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Proceedings of the Annual Symposium on Computer Application in Medical Care logoLink to Proceedings of the Annual Symposium on Computer Application in Medical Care
. 1993:198–202.

A computerized expert system for outcome-validated medical practice guidelines.

S Weingarten 1, A G Ellrodt 1, M S Riedinger 1, C Huang 1
PMCID: PMC2248503  PMID: 8130461

Abstract

Our ongoing efforts in health services research have resulted in outcome-validated medical practice guidelines for common medical conditions. These practice guidelines have been shown to substantially reduce health care costs while maintaining quality of care. We have developed a computerized expert system from our practice guidelines which enhances the ease in which they can be implemented by Utilization Management (UM) Coordinators, physicians, nurses and other health care providers.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Corey G. A., Merenstein J. H. Applying the acute ischemic heart disease predictive instrument. J Fam Pract. 1987 Aug;25(2):127–133. [PubMed] [Google Scholar]
  2. Ellrodt A. G., Conner L., Riedinger M. S., Weingarten S. Implementing practice guidelines through a utilization management strategy: the potential and the challenges. QRB Qual Rev Bull. 1992 Dec;18(12):456–460. doi: 10.1016/s0097-5990(16)30573-5. [DOI] [PubMed] [Google Scholar]
  3. Hayward R. A., McMahon L. F., Jr, Bernard A. M. Evaluating the care of general medicine inpatients: how good is implicit review? Ann Intern Med. 1993 Apr 1;118(7):550–556. doi: 10.7326/0003-4819-118-7-199304010-00010. [DOI] [PubMed] [Google Scholar]
  4. Kosecoff J., Kanouse D. E., Rogers W. H., McCloskey L., Winslow C. M., Brook R. H. Effects of the National Institutes of Health Consensus Development Program on physician practice. JAMA. 1987 Nov 20;258(19):2708–2713. [PubMed] [Google Scholar]
  5. Lomas J., Anderson G. M., Domnick-Pierre K., Vayda E., Enkin M. W., Hannah W. J. Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians. N Engl J Med. 1989 Nov 9;321(19):1306–1311. doi: 10.1056/NEJM198911093211906. [DOI] [PubMed] [Google Scholar]
  6. Pozen M. W., D'Agostino R. B., Selker H. P., Sytkowski P. A., Hood W. B., Jr A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease. A prospective multicenter clinical trial. N Engl J Med. 1984 May 17;310(20):1273–1278. doi: 10.1056/NEJM198405173102001. [DOI] [PubMed] [Google Scholar]
  7. Selker H. P. Criteria for adoption in practice of medical practice guidelines. Am J Cardiol. 1993 Feb 1;71(4):339–341. doi: 10.1016/0002-9149(93)90802-j. [DOI] [PubMed] [Google Scholar]
  8. Weingarten S. R., Ermann B., Riedinger M. S., Shah P. K., Ellrodt A. G. Selecting the best triage rule for patients hospitalized with chest pain. Am J Med. 1989 Nov;87(5):494–500. doi: 10.1016/s0002-9343(89)80603-5. [DOI] [PubMed] [Google Scholar]
  9. Weingarten S. R., Riedinger M. S., Shinbane J., Siegel R., Conner L., Prechtl K., Ellrodt A. G. Triage practice guideline for patients hospitalized with congestive heart failure: improving the effectiveness of the coronary care unit. Am J Med. 1993 May;94(5):483–490. doi: 10.1016/0002-9343(93)90082-Z. [DOI] [PubMed] [Google Scholar]
  10. Weingarten S., Agocs L., Tankel N., Sheng A., Ellrodt A. G. Reducing lengths of stay for patients hospitalized with chest pain using medical practice guidelines and opinion leaders. Am J Cardiol. 1993 Feb 1;71(4):259–262. doi: 10.1016/0002-9149(93)90787-d. [DOI] [PubMed] [Google Scholar]
  11. Weingarten S., Ellrodt A. G. The case for intensive dissemination: adoption of practice guidelines in the coronary care unit. QRB Qual Rev Bull. 1992 Dec;18(12):449–455. doi: 10.1016/s0097-5990(16)30572-3. [DOI] [PubMed] [Google Scholar]
  12. Weingarten S., Ermann B., Bolus R., Riedinger M. S., Rubin H., Green A., Karns K., Ellrodt A. G. Early "step-down" transfer of low-risk patients with chest pain. A controlled interventional trial. Ann Intern Med. 1990 Aug 15;113(4):283–289. doi: 10.7326/0003-4819-113-4-283. [DOI] [PubMed] [Google Scholar]
  13. Woolf S. H. Practice guidelines: a new reality in medicine. I. Recent developments. Arch Intern Med. 1990 Sep;150(9):1811–1818. [PubMed] [Google Scholar]

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