Methods Inf Med 1999; 38(03): 148-153
DOI: 10.1055/s-0038-1634190
Original Article
Schattauer GmbH

An Object-Oriented Framework for the Development of Computer-Based Guideline Implementations

G.J Corb
1   Center for Medical Informatics, USA
2   Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA
,
Y. Liaw
1   Center for Medical Informatics, USA
,
C.A. Brandt
1   Center for Medical Informatics, USA
,
R.N. Shiffman
1   Center for Medical Informatics, USA
2   Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
08. Februar 2018 (online)

Abstract

Clinical practice guidelines provide a means of directing medical care towards clinically appropriate and cost-effective interventions. A direct relationship exists between the integration of a guideline into clinical workflow and the effectiveness of the guideline in influencing clinicians’ behavior. Computer-based guideline implementations, used at the point-of-care, accomplish this integration. Employing object-oriented technologies, we propose a framework of reusable components for the development of guideline implementation systems. We have identified eight information management services that are common to such systems. Our framework integrates these services and their respective reusable components into clinical workflow to promote the development of comprehensive guideline implementation systems, which should ultimately enhance guideline compliance and the overall quality of care.

 
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