Liem E B, Obeid J S, Shareck E P, Sato L, Greenes R A
Decision Systems Group, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Proc Annu Symp Comput Appl Med Care. 1995:223-7.
The widespread utility of clinical practice guidelines is greatly dependent on the ease with which they can be accessed, used, and applied. Because it supports hyperlinking and is widely accessible, the World-Wide Web is a medium that is well suited for browsing through guidelines. We have developed a process for implementing algorithmic guidelines into a graphical format that allows the user to browse these guidelines in an interactive fashion. The guidelines we used were already in or could be transformed to an algorithmic format that lends itself well to analysis with decision table techniques, which in turn permits a fairly straightforward conversion into a graphical representation. The results of this process allow a user to browse a particular guideline algorithm and to visualize the traversed parts of the algorithm by flowcharts. Our first experiences with this method of representing a few sample clinical practice guidelines have been encouraging, and we hope to extend this method to other guidelines.
临床实践指南的广泛应用在很大程度上取决于其获取、使用和应用的便捷性。由于万维网支持超链接且广泛可及,所以它是一种非常适合浏览指南的媒介。我们已经开发出一种将算法指南转化为图形格式的流程,该格式允许用户以交互方式浏览这些指南。我们所使用的指南已经是算法格式,或者可以转化为算法格式,这种格式非常适合用决策表技术进行分析,进而能够相当直接地转换为图形表示。这一流程的结果使用户能够浏览特定的指南算法,并通过流程图可视化算法中已遍历的部分。我们在使用这种方法呈现一些示例临床实践指南方面的初步经验令人鼓舞,我们希望将此方法扩展到其他指南。