The Benefits and Concerns Surrounding the Automation of Clinical Guidelines.
Automated guidelines often improve outcomes when applied to simple clinical states. They are more effective when human-computer interaction and workflow changes are considered in implementation. "Alert fatigue" might lead to uneven implementation of guidelines. For complex patients with multiple illnesses, more research should be geared toward the structure and effect of guidelines. Evidentiary uncertainty and complicating comorbid conditions continue to require meticulous incorporation of patient values and physician judgment.
professor, Department of Medicine, University of North Carolina at Chapel Hill; director, Program on Health and Clinical Informatics, UNC School of Medicine; associate director, Medical Education, North Carolina Area Health Education Centers program; clinical director, Practice Support Services, North Carolina Area Health Education Centers program, Chapel Hill, North Carolina samuel_cykert@med.unc.edu.
Samuel
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Cykert
D000465:Algorithms; D015897:Comorbidity; D003658:Decision Making, Computer-Assisted; D019983:Guideline Adherence; D006801:Humans; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D014481:United States