Computer-Based Support for Clinical Guidelines and Protocols: Proceedings of the Symposium on Computerized Guidelines and Protocols (Cgp 2004)

Hardcover (Print)

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In recent years, guidelines and protocols have gained support as the vehicles for promoting best practices in clinical medicine. They offer the possibilities of reducing unwarranted practice variations, of containing cost while maintaining quality of care, and of defining standards of care for quality assurance purposes. These promises have led to an explosion of guideline publications. Yet studies have shown that dissemination and effective use of guidelines in clinical care remains a major bottleneck. A number of researchers have developed different technologies for delivering computerized guidelines in clinical care. These technologies range from alerts and reminders to knowledge-based systems, information-retrieval systems, and others. The tasks to which guidelines have been applied include classic clinical decision support, workflow management, quality assurance, and resource-requirement estimates. The research has spanned several communities (information retrieval, artificial intelligence, medical informatics, software engineering, clinical medicine), but unfortunately, there has been little cross-fertilization between the communities working in this area. This publication brings together researchers from different communities to examine cutting-edge approaches to guideline modeling and application development and to consider how different communities can leverage each other's strengths.

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Table of Contents

Communicating the logic of a treatment plan formulated in Asbru to domain experts 1
Decision support and knowledge management in oncology using hierarchical classification 16
Modelling clinical goals : a corpus of examples and a tentative ontology 31
Standardized terminology for clinical trial protocols based on top-level ontological categories 46
TimeWrap - a method for automatic transformation of structured guideline components into formal process-representations 61
Non-compliance with guidelines : motivations and consequences in a case study 75
Advanced temporal data abstraction for guideline execution 88
Protocure : supporting the development of medical protocols through formal methods
Towards a flexible integration of clinical guideline systems with medical ontologies and medical information systems 108
Adaptive guideline-based treatment workflows with AdaptFlow 113
A generic interface to XML documents for guidance information 118
Transforming written guidelines into electronic formats - international perspectives 123
A multiple-ontology customizable search interface for retrieval of clinical guidelines 127
Mark-up based analysis of narrative guidelines with the stepper tool 132
A description logics approach to CGPs 137
Reminder-based or on-demand decision support systems : a preliminary study in primary care with the management of hypertension 142
The digital electronic guideline library (DeGeL) : a hybrid framework for representation and use of clinical guidelines 147
Using a guideline-centered approach for the design of a clinical decision support system to promote smoking cessation 152
Analysis of guideline compliance - a data mining approach 157
The GLARE approach to clinical guidelines : main features 162
The SAGE guideline modeling : motivation and methodology 167
Tracing the formalization steps of textual guidelines 172
Translating Arden MLMs into GLIF guidelines - a case study of hyperkalemia patient screening 177
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