Clinical practice guidelines provide a means of directing medical care towards clinically appropriate and cost-effective interventions...
Keywords: Object-Oriented Framework, Clinical Practice Guidelines, Software Engineering
09/1999 | Methods of Information in Medicine, SchattauerOBJECTIVES: The purpose of this paper is to examine past and present medical decision support systems and the environment in which they operate and to propose specific research tracks that improve integration and adoption of these systems in today's health care systems. METHODS: In preamble, we examine the objectives, decision models, and performances of past decision support systems. RESULTS: Medical decision support tools were essentially formulated from a technical capability perspective and this view has met limited adoption and slowed down new development as well as integration of these important systems into patient management work flows and clinical information systems...
Keywords: Medical decision support systems, Evidence-based Medicine, Clinical Practice Guidelines, Medical prac-tice, shared decision-making, patient empowerment, technology adoption barriers and drivers.
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVES: In order to implement clinical practice guidelines for the Department of Neonatology of the Heidelberg University Medical Center we developed a modular framework consisting of tools for authoring, browsing and executing encoded clinical practice guidelines (CPGs). METHODS: Based upon a comprehensive analysis of literature, we set up requirements for guideline representation systems...
Keywords: Clinical Practice Guidelines, representation, acquisition, implementation, local adaptation, execution, Decision Support
01/2004 | Methods of Information in Medicine, Schattauer