title: ASTI: a guideline-based drug-ordering system for primary care.
abstract: Existing computer-based ordering systems for physicians provide effective drug-centered checks but offer little assistance for optimizing the overall patient-centered treatment strategy. Evidence-based clinical practice guidelines have been developed to disseminate state-of-the-art information concerning treatment strategy but these guidelines are poorly used in routine practice. The ASTI project aims to design a guideline-based ordering system to enable general practitioners to avoid prescription errors and to improve compliance with best therapeutic practices. The " critic mode " operates as a background process and corrects the physician's prescription on the basis of automatically triggered elementary rules that account for isolated guideline recommendations. The " guided mode " directs the physician to the best treatment by browsing a comprehensive guideline knowledge base represented as a decision tree. A first prototype, applied to hypertension, is currently under development.
authors.affiliation: Service d'Informatique Médicale, DSI/AP-HP, 75634 Paris, France. bs@biomath.jussieu.fr
authors.forename: B
authors.initials: B
authors.lastname: Séroussi
authors.forename: J
authors.initials: J
authors.lastname: Bouaud
authors.forename: H
authors.initials: H
authors.lastname: Dréau
authors.forename: H
authors.initials: H
authors.lastname: Falcoff
authors.forename: C
authors.initials: C
authors.lastname: Riou
authors.forename: M
authors.initials: M
authors.lastname: Joubert
authors.forename: C
authors.initials: C
authors.lastname: Simon
authors.forename: G
authors.initials: G
authors.lastname: Simon
authors.forename: A
authors.initials: A
authors.lastname: Venot
mesh_terms: D020000:Decision Support Systems, Clinical; D011307:Drug Prescriptions / Q000592:standards; D004360:Drug Therapy, Computer-Assisted; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care