Transforming a High Blood Pressure Clinical Guideline into a CDSS - Difficulties in Understanding

• Type: Article in International Conference Proceedings Book
• Date: 2012

Authors

Bacelar Silva, GM (Author) Other; Chen, R (Author) Other; Ricardo Cruz Correia (Author) FMUP

Conference proceedings International

Title: HEALTHINF 2012 - Proceedings of the International Conference on Health Informatics

Pages: 405-408

HEALTHINF 2012 - Proceedings of the International Conference on Health Informatics

Vilamoura, Algarve, 1 February 2012 through 4 February 2012

Indexing

Scopus - 0 Citations

Other information

Authenticus ID: P-008-474

Abstract (EN): Introduction. Due to the increasing use of Electronic Health Records there is a tendency to implement clinical decision support system (CDSS) based on existing clinical guidelines. The Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) is well known and widely used worldwide guideline. Transforming published guidelines into CDSS is a process that still needs to be improved. Aim. To describe the difficulties in understanding the guideline, to recommend better suited descriptions for the contents. Methods. Systematic reading of the guideline for the extraction of the main patient variables, processes and evaluation suggested. The issues were evaluated considering the Domain 4 of the Appraisal of Guidelines for Research & Evaluation II Instrument. Results. Several problems were identified considering whether the recommendations are specific and unambiguous, the different options for management of the condition or health issue are clearly presented and key recommendations are easily identifiable. Discussion. Some initiatives have been made, as the Guideline Elements Models and the development of guideline model representations. This attempt to formalise the JNC 7 guideline allowed to discover many ambiguities, concepts related to prior knowledge and issues related to the distribution of the content presentation.

Language: English

Type (Professor's evaluation): Scientific