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

Karen Marie Lyng

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Title of host publicationInformation Technology in Health Care : socio-technical approaches 2010 - from safe systems to patient safety
EditorsChristian Nøhr, Jos Aarts
Number of pages6
PublisherIOS Press
Publication date2010
Pages169-174
ISBN (Print)978-1-60750-568-6
ISBN (Electronic)978-1-60750-569-3
DOIs
Publication statusPublished - 2010
Event4th International Conference on Information Technology in Health Care: socio-technical approaches - Aalborg, Denmark
Duration: 23 Jun 201024 Jun 2010
Conference number: 4

Conference

Conference4th International Conference on Information Technology in Health Care
Number4
Country/TerritoryDenmark
CityAalborg
Period23/06/201024/06/2010

Keywords

  • Clinical Practice Guidelines
  • Health Information Systems

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