Document Detail


From clinical practice guidelines, to clinical guidance in practice--implications for design of computerized guidance.
MedLine Citation:
PMID:  20543384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper presents a case study of clinical guidance within oncology clinics. Close to all patients treated within the observed clinics were treated according to a research or standard treatment protocol. The protocol artifacts were however rarely applied in clinical practice instead we found an extensive application of what we have named second order guiding artifacts. The deployed protocols underwent a local adaptation and transformation process when initiated. The protocols were adapted to match the local resources and transformed into several activity specific second order guiding artifacts. The transformation from protocols was executed according to a standard operating procedure. Each activity type had a standardized template ensuring uniformity across second order guiding artifacts within a clinic. The guiding artifacts were multi-functional and a wide variety of standardized graphical attributes were applied to support effortless appliance. The implications for computerization of clinical practice guidelines are discussed.
Authors:
Karen Marie Lyng
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Studies in health technology and informatics     Volume:  157     ISSN:  0926-9630     ISO Abbreviation:  Stud Health Technol Inform     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214582     Medline TA:  Stud Health Technol Inform     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  169-74     Citation Subset:  T    
Affiliation:
Department of Computer Science, University of Copenhagen.
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MeSH Terms
Descriptor/Qualifier:
Decision Making, Computer-Assisted*
Denmark
Interviews as Topic
Medical Oncology
Observation
Physician's Practice Patterns*
Practice Guidelines as Topic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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