AMIA Annu Symp Proc - Developing nursing computer interpretable guidelines: a feasibility study of heart failure guidelines in homecare.

Tópicos

{ clinic(1479) use(1117) guidelin(835) }
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Resumo

Homecare is the fastest growing healthcare sector and evidence based information systems are critically needed. Nurses provide most of the care in homecare setting, yet there is a lack of knowledge on the feasibility of applying existing methodologies to generate computer interpretable nursing guidelines for home care. This study examined the feasibility of encoding homecare nursing heart failure guideline into a computer interpretable format. First, we achieved experts' consensus on the relevant guideline. Then, after training on the graphical tool for gradual knowledge specification (Gesher), we generated a comprehensive, hierarchical and time-oriented computer interpretable guideline using one of the guideline modeling languages (Asbru). The final guideline included 167 recommendations and experts' evaluation confirmed the adequacy of guideline knowledge representation. Future work should expand the applicability of our methodology and tools to nursing specialties other than heart failure and develop methods for comprehensive quality evaluation of the resulting guidelines.

Resumo Limpo

homecar fastest grow healthcar sector evid base inform system critic need nurs provid care homecar set yet lack knowledg feasibl appli exist methodolog generat comput interpret nurs guidelin home care studi examin feasibl encod homecar nurs heart failur guidelin comput interpret format first achiev expert consensus relev guidelin train graphic tool gradual knowledg specif gesher generat comprehens hierarch timeori comput interpret guidelin use one guidelin model languag asbru final guidelin includ recommend expert evalu confirm adequaci guidelin knowledg represent futur work expand applic methodolog tool nurs specialti heart failur develop method comprehens qualiti evalu result guidelin

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