AMIA Annu Symp Proc - Reconciling pairs of concurrently used clinical practice guidelines using Constraint Logic Programming.

Tópicos

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Resumo

This paper describes a new methodological approach to reconciling adverse and contradictory activities (called points of contention) occurring when a patient is managed according to two or more concurrently used clinical practice guidelines (CPGs). The need to address these inconsistencies occurs when a patient with more than one disease, each of which is a comorbid condition, has to be managed according to different treatment regimens. We propose an automatic procedure that constructs a mathematical guideline model using the Constraint Logic Programming (CLP) methodology, uses this model to identify and mitigate encountered points of contention, and revises the considered CPGs accordingly. The proposed procedure is used as an alerting mechanism and coupled with a guideline execution engine warns the physician about potential problems with the concurrent application of two or more guidelines. We illustrate the operation of our procedure in a clinical scenario describing simultaneous use of CPGs for duodenal ulcer and transient ischemic attack.

Resumo Limpo

paper describ new methodolog approach reconcil advers contradictori activ call point content occur patient manag accord two concurr use clinic practic guidelin cpgs need address inconsist occur patient one diseas comorbid condit manag accord differ treatment regimen propos automat procedur construct mathemat guidelin model use constraint logic program clp methodolog use model identifi mitig encount point content revis consid cpgs accord propos procedur use alert mechan coupl guidelin execut engin warn physician potenti problem concurr applic two guidelin illustr oper procedur clinic scenario describ simultan use cpgs duoden ulcer transient ischem attack

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