ArticleJournal of the American Medical Informatics Association : JAMIA
Automating complex guidelines for chronic disease: lessons learned.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Use of a computerized guideline for glucose regulation in the intensive care unit improved both guideline adherence and glucose regulation.Journal of the American Medical Informatics Association : JAMIATrial
- Evaluating a Prototype Clinical Decision Support Tool for Chronic Pain Treatment in Primary Care.Applied clinical informatics · 2022Article
- Informatics and interaction: Applying human factors principles to optimize the design of clinical decision support for sepsis.Health informatics journal · 2020Article
- The design of decisions: Matching clinical decision support recommendations to Nielsen's design heuristics.International journal of medical informatics · 2018Review
- Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2018Review
- Effect of a Novel Clinical Decision Support Tool on the Efficiency and Accuracy of Treatment Recommendations for Cholesterol Management.Applied clinical informatics · 2017Article
- Article
- The development of an automated ward independent delirium risk prediction model.International journal of clinical pharmacy · 2016Article
- A Framework for Usable and Effective Clinical Decision Support: Experience from the iCPR Randomized Clinical Trial.EGEMS (Washington, DC) · 2015Article
- Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- A highly scalable, interoperable clinical decision support service.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- A conceptual framework and protocol for defining clinical decision support objectives applicable to medical specialties.BMC medical informatics and decision making · 2012Article
- Using a service oriented architecture approach to clinical decision support: performance results from two CDS Consortium demonstrations.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2012Article
- Computerized decision support systems: improving patient safety in nephrology.Nature reviews. Nephrology · 2011Review
- Development of a workflow integration survey (WIS) for implementing computerized clinical decision support.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2011Article
- Designing an automated clinical decision support system to match clinical practice guidelines for opioid therapy for chronic pain.Implementation science : IS · 2010Article
- Selecting data elements to build a patient-centric electronic health record that will support adherence to therapeutic lifestyle change.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008Article
- Diabetes information technology: designing informatics systems to catalyze change in clinical care.Journal of diabetes science and technology · 2008Article
- The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt.Journal of biomedical informatics · 2005Article
- David Westfall Bates, MD: a conversation with the editor on improving patient safety, quality of care, and outcomes by using information technology. Interview by William Clifford Roberts.Proceedings (Baylor University. Medical Center) · 2005Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is scant published experience with implementing complex, multistep computerized practice guidelines for the long-term management of chronic diseases. We have implemented a system for creating, maintaining, and navigating computer-based clinical algorithms integrated with our electronic medical record. This article describes our progress and reports on lessons learned that might guide future work in this field. We discuss issues and obstacles related to choosing and adapting a guideline for electronic implementation, representing and executing the guideline as a computerized algorithm, and integrating it into the clinical workflow of outpatient care. Although obstacles were encountered at each of these steps, the most difficult were related to workflow integration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.