A context-adaptable approach to clinical guidelines.
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.
Terenziani
Paolo
P
Dipartimento di Informatica, Univ. Piemonte Orientale A. Avogadro, Apalto Marengo 33, 15100 Alessandria, Italy.
Montani
Stefania
S
Bottrighi
Alessio
A
Torchio
Mauro
M
Molino
Gianpaolo
G
Correndo
Gianluca
G
D003196:Computer Graphics; D020000:Decision Support Systems, Clinical / Q000592:standards*; D017410:Practice Guidelines as Topic / Q000592:standards*; D018511:Systems Integration; D014584:User-Computer Interface