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Workshop for the European project PIPS

June 20, 2006 - Cambridge, United Kingdom


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Paolo Ciccarese [Invited Talk]

On Computerized Clinical Practice Guidelines

Abstract

Despite the great emphasis that medical community dedicated to clinical practice guidelines in the last decades, soon it has been clear that texts (paper-based guidelines) were difficult to be adequately distributed and used by final users. Motivations are manifolds: the big number of guidelines delivered each year, their necessary updates on face of new scientific evidence, the text not always free from ambiguities, etc. When these problems became evident, the medical informatics community hypothesized that more formal electronic versions would increase the probability of effective guideline diffusion and also physicians' compliance to them. This claim was based on some hypotheses: one is that formal models, such as flowcharts or other graphical metaphors, provide a more friendly and immediate way of reading a guideline, thus improving learning and absorbing of the guideline content (e.g. using formal models as educational/simulation tools); another hypothesis is that formal models allow easier guideline integration with the daily clinical workflow, raising possibility of building real-time decision support systems, that again should improve physicians’ compliance. One of the projects aiming at implementing computerized clinical practice guidelines is Guide.


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