Development of a guideline-based decision support system with explanation facilities for outpatient therapy

Authors:
Rick Goud;Arie Hasman;Niels Peek
Affiliations:
Department of Medical Informatics, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands;Department of Medical Informatics, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands;Department of Medical Informatics, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
Venue:
Computer Methods and Programs in Biomedicine
Year:
2008

Citing 3
Cited 7

Rationale for the Arden Syntax

Computers and Biomedical Research
Design and implementation of the GLIF3 guideline execution engine

Journal of Biomedical Informatics
METHODOLOGICAL REVIEW: Approaches for creating computer-interpretable guidelines that facilitate decision support

Artificial Intelligence in Medicine

A guideline-based decision support for pharmacological treatment can improve the quality of hyperlipidemia management

Computer Methods and Programs in Biomedicine
CARDSS: development and evaluation of a guideline based decision support system for cardiac rehabilitation

AIME'11 Proceedings of the 13th conference on Artificial intelligence in medicine
Using Recommendation to Support Adaptive Clinical Pathways

Journal of Medical Systems
Supporting adaptive clinical treatment processes through recommendations

Computer Methods and Programs in Biomedicine
Summarizing clinical pathways from event logs

Journal of Biomedical Informatics
Towards a realistic clinical-guidelines application framework: desiderata, applications, and lessons learned

BPM' 2012 Proceedings of the 2012 international conference on Process Support and Knowledge Representation in Health Care
From an expert-driven paper guideline to a user-centred decision support system: A usability comparison study

Artificial Intelligence in Medicine

Quantified Score

Hi-index	0.00

Visualization

Abstract

For effective guideline implementation it is recommended to develop and apply carefully designed implementation strategies and instruments. Computerized decision support systems (CDSSs) are such instruments as they can improve guideline adherence by providing advice at the point of care. To improve the implementation of the Dutch cardiac rehabilitation guidelines a CDSS, named CARDSS, was developed. CARDSS actively provides care professionals with patient-specific, guideline-based treatment recommendations at the onset of a patient's rehabilitation trajectory. To maximize the chances of acceptance, CARDSS also provides explanation facilities and other additional information management services, and takes the working procedures specific to multidisciplinary outpatient care into account. CARDSS is currently used in over 40 Dutch cardiac rehabilitation outpatient clinics. This paper describes the development of the CARDSS system. In particular, technical issues are discussed concerning the delivery of active decision support, and the provision of advice rationales to users while taking account of dynamic clinical contexts and changing guidelines.