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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
. 1995:223–227.

Representation of clinical practice guidelines through an interactive World-Wide-Web interface.

E B Liem 1, J S Obeid 1, E P Shareck 1, L Sato 1, R A Greenes 1
PMCID: PMC2579088  PMID: 8563273

Abstract

The widespread utility of clinical practice guidelines is greatly dependent on the ease with which they can be accessed, used, and applied. Because it supports hyperlinking and is widely accessible, the World-Wide Web is a medium that is well suited for browsing through guidelines. We have developed a process for implementing algorithmic guidelines into a graphical format that allows the user to browse these guidelines in an interactive fashion. The guidelines we used were already in or could be transformed to an algorithmic format that lends itself well to analysis with decision table techniques, which in turn permits a fairly straightforward conversion into a graphical representation. The results of this process allow a user to browse a particular guideline algorithm and to visualize the traversed parts of the algorithm by flowcharts. Our first experiences with this method of representing a few sample clinical practice guidelines have been encouraging, and we hope to extend this method to other guidelines.

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Selected References

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

  1. Abendroth T. W., Greenes R. A. Computer presentation of clinical algorithms. MD Comput. 1989 Sep-Oct;6(5):295–299. [PubMed] [Google Scholar]
  2. Baraff L. J., Bass J. W., Fleisher G. R., Klein J. O., McCracken G. H., Jr, Powell K. R., Schriger D. L. Practice guideline for the management of infants and children 0 to 36 months of age with fever without source. Agency for Health Care Policy and Research. Ann Emerg Med. 1993 Jul;22(7):1198–1210. doi: 10.1016/s0196-0644(05)80991-6. [DOI] [PubMed] [Google Scholar]
  3. Grimshaw J. M., Russell I. T. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet. 1993 Nov 27;342(8883):1317–1322. doi: 10.1016/0140-6736(93)92244-n. [DOI] [PubMed] [Google Scholar]
  4. Hill M. N., Levine D. M., Whelton P. K. Awareness, use, and impact of the 1984 Joint National Committee consensus report on high blood pressure. Am J Public Health. 1988 Sep;78(9):1190–1194. doi: 10.2105/ajph.78.9.1190. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lobach D. F., Hammond W. E. Development and evaluation of a Computer-Assisted Management Protocol (CAMP): improved compliance with care guidelines for diabetes mellitus. Proc Annu Symp Comput Appl Med Care. 1994:787–791. [PMC free article] [PubMed] [Google Scholar]
  6. Rucker D. W., Maron D. J., Shortliffe E. H. Temporal representation of clinical algorithms using expert-system and database tools. Comput Biomed Res. 1990 Jun;23(3):222–239. doi: 10.1016/0010-4809(90)90018-8. [DOI] [PubMed] [Google Scholar]
  7. Shiffman R. N., Greenes R. A. Improving clinical guidelines with logic and decision-table techniques: application to hepatitis immunization recommendations. Med Decis Making. 1994 Jul-Sep;14(3):245–254. doi: 10.1177/0272989X9401400306. [DOI] [PubMed] [Google Scholar]
  8. Shiffman R. N. Towards effective implementation of a pediatric asthma guideline: integration of decision support and clinical workflow support. Proc Annu Symp Comput Appl Med Care. 1994:797–801. [PMC free article] [PubMed] [Google Scholar]
  9. Starren J., Xie G. Comparison of three Knowledge Representation formalisms for encoding the NCEP Cholesterol Guidelines. Proc Annu Symp Comput Appl Med Care. 1994:792–796. [PMC free article] [PubMed] [Google Scholar]
  10. Stewart J. Computers provide guideline advice at two Winnipeg hospitals. CMAJ. 1994 May 15;150(10):1679–1680. [PMC free article] [PubMed] [Google Scholar]
  11. Wall E. M., Susman J., Hagen M. D., LeFevre M. An overview of clinical policies with implications for clinical practice, medical education, and research. Fam Med. 1994 May;26(5):314–318. [PubMed] [Google Scholar]
  12. Woo B., Woo B., Cook E. F., Weisberg M., Goldman L. Screening procedures in the asymptomatic adult. Comparison of physicians' recommendations, patients' desires, published guidelines, and actual practice. JAMA. 1985 Sep 20;254(11):1480–1484. doi: 10.1001/jama.254.11.1480. [DOI] [PubMed] [Google Scholar]

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