The GUIDES checklist

Development of a tool to improve the successful use of guideline-based computerised clinical decision support

GUIDES expert panel

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. Methods: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.

Original languageEnglish (US)
Article number86
JournalImplementation Science
Volume13
Issue number1
DOIs
StatePublished - Jun 25 2018

Fingerprint

Clinical Decision Support Systems
Checklist
Guidelines
Delivery of Health Care
Quality Improvement
Referral and Consultation
Learning

Keywords

  • Clinical computerised decision support systems
  • Evidence-based medicine
  • Guideline adherence
  • Implementation
  • Practice Guidelines

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics
  • Public Health, Environmental and Occupational Health

Cite this

The GUIDES checklist : Development of a tool to improve the successful use of guideline-based computerised clinical decision support. / GUIDES expert panel.

In: Implementation Science, Vol. 13, No. 1, 86, 25.06.2018.

Research output: Contribution to journalArticle

@article{420b02a00ab043ba9211c7911591048c,
title = "The GUIDES checklist: Development of a tool to improve the successful use of guideline-based computerised clinical decision support",
abstract = "Background: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. Methods: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.",
keywords = "Clinical computerised decision support systems, Evidence-based medicine, Guideline adherence, Implementation, Practice Guidelines",
author = "{GUIDES expert panel} and {Van de Velde}, Stijn and Ilkka Kunnamo and Pavel Roshanov and Tiina Kortteisto and Bert Aertgeerts and Vandvik, {Per Olav} and Signe Flottorp and Nicolas Delvaux and Hanne Cloetens and David Spitaels and Annemie Heselmans and Tom Codron and Kari H{\aa}velsrud and Sarah Rosenbaum and Satu Salonen and Smisha Agarwal and Leila Ahmadian and David Bates and Linn Brandt and Romina Brignardello-Petersen and Carl Cauwenbergh and Yaolong Chen and Nicholas Conway and Pierre Durieux and Robert El-Kareh and Atle Fretheim and Robert Greenes and Haynes, {Robert Brian} and Tim Holt and Jenders, {Robert A.} and Kensaku Kawamoto and Tamara Kredo and Edwin Lomotan and Marjolein Lugtenberg and Luis Marco-Ruiz and Colin McCowan and Lisa McDermott and Stephanie Medlock and Maria Michaels and Blackford Middleton and Marc Mitchell and Lorenzo Moja and Michael Mugisha and Osheroff, {Jerome A.} and Coello, {Pablo Alonso} and Pearson, {Sallie Anne} and Sylvia Pelayo and Joshua Richardson and Peeter Ross and Nard Schreurs",
year = "2018",
month = "6",
day = "25",
doi = "10.1186/s13012-018-0772-3",
language = "English (US)",
volume = "13",
journal = "Implementation Science",
issn = "1748-5908",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - The GUIDES checklist

T2 - Development of a tool to improve the successful use of guideline-based computerised clinical decision support

AU - GUIDES expert panel

AU - Van de Velde, Stijn

AU - Kunnamo, Ilkka

AU - Roshanov, Pavel

AU - Kortteisto, Tiina

AU - Aertgeerts, Bert

AU - Vandvik, Per Olav

AU - Flottorp, Signe

AU - Delvaux, Nicolas

AU - Cloetens, Hanne

AU - Spitaels, David

AU - Heselmans, Annemie

AU - Codron, Tom

AU - Håvelsrud, Kari

AU - Rosenbaum, Sarah

AU - Salonen, Satu

AU - Agarwal, Smisha

AU - Ahmadian, Leila

AU - Bates, David

AU - Brandt, Linn

AU - Brignardello-Petersen, Romina

AU - Cauwenbergh, Carl

AU - Chen, Yaolong

AU - Conway, Nicholas

AU - Durieux, Pierre

AU - El-Kareh, Robert

AU - Fretheim, Atle

AU - Greenes, Robert

AU - Haynes, Robert Brian

AU - Holt, Tim

AU - Jenders, Robert A.

AU - Kawamoto, Kensaku

AU - Kredo, Tamara

AU - Lomotan, Edwin

AU - Lugtenberg, Marjolein

AU - Marco-Ruiz, Luis

AU - McCowan, Colin

AU - McDermott, Lisa

AU - Medlock, Stephanie

AU - Michaels, Maria

AU - Middleton, Blackford

AU - Mitchell, Marc

AU - Moja, Lorenzo

AU - Mugisha, Michael

AU - Osheroff, Jerome A.

AU - Coello, Pablo Alonso

AU - Pearson, Sallie Anne

AU - Pelayo, Sylvia

AU - Richardson, Joshua

AU - Ross, Peeter

AU - Schreurs, Nard

PY - 2018/6/25

Y1 - 2018/6/25

N2 - Background: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. Methods: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.

AB - Background: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. Methods: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.

KW - Clinical computerised decision support systems

KW - Evidence-based medicine

KW - Guideline adherence

KW - Implementation

KW - Practice Guidelines

UR - http://www.scopus.com/inward/record.url?scp=85049106947&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049106947&partnerID=8YFLogxK

U2 - 10.1186/s13012-018-0772-3

DO - 10.1186/s13012-018-0772-3

M3 - Article

VL - 13

JO - Implementation Science

JF - Implementation Science

SN - 1748-5908

IS - 1

M1 - 86

ER -