Fridsma D B, Gennari J H, Musen M A
Section on Medical Informatics, Stanford University School of Medicine, CA, USA.
Proc AMIA Annu Fall Symp. 1996:597-601.
Health care providers are more likely to follow a clinical guideline if the guideline's recommendations are consistent with the way in which their organization does its work. Unfortunately, developing guidelines that are specific to an organization is expensive, and limits the ability to share guidelines among different institutions. We describe a methodology that separates the site-independent information of guidelines from site-specific information, and that facilitates the development of site-specific guidelines from generic guidelines. We have used this methodology in a prototype system that assists developers in creating generic guidelines that are sharable across different sites. When combined with site information, generic guidelines can be used to generate site-specific guidelines that are responsive to organizational change and that can be implemented at a level of detail that makes site-specific computer-based workflow management and simulation possible.
如果临床指南的建议与医疗服务提供者所在机构的工作方式一致，那么他们就更有可能遵循该指南。不幸的是，制定针对特定机构的指南成本高昂，并且限制了在不同机构之间共享指南的能力。我们描述了一种方法，该方法将指南中与地点无关的信息与特定地点的信息分开，并有助于从通用指南中开发特定地点的指南。我们已在一个原型系统中使用了这种方法，该系统可协助开发人员创建可在不同地点共享的通用指南。当与地点信息相结合时，通用指南可用于生成响应组织变化的特定地点指南，并且可以在使基于计算机的特定地点工作流管理和模拟成为可能的详细程度上实施。
