Abstract
Situations of medical error and defensive medicine are common in healthcare environments and have repercussions in the quality of care under offer. The occurrence of adverse events and the increase of healthcare expenses are some of the consequences of medical malpractice. Indeed, these situations may be prevented by encouraging the compliance with Clinical Guidelines (CGs). However, the current format of CGs proved to be disadvantageous for real-time application, i.e., they may not provide recommendations to healthcare professionals when required, and on time. The introduction of Computer-Interpretable Guidelines (CIGs) may provide a solution to this problem, however they are not widely implemented and there are some issues that need to be contemplated. Indeed, in this paper it is presented the CompGuide project for guideline representation and sharing, combined with the handling of incomplete information in that context.
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
Rosenbrand, K., Croonenborg, J., Wittenberg, J.: Guideline Development. In: Teije, A., Miksch, S., Lucas, P. (eds.) Computer-based Medical Guidelines and Protocols: A Primer and Current Trends, pp. 3–22 (2008)
Kavanagh, B.: The GRADE System for Rating Clinical Guidelines. PLoS Medicine 6, 5 (2009)
Ollenschläger, G.: International Guideline Network G-I-N (Guidelines International Network): Background and goals. In: Medizinische Klinik Munich Germany 1983, vol. 98(7), pp. 411–412 (2003)
Kalra, J.: Medical errors: an introduction to concepts. Clinical Biochemistry 37(12), 1043–1051 (2004)
Brennan, T.: The Institute of Medicine report on medical errors-could it do harm? The New England Journal of Medicine 96(6), 1123–1125 (2000)
Chawla, A., Gunderman, R.: Defensive medicine: prevalence, implications, and recommendations. Academic Radiology 15(7), 948–949 (2008)
Asher, E., Parag, Y., Zeller, L., Yerushalmi, R., Reuveni, H.: Unconscious defensive medicine: The case of erythrocyte sedimentation rate. European Journal of Internal Medicine 18(1), 35–38 (2007)
Woolf, S., Grol, R., Hutchinson, A., Eccles, M., Grimshaw, J.: Potential benefits, limitations, and harms of clinical guidelines. British Medical Journal 318(7182), 527–530 (1999)
Abraham, A.: Hybrid Soft Computing and Applications. International Journal of Computational Intelligence and Applications 8(1), 5–7 (2009)
Isern, D., Moreno, A.: Computer-based execution of clinical guidelines: a review. International Journal of Medical Informatics 77(12), 787–808 (2008)
Hripcsak, G., Ludemann, P., Pryor, T., Wigertz, O., Clayton, P.: Rationale for the Arden Syntax. Computers and Biomedical Research an International Journal 27(4), 291–324 (1994)
Ohno-Machado, L., et al.: The guideline interchange format. Journal of the American Medical Informatics Association 5(4), 357 (1998)
Vier, E., Fox, J., Johns, N., Lyons, C., Rahmanzadeh, A., Wilson, P.: PROforma: systems. Computer Methods and Programs in Biomedicine 2607(97) (1997)
Tu, S., et al.: The SAGE Guideline Model: achievements and overview. Journal of the American Medical Informatics Association 14(5), 589–598 (2007)
Bottrighi, A., Terenziani, P., Montani, S., Torchio, M., Molino, G.: Clinical guidelines contextualization in GLARE. In: AMIA Annual Symposium Proceedings AMIA Symposium AMIA Symposium, vol. 2006, p. 860 (2006)
Geary, D., Horstmann, C.: Java Server Pages documentation. Prentice-Hall (2007)
US National Library of Medicine, Unified Medical anguage System (UMLS) (2011)
Oliveira, T., Neves, J., Costa, A., Novais, P., Neves, J.: An Interpretable Guideline Model to Handle Incomplete Information. In: Omatu, S., Santana, J., González, S., Molina, J., Bernardos, A., Corchado, E. (eds.) Distributed Computing and Artificial Intelligence - 9th International Conference (DCAI 2012), vol. 151, pp. 437–444 (2012)
Novais, P., Salazar, M., Ribeiro, J., Analide, C., Neves, J.: Decision Making and Quality-of-Information. In: Corchado, E., Novais, P., Analide, C., Sedano, J. (eds.) SOCO 2010. AISC, vol. 73, pp. 187–195. Springer, Heidelberg (2010)
Neves, J., Ribeiro, J., Pereira, P., Alves, V., Machado, J., Abelha, A., Novais, P., Analide, C., Santos, M., Fernández-Delgado, M.: Evolutionary intelligence in asphalt pavement modeling and quality-of-information. Progress in Artificial Intelligence 1(1), 119–135 (2012)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Oliveira, T., Novais, P., Neves, J. (2013). A Web Platform and a Decision Model for Computer-Interpretable Guidelines. In: Snášel, V., Abraham, A., Corchado, E. (eds) Soft Computing Models in Industrial and Environmental Applications. Advances in Intelligent Systems and Computing, vol 188. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32922-7_21
Download citation
DOI: https://doi.org/10.1007/978-3-642-32922-7_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-32921-0
Online ISBN: 978-3-642-32922-7
eBook Packages: EngineeringEngineering (R0)