Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system

Mor Peleg, Dongwen Wang, Adriana Fodor, Sagi Keren, Eddy Karnieli

Research output: Chapter in Book/Report/Conference proceedingConference contribution

16 Citations (Scopus)

Abstract

Clinical guidelines usually need to be adapted to fit local practice before they can be actually used by clinicians. Reasons for adaptation include variations of institution setting such as type of practice and location, availability of resources, differences in patient populations, local policies, and practice patterns. When a guideline is implemented for clinical decision support and integrated with an institution's clinical information system, the data model of the local electronic medical record (EMR) and the data actually collected and stored in it also influence the guideline's adaptation. The purpose of this work is: (1) to characterize a tool-supported process for guideline encoding that addresses local adaptation and EMR integration, and (2) to identify the types of changes in guideline encoding during the local adaptation process.

Original languageEnglish (US)
Title of host publicationStudies in Health Technology and Informatics
Pages243-252
Number of pages10
Volume139
DOIs
StatePublished - 2008
Externally publishedYes

Fingerprint

Electronic medical equipment
Diabetic Foot
Decision support systems
Guidelines
Electronic Health Records
Data structures
Information systems
Availability
Clinical Decision Support Systems
Public Policy
Information Systems

Keywords

  • Clinical guidelines
  • Computer-interpretable guidelines
  • EMR integration
  • GLIF3
  • Local adaptation

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

Cite this

Peleg, M., Wang, D., Fodor, A., Keren, S., & Karnieli, E. (2008). Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system. In Studies in Health Technology and Informatics (Vol. 139, pp. 243-252) https://doi.org/10.3233/978-1-58603-873-1-243

Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system. / Peleg, Mor; Wang, Dongwen; Fodor, Adriana; Keren, Sagi; Karnieli, Eddy.

Studies in Health Technology and Informatics. Vol. 139 2008. p. 243-252.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Peleg, M, Wang, D, Fodor, A, Keren, S & Karnieli, E 2008, Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system. in Studies in Health Technology and Informatics. vol. 139, pp. 243-252. https://doi.org/10.3233/978-1-58603-873-1-243
Peleg M, Wang D, Fodor A, Keren S, Karnieli E. Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system. In Studies in Health Technology and Informatics. Vol. 139. 2008. p. 243-252 https://doi.org/10.3233/978-1-58603-873-1-243
Peleg, Mor ; Wang, Dongwen ; Fodor, Adriana ; Keren, Sagi ; Karnieli, Eddy. / Lessons learned from adapting a generic narrative diabetic-foot guideline to an institutional decision-support system. Studies in Health Technology and Informatics. Vol. 139 2008. pp. 243-252
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