Abstract
Willingness to use computerised decision support systems is often jeopardised by lack of effective integration into existing user interfaces for electronic patient record. Concepts illustrated in this paper stem from the need of developing a project for the comparison of the physicians’ compliance to a clinical practice guideline before and after an electronic version of the guideline was introduced. Before starting the implementation, we performed a deep users’ needs analysis. It was accomplished also on the basis of lesson learned on past guideline implementations. The new idea was to classify guideline suggestions on the basis of some attributes, whose values will determine the modality of presentation of the suggestion itself, and on a different management of non compliance advice.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Cook, D.J., Guyatt, G.H., Laupacis, A., Sackett, D.L., Goldberg, R.J.: Clinical recommendations using levels of evidence for antithrombotic agents. Chest 108(Suppl. 4), 227S-230S (1995)
de Clercq, P.A., Blom, J.A., Korsten, H.H., Hasman, A.: Approaches for creating computer interpretable guidelines that facilitate decision support. Artif Intell Med. 31(1), 1–27 (2004)
Micieli, G., Cavallini, A., Quaglini, S.: Guideline Compliance Improves Stroke Outcome-A Preliminary Study in 4 Districts in the Italian Region of Lombardia. Stroke 33, 1341–1347 (2002)
Panzarasa, S., Bellazzi, R., Larizza, C., Stefanelli, M.: A careflow management system for chronic patients. In: Fieschi, M., Coiera, E., Li, Y.-C.J. (eds.) Medinfo 2004, pp. 773–777. IOS Press, Amsterdam (2004)
Peleg, M., Tu, S., Ciccarese, P., Kumar, A., Quaglini, S., Stefanelli, M., et al.: Comparing models of decision and action for guideline-based decision support: a case-study approach. JAMIA 1(10), 52–68 (2003)
Sackett, D.L.: Rules of evidence and clinical recommendations on use of antithrombotic agents. Chest 89(Suppl. 2), 2S-3S(1986)
Tu, S.W., Campbell, J., Musen, M.A.: The SAGE guideline modeling: motivation and methodology. Stud Health Technol Inform. 101, 167–171 (2004)
Yusuf, S., Cairns, J.A., Camm, A.J., Fallen, E.L., Gersh, B.J.: Evidence-Based Cardiology, 2nd edn. BMJ Books, London (2003)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Quaglini, S., Panzarasa, S., Cavallini, A., Micieli, G., Pernice, C., Stefanelli, M. (2005). Smooth Integration of Decision Support into an Existing Electronic Patient Record. In: Miksch, S., Hunter, J., Keravnou, E.T. (eds) Artificial Intelligence in Medicine. AIME 2005. Lecture Notes in Computer Science(), vol 3581. Springer, Berlin, Heidelberg. https://doi.org/10.1007/11527770_12
Download citation
DOI: https://doi.org/10.1007/11527770_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-27831-3
Online ISBN: 978-3-540-31884-2
eBook Packages: Computer ScienceComputer Science (R0)