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 Scopus citations

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 publicationComputer-based Medical Guidelines and Protocols
Subtitle of host publicationA Primer and Current Trends
PublisherIOS Press
Pages243-252
Number of pages10
ISBN (Print)9781586038731
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

Publication series

NameStudies in Health Technology and Informatics
Volume139
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

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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 Computer-based Medical Guidelines and Protocols: A Primer and Current Trends (pp. 243-252). (Studies in Health Technology and Informatics; Vol. 139). IOS Press. https://doi.org/10.3233/978-1-58603-873-1-243