themconclus develop highqual guidelin requir skill team peopl suffici budget guidelin give person advic computerinterpret guidelin cig access patient epr abl give person advic cost share cig critic requir guidelin develop dissemin implement now hard possibl mani model use howev solut propos instanc standard terminolog impos term guidelin can match term epr also dissemin model easi updat guidelin establish recommend base evid instead consensus test qualiti guidelin apprais instrument use assess guidelin whole well check qualiti recommend individu way optim guidelin advic can given individu basi reason cost

Resumos Similares

J Am Med Inform Assoc - Building better guidelines with BRIDGE-Wiz: development and evaluation of a software assistant to promote clarity, transparency, and implementability. ( 0,899712664652016 )
J. Med. Internet Res. - Feasibility of a wiki as a participatory tool for patients in clinical guideline development. ( 0,890050742981384 )
Int J Med Inform - From clinical practice guidelines, to clinical guidance in practice - impacts for computerization. ( 0,880323958052983 )
Telemed J E Health - Utilization of the American Telemedicine Association's clinical practice guidelines. ( 0,878392572113232 )
BMC Med Inform Decis Mak - Practice guidelines and clinical risk assessment models: is it time to reform? ( 0,861637350278904 )
Int J Med Inform - Complexity and the science of implementation in health IT--knowledge gaps and future visions. ( 0,858179922262058 )
AMIA Annu Symp Proc - Extending the GuideLine Implementability Appraisal (GLIA) instrument to identify problems in control flow. ( 0,856048219188854 )
Comput. Biol. Med. - Evaluation of personal health record systems through the lenses of EC research projects. ( 0,850768599269459 )
J. Med. Internet Res. - An evaluation of web-based clinical practice guidelines for managing problems associated with cannabis use. ( 0,84788102078864 )
Appl Clin Inform - An internet portal for the development of clinical practice guidelines. ( 0,840741449026273 )
AMIA Annu Symp Proc - Representation of Clinical Nursing Protocols Using GEM II & GEM Cutter. ( 0,819899599364668 )
J Am Med Inform Assoc - The feasibility of automating audit and feedback for ART guideline adherence in Malawi. ( 0,795150443629923 )
J Biomed Inform - The impact of emerging standards adoption on automated quality reporting. ( 0,788999379149136 )
Res Synth Methods - A tool to assess the quality of a meta-analysis. ( 0,776639393651723 )
Comput. Biol. Med. - Towards automated generation and execution of clinical guidelines: engine design and implementation through the ICU Modified Schofield use case. ( 0,762956573298938 )
AMIA Annu Symp Proc - An Algorithm Using Twelve Properties of Antibiotics to Find the Recommended Antibiotics, as in CPGs. ( 0,756941594258864 )
Methods Inf Med - The Standardization of Uveitis Nomenclature (SUN) Project. Development of a clinical evidence base utilizing informatics tools and techniques. ( 0,756313986648748 )
Appl Clin Inform - Actionable recommendations in the Bright Futures child health supervision guidelines. ( 0,754738185140424 )
J Am Med Inform Assoc - Effect of clinical decision support on documented guideline adherence for head CT in emergency department patients with mild traumatic brain injury. ( 0,754251280492411 )
BMC Med Inform Decis Mak - A conceptual framework and protocol for defining clinical decision support objectives applicable to medical specialties. ( 0,749210097466876 )
Brief. Bioinformatics - A survey of error-correction methods for next-generation sequencing. ( 0,744293631629912 )
J Am Med Inform Assoc - A multi-layered framework for disseminating knowledge for computer-based decision support. ( 0,736795588747336 )
AMIA Annu Symp Proc - GEM at 10: a decade's experience with the Guideline Elements Model. ( 0,735434279324655 )
J Clin Monit Comput - Ventilator-associated pneumonia: current status and future recommendations. ( 0,734892658781513 )
Perspect Health Inf Manag - Distributed guidelines (DiG): a software framework for extending automated health decision support to the general population. ( 0,732182922614689 )
Comput Methods Programs Biomed - Supporting adaptive clinical treatment processes through recommendations. ( 0,722418231843729 )
J Biomed Inform - Workflow mining and outlier detection from clinical activity logs. ( 0,711602175876716 )
BMC Med Inform Decis Mak - How to translate therapeutic recommendations in clinical practice guidelines into rules for critiquing physician prescriptions? Methods and application to five guidelines. ( 0,697115800293631 )
Int J Med Inform - Dashboards for improving patient care: review of the literature. ( 0,693298361212162 )
J Biomed Inform - Facilitating pre-operative assessment guidelines representation using SNOMED CT. ( 0,687799561107996 )
BMC Med Inform Decis Mak - Development of a prototype clinical decision support tool for osteoporosis disease management: a qualitative study of focus groups. ( 0,687299070184082 )
AMIA Annu Symp Proc - Developing nursing computer interpretable guidelines: a feasibility study of heart failure guidelines in homecare. ( 0,686876209316756 )
BMC Med Inform Decis Mak - Evaluating genomic tests from bench to bedside: a practical framework. ( 0,684747380443065 )
J Biomed Inform - Analysis of eligibility criteria representation in industry-standard clinical trial protocols. ( 0,673191049156643 )
AMIA Annu Symp Proc - Making audit actionable: an example algorithm for blood pressure management in chronic kidney disease. ( 0,670926449586497 )
J Biomed Inform - Transforming semi-structured life science diagrams into meaningful domain ontologies with DiDOn. ( 0,668345826650466 )
Appl Clin Inform - The association between use of a clinical decision support tool and adherence to monitoring for medication-laboratory guidelines in the ambulatory setting. ( 0,664666490315899 )
Int J Med Inform - Electronic decision protocols for ART patient triaging to expand access to HIV treatment in South Africa: a cross sectional study for development and validation. ( 0,661684820284338 )
BMC Med Inform Decis Mak - A systematic development process for patient decision aids. ( 0,661226237099848 )
Int J Comput Assist Radiol Surg - Formal verification of software-based medical devices considering medical guidelines. ( 0,660478231912134 )
BMC Med Inform Decis Mak - Deficiencies in the transfer and availability of clinical trials evidence: a review of existing systems and standards. ( 0,658517274707259 )
Int J Med Inform - Guideline for good evaluation practice in health informatics (GEP-HI). ( 0,65811183195184 )
Int J Med Inform - Towards an understanding of the information dynamics of the handover process in aged care settings--a prerequisite for the safe and effective use of ICT. ( 0,65487623592389 )
J Biomed Inform - Feasibility of encoding the Institute for Clinical Systems Improvement Depression Guideline using the Omaha System. ( 0,639919182918722 )
BMC Med Inform Decis Mak - Use of handheld computers in clinical practice: a systematic review. ( 0,637670428835798 )
Health Info Libr J - Evidence-based medicine: is the evidence out there for primary care clinicians? ( 0,63568876335852 )
Int J Med Inform - Updating clinical knowledge: an evaluation of current information alerting services. ( 0,635045027054729 )
J. Med. Internet Res. - Facebook apps for smoking cessation: a review of content and adherence to evidence-based guidelines. ( 0,634368653088394 )
J Am Med Inform Assoc - Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study. ( 0,632463469594895 )
BMC Med Inform Decis Mak - Validating archetypes for the Multiple Sclerosis Functional Composite. ( 0,630715493874185 )
J. Med. Internet Res. - WikiBuild: a new application to support patient and health care professional involvement in the development of patient support tools. ( 0,628986649070133 )
J Biomed Inform - Authoring and verification of clinical guidelines: a model driven approach. ( 0,623030055402611 )
Appl Clin Inform - Monitoring adherence to evidence-based practices: a method to utilize HL7 messages from hospital information systems. ( 0,622271786495471 )
J. Med. Internet Res. - Clinicians' expectations of Web 2.0 as a mechanism for knowledge transfer of stroke best practices. ( 0,619950713018085 )
Health Info Libr J - The application and value of information sources in clinical practice: an examination of the perspective of naturopaths. ( 0,618772012425528 )
J Med Syst - Using recommendation to support adaptive clinical pathways. ( 0,615146768018607 )
Med Decis Making - Divergent intentions to use antibiotic guidelines: a theory of planned behavior survey. ( 0,614510283251093 )
Telemed J E Health - Is there an improvement on the Web sites of the national and international pharmaceutical companies in Turkey? A follow-up study. ( 0,614179903603269 )
BMC Med Inform Decis Mak - Beyond the threshold: real-time use of evidence in practice. ( 0,614089557454649 )
J Telemed Telecare - Costs and benefits of tele-endoscopy clinics in a remote location. ( 0,613792793951463 )
Res Synth Methods - Issues relating to selective reporting when including non-randomized studies in systematic reviews on the effects of healthcare interventions. ( 0,611337102530374 )
J Biomed Inform - Mitigation of adverse interactions in pairs of clinical practice guidelines using constraint logic programming. ( 0,610061763379895 )
Int J Med Inform - Development and evaluation of data entry templates based on the entity-attribute-value model for clinical decision support of pressure ulcer wound management. ( 0,606850056038409 )
Telemed J E Health - A lexicon of assessment and outcome measures for telemental health. ( 0,604004780858325 )
BMC Med Inform Decis Mak - Teleconsultation in children with abdominal pain: a comparison of physician triage recommendations and an established paediatric telephone triage protocol. ( 0,601456409744409 )
Int J Med Inform - The effect of computerized decision support on barriers to guideline implementation: a qualitative study in outpatient cardiac rehabilitation. ( 0,600668351804219 )
J. Med. Internet Res. - Pain-QuILT: clinical feasibility of a web-based visual pain assessment tool in adults with chronic pain. ( 0,598260040564088 )
J Biomed Inform - Measuring clinical pathway adherence. ( 0,597119724669749 )
Health Info Libr J - The Clinical Relevance of Information Index (CRII): assessing the relevance of health information to the clinical practice. ( 0,596522387213571 )
Int J Med Inform - Reducing unnecessary lab testing in the ICU with artificial intelligence. ( 0,592559562410712 )
Telemed J E Health - The use of collaboration science to define consensus outcome measures: a telemental health case study. ( 0,592017428908626 )
Int J Comput Assist Radiol Surg - AneuSearch: a software prototype for intracranial aneurysm searching and clinical decision support. ( 0,591399125699187 )
Int J Med Inform - USB-based Personal Health Records: an analysis of features and functionality. ( 0,591334452187521 )
J Biomed Inform - Lexically suggest, logically define: quality assurance of the use of qualifiers and expected results of post-coordination in SNOMED CT. ( 0,582033835048757 )
IEEE Trans Image Process - A protocol for evaluating video trackers under real-world conditions. ( 0,581936911338052 )
J Biomed Inform - Efficient management of multi-version clinical guidelines. ( 0,579502634490985 )
J. Med. Internet Res. - Smartphone apps for cardiopulmonary resuscitation training and real incident support: a mixed-methods evaluation study. ( 0,578460366764295 )
J Integr Bioinform - A relational learning approach to Structure-Activity Relationships in drug design toxicity studies. ( 0,577800095981587 )
Methods Inf Med - An electronic specimen collection protocol schema (eSCPS). Document architecture for specimen management and the exchange of specimen collection protocols between biobanking information systems. ( 0,576412137536539 )
J Med Syst - Mobile PHRs compliance with Android and iOS usability guidelines. ( 0,576200771842219 )
Brief. Bioinformatics - Correcting Illumina data. ( 0,573442369244943 )
Med Decis Making - Methods for systematic reviews of health economic evaluations: a systematic review, comparison, and synthesis of method literature. ( 0,572975485305447 )
J Med Syst - A physician order category-based clinical guideline comparison system. ( 0,572381260965497 )
J. Med. Internet Res. - Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. ( 0,571102453081681 )
BMC Med Inform Decis Mak - A systematic review of the implementation and impact of asthma protocols. ( 0,570778968278373 )
Health Info Libr J - Evaluating clinical librarian services: a systematic review. ( 0,562658939515935 )
Med Decis Making - Are waiting list prioritization guidelines being followed in Australia? ( 0,559523820877323 )
AMIA Annu Symp Proc - Locating relevant patient information in electronic health record data using representations of clinical concepts and database structures. ( 0,552149714381831 )
Med Decis Making - Appropriate evidence sources for populating decision analytic models within health technology assessment (HTA): a systematic review of HTA manuals and health economic guidelines. ( 0,551346511474075 )
Res Synth Methods - Survey of the methods and reporting practices in published meta-analyses of test performance: 1987 to 2009. ( 0,550788691575139 )
Med Decis Making - Toward Minimum Standards for Certifying Patient Decision Aids: A Modified Delphi Consensus Process. ( 0,548916915097085 )
BMC Med Inform Decis Mak - Hospital implementation of health information technology and quality of care: are they related? ( 0,545568472760942 )
AMIA Annu Symp Proc - Exceptions handling within GLARE clinical guideline framework. ( 0,54508176839835 )
BMC Med Inform Decis Mak - Studying the potential impact of automated document classification on scheduling a systematic review update. ( 0,542433960634698 )
J Biomed Inform - A review of causal inference for biomedical informatics. ( 0,533785911782303 )
Telemed J E Health - Conceptual framework for development of comprehensive e-health evaluation tool. ( 0,53359026792026 )
Res Synth Methods - Methods for documenting systematic review searches: a discussion of common issues. ( 0,53316827836438 )
J Med Syst - Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. ( 0,530023625948638 )
J Am Med Inform Assoc - High-priority drug-drug interactions for use in electronic health records. ( 0,529680902254023 )
Res Synth Methods - Reporting standards for literature searches and report inclusion criteria: making research syntheses more transparent and easy to replicate. ( 0,528836391624576 )