A Method for Subdividing Clinical Guidelines into Process Modules with Associated Triggers and Objectives to Facilitate Implementation
A Method for Subdividing Clinical Guidelines into Process Modules with Associated Triggers and Objectives to Facilitate Implementation
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一种将临床指南细分为具有相关触发点和目标的流程模块以促进实施的方法
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
R. Greenes
中科院分区：
文献类型：
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作者：
R. Luckmann;A. Boxwala;R. Greenes
多步骤临床指南 (CG) 的表示及其在计算机决策支持 (DS) 系统中的实施是复杂且具有逻辑挑战性的任务。然而，许多基于 CG 的简单规则（例如医疗逻辑模块）已经通过一些流行的 DS 模型（例如预防提醒、订单输入系统）成功实现。为了促进 CG 到实际 DS 模型的映射，我们提出了一种经验方法，根据临床流程模型中的位置将 CG 细分为模块，其中实施最为有效（例如，遇到后提供者订单输入）。我们进一步提出了 CG 模块的触发器和目标的分类，为 DS 系统提供了实现该模块的框架，描述了该方法在门诊环境中成功应用于十个不同的 CG。
Representation of multi-step clinical guidelines (CG) and their implementation in computerized decision support (DS) systems are complex and logistically challenging tasks. However, many simple rules based on CGs (e.g., medical logic modules), have been successfully implemented through a few popular DS models (e.g., prevention reminders, order entry systems). To facilitate mapping of CGs to practical DS models, we propose an empirical method for sub-dividing CGs into modules according to the locus in a clinical process flow model where implementation would be most effective (e.g., post-encounter provider order entry). We further propose a classification of triggers and objectives for CG modules that provides a framework for a DS system to implement the module Successful application of the method to ten diverse CGs in the outpatient setting is described.
DOI：
10.1197/jamia.m1135
发表时间：
2003-01-01
影响因子：
6.4
作者：
Peleg, M;Tu, S;Stefanelli, M
通讯作者：
Stefanelli, M