Implementation and evaluation of practice guidelines.
Practice guidelines for the management of deep vein thrombosis were implemented in a Problem-Oriented Patient Management System on the HELP Hospital Information System at the LDS Hospital. A hierarchical knowledge representation was used. The Problem-Oriented Patient Management System was designed to generate patient-specific guideline suggestions according to the clinical situation at the time of generation. A retrospective evaluation was used to compare the appropriateness of the generated guideline suggestions to the appropriateness of the attending physician's management decisions. A significantly higher proportion of guideline suggestions was evaluated to be appropriate, compared to the proportion of attending physician's management decisions found to be appropriate.
Lam
S H
SH
Department of Medical Informatics, University of Utah.
D005069:Evaluation Studies as Topic; D006751:Hospital Information Systems; D006785:Hospitals, University; D006801:Humans; D016347:Medical Records Systems, Computerized; D008501:Medical Records, Problem-Oriented; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D013813:Therapy, Computer-Assisted; D013927:Thrombosis / Q000628:therapy*; D014589:Utah