Peleg Mor, Garber Jeffrey R
Department of Management Information Systems, University of Haifa, Haifa, Israel.
AMIA Annu Symp Proc. 2010 Nov 13;2010:627-31.
Clinical guidelines are usually written as text documents that are meant for human consumption. Implementing clinical guidelines as decision-support systems that deliver patient-specific advice at the point of care could increase the effectiveness of clinical guidelines. Several researchers studied the transition from narrative guidelines to computer-interpretable guidelines and have identified specific barriers to guideline implementation. GuideLine Implementability Appraisal (GLIA) is a comprehensive instrument for identifying such barriers, such that they could be revised. We used the GLIA instrument to appraise a historic thyroid nodule guideline that is now being reviewed by the American Association of Clinical Endocrinologists. Our analysis uncovered new guideline implementation barriers related to control-flow that we integrated into GLIA.
临床指南通常以供人阅读的文本文件形式编写。将临床指南作为决策支持系统来实施，以便在护理点提供针对患者的建议，可能会提高临床指南的有效性。一些研究人员研究了从叙述性指南到计算机可解释指南的转变，并确定了指南实施的具体障碍。指南可实施性评估（GLIA）是一种识别此类障碍的综合工具，以便对其进行修订。我们使用GLIA工具对一项历史性甲状腺结节指南进行评估，该指南目前正由美国临床内分泌学家协会进行审查。我们的分析发现了与控制流相关的新的指南实施障碍，并将其纳入GLIA。
