Smooth integration of decision support into an existing electronic patient record

Authors:
S. Quaglini;S. Panzarasa;A. Cavallini;G. Micieli;C. Pernice;M. Stefanelli
Affiliations:
Department of Computer Science and Systems, University of Pavia;CBIM, Pavia;Stroke Unit, IRCCS “C. Mondino”, Pavia;Stroke Unit, IRCCS “C. Mondino”, Pavia;TSD Projects, Milan;Department of Computer Science and Systems, University of Pavia
Venue:
AIME'05 Proceedings of the 10th conference on Artificial Intelligence in Medicine
Year:
2005

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Abstract

Willingness to use computerised decision support systems is often jeopardised by lack of effective integration into existing user interfaces for electronic patient record. Concepts illustrated in this paper stem from the need of developing a project for the comparison of the physicians' compliance to a clinical practice guideline before and after an electronic version of the guideline was introduced. Before starting the implementation, we performed a deep users' needs analysis. It was accomplished also on the basis of lesson learned on past guideline implementations. The new idea was to classify guideline suggestions on the basis of some attributes, whose values will determine the modality of presentation of the suggestion itself, and on a different management of non compliance advice.