A Model of Ambiguity and Vagueness in Clinical Practice Guideline Recommendations
A Model of Ambiguity and Vagueness in Clinical Practice Guideline Recommendations
复制标题
临床实践指南建议中的模糊性和模糊性模型
DOI：
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发表时间：
2005
期刊：
影响因子：
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通讯作者：
R. Shiffman
中科院分区：
文献类型：
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作者：
S. Codish;R. Shiffman
临床实践指南中的模棱两可和含糊其辞降低了临床医生遵守的可能性。它们导致不一致的解释，进而导致不适当的实践差异和医疗错误。在临床实践指南的计算机化实施中，解决歧义和模糊是必不可少的一步。歧义和模糊的成功解决需要了解它们的特点，然而歧义和模糊并没有在医学语境中被区分、分类和描述。在本文中，我们提出了一个描述临床实践指南中歧义和模糊的三轴模型：真正歧义和模糊的区分，歧义和模糊的分类，意向性和涉及的成分。我们引入这一模式的目标是：(A)为指南编写者提供指导，使他们能够减少无意中使用模棱两可或模糊的语言，(B)在故意使用模糊语言时提高透明度，以及(C)为开发工具创建一个框架，以便在编写和实施临床实践指南期间应用该模型。
Ambiguity and vagueness in clinical practice guidelines reduce the likelihood of clinician adherence. They lead to inconsistent interpretation and, in turn, to inappropriate practice variation and medical errors. Resolving ambiguity and vagueness is an essential step in the computerized implementation of clinical practice guidelines. Successful resolution of ambiguity and vagueness requires an understanding of their characteristics, yet ambiguity and vagueness have not been differentiated, classified and described in medical context. In this paper, we propose a tri-axial model to describe ambiguity and vagueness in clinical practice guidelines: differentiation of true ambiguity from vagueness, classification of ambiguity and vagueness, intentionality and components involved. Our goals in introducing this model are: (a) to provide guidance to guideline authors to enable them to reduce inadvertent use of ambiguous or vague language, (b) to improve transparency when vague language is used deliberately and (c) to create a framework for the development of tools to apply the model during authoring and implementation of clinical practice guidelines.
DOI：
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发表时间：
1997
期刊：
Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium
影响因子：
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作者：
Liu,JC;Shiffman,RN
通讯作者：
Shiffman,RN