title: A context-adaptable approach to clinical guidelines.
abstract: One of the most relevant obstacles to the use and dissemination of clinical guidelines is the gap between the generality of guidelines (as defined, e.g., by physicians' committees) and the peculiarities of the specific context of application. In particular, general guidelines do not take into account the fact that the tools needed for laboratory and instrumental investigations might be unavailable at a given hospital. Moreover, computer-based guideline managers must also be integrated with the Hospital Information System (HIS), and usually different DBMS are adopted by different hospitals. The GLARE (Guideline Acquisition, Representation and Execution) system addresses these issues by providing a facility for automatic resource-based adaptation of guidelines to the specific context of application, and by providing a modular architecture in which only limited and well-localised changes are needed to integrate the system with the HIS at hand.
authors.affiliation: Dipartimento di Informatica, Univ. Piemonte Orientale A. Avogadro, Apalto Marengo 33, 15100 Alessandria, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Terenziani
authors.forename: Stefania
authors.initials: S
authors.lastname: Montani
authors.forename: Alessio
authors.initials: A
authors.lastname: Bottrighi
authors.forename: Mauro
authors.initials: M
authors.lastname: Torchio
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Molino
authors.forename: Gianluca
authors.initials: G
authors.lastname: Correndo
mesh_terms: D003196:Computer Graphics; D020000:Decision Support Systems, Clinical / Q000592:standards*; D017410:Practice Guidelines as Topic / Q000592:standards*; D018511:Systems Integration; D014584:User-Computer Interface