From paper-based to electronic guidelines: application to French guidelines.
Stud Health Technol Inform
; 84(Pt 1): 196-200, 2001.
Article
in En
| MEDLINE
| ID: mdl-11604732
ABSTRACT
In order to develop an internet-based decision support system, making available for French general practitioners several prevention guidelines is was necessary to implement paper based guideline. We propose a framework allowing to transform paper based practice guideline into their electronic form. Three different problems were identified computability (e.g. determinism of the eCPG), logic (e.g. ambiguities when combining Booleans operators) and external validity (i.e. stability of decision for variations around thresholds and proportion of subjects classified in the various terminal nodes). The last problem concerned documentation of evidence the level of evidence was associated only with the terminal decision node and not with the pathway through the decision tree. We concluded that computerisation of guidelines is not possible without expertise or authors advice. To improve computability it is necessary to provide authors with a framework that checks ambiguities, and logical errors.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Decision Making, Computer-Assisted
/
Practice Guidelines as Topic
/
Hypertension
Type of study:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Stud Health Technol Inform
Year:
2001
Document type:
Article