title: Extending the GuideLine Implementability Appraisal (GLIA) instrument to identify problems in control flow.
abstract: Clinical guidelines are usually written as text documents that are meant for human consumption. Implementing clinical guidelines as decision-support systems that deliver patient-specific advice at the point of care could increase the effectiveness of clinical guidelines. Several researchers studied the transition from narrative guidelines to computer-interpretable guidelines and have identified specific barriers to guideline implementation. GuideLine Implementability Appraisal (GLIA) is a comprehensive instrument for identifying such barriers, such that they could be revised. We used the GLIA instrument to appraise a historic thyroid nodule guideline that is now being reviewed by the American Association of Clinical Endocrinologists. Our analysis uncovered new guideline implementation barriers related to control-flow that we integrated into GLIA.
authors.affiliation: Department of Management Information Systems, University of Haifa, Haifa, Israel.
authors.forename: Mor
authors.initials: M
authors.lastname: Peleg
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Garber
mesh_terms: D005103:Expert Systems; D019983:Guideline Adherence; D006801:Humans; D017410:Practice Guidelines as Topic