From clinical practice guidelines, to clinical guidance in practice - implications for design of computerized guidance

TY - GEN

T1 - From clinical practice guidelines, to clinical guidance in practice - implications for design of computerized guidance

AU - Lyng, Karen Marie

N1 - Conference code: 4

PY - 2010

Y1 - 2010

N2 - This paper presents a case study of clinical guidance within oncology clinics. Close to all patients treated within the observed clinics were treated according to a research or standard treatment protocol. The protocol artifacts were however rarely applied in clinical practice instead we found an extensive application of what we have named second order guiding artifacts. The deployed protocols underwent a local adaptation and transformation process when initiated. The protocols were adapted to match the local resources and transformed into several activity specific second order guiding artifacts. The transformation from protocols was executed according to a standard operating procedure. Each activity type had a standardized template ensuring uniformity across second order guiding artifacts within a clinic. The guiding artifacts were multi-functional and a wide variety of standardized graphical attributes were applied to support effortless appliance. The implications for computerization of clinical practice guidelines are discussed.

AB - This paper presents a case study of clinical guidance within oncology clinics. Close to all patients treated within the observed clinics were treated according to a research or standard treatment protocol. The protocol artifacts were however rarely applied in clinical practice instead we found an extensive application of what we have named second order guiding artifacts. The deployed protocols underwent a local adaptation and transformation process when initiated. The protocols were adapted to match the local resources and transformed into several activity specific second order guiding artifacts. The transformation from protocols was executed according to a standard operating procedure. Each activity type had a standardized template ensuring uniformity across second order guiding artifacts within a clinic. The guiding artifacts were multi-functional and a wide variety of standardized graphical attributes were applied to support effortless appliance. The implications for computerization of clinical practice guidelines are discussed.

KW - Clinical Practice Guidelines

KW - Health Information Systems

UR - http://www.scopus.com/inward/record.url?scp=77954463392&partnerID=8YFLogxK

U2 - 10.3233/978-1-60750-569-3-169

DO - 10.3233/978-1-60750-569-3-169

M3 - Article in proceedings

C2 - 20543384

AN - SCOPUS:77954463392

SN - 978-1-60750-568-6

SP - 169

EP - 174

BT - Information Technology in Health Care

A2 - Nøhr, Christian

A2 - Aarts, Jos

PB - IOS Press

T2 - 4th International Conference on Information Technology in Health Care

Y2 - 23 June 2010 through 24 June 2010

ER -