From practice guidelines to clinical decision support: closing the                loop

Fox, John; Patkar, Vivek; Chronakis, Ioannis S.; Begent, R. H. J.

doi:10.1258/jrsm.2009.090010

Cited by 41 publications

(23 citation statements)

References 40 publications

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“…Decision support based on guidelines can facilitate more consistent practice among health care providers. 24,34 Documentation of evidence-based interventions allows for increased communication among cancer care providers about the patient’s symptom severity, distress, and recommended or implemented treatment strategies, thus reducing the potential for fragmented care and improving symptom management.…”

Section: Discussionmentioning

confidence: 99%

SymptomCare@Home

Beck

Eaton

Echeverria

et al. 2017

CIN: Computers, Informatics, Nursing

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SymptomCare@Home, an integrated symptom monitoring and management system, was designed as part of randomized clinical trials to help patients with cancer who receive chemotherapy in ambulatory clinics and often experience significant symptoms at home. An iterative design process was informed by chronic disease management theory and features of assessment and clinical decision support systems used in other diseases. Key stakeholders participated in the design process: nurse scientists, clinical experts, bioinformatics experts, and computer programmers. Especially important was input from end-users, patients and nurse practitioners participating in a series of studies testing the system. The system includes both a patient and clinician interface and fully integrates two electronic subsystems: a telephone computer linked Interactive Voice Response system and a web-based Decision Support-Symptom Management System. Key features include: (1) daily symptom monitoring; (2) self-management coaching; (3) alerting; and (4) nurse practitioner follow-up. The nurse practitioner is distinctively positioned to provide assessment, education, support, and pharmacologic and non-pharmacologic interventions to intensify management of poorly controlled symptoms at home. SymptomCare@Home is a model for providing telehealth. The system facilitates using evidence-based guidelines as part of a comprehensive symptom management approach. The design process and system features can be applied to other diseases and conditions.

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Section: Discussionmentioning

confidence: 99%

SymptomCare@Home

Beck

Eaton

Echeverria

et al. 2017

CIN: Computers, Informatics, Nursing

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“…Even though the guidelines represent clinicians' background about suggested ways to deal with health issues, (Fox et al, 2009) highlight that the clinicians' judgment may conflict with the general guidelines, so the treatment may differ from the one originally stated. This may occur because the guidelines are generic, and thus may not consider new knowledge about the treatment, or patient allergy to the medicine, etc.…”

Section: Computer-interpretable Guidelinesmentioning

confidence: 99%

Towards Adapting Scientific Workflow Systems to Healthcare Planning

Vilar

Medeiros

Santanchè

2013

Proceedings of the International Conference on Health Informatics

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Keywords:Scientific Workflows, Task Network Models and Nursing.Abstract: Healthcare and research environments have common characteristics and needs, such as managing people and resources, planning and conducting distributed activities, event-sensitive and monitoring processes. There are several examples in which Workflow Management Systems can aid healthcare management, systematizing, logging and automating activities. In this work we propose a context-driven approach to produce health workflows, which goes beyond an adaptation of workflows tasks to afford health procedures -as proposed in related work -departing from the rationale born from health professionals and materialized in CIG. This paper presents our proposal to support nursing processes through customization of workflows tools using as a starting point a comparative study of systems with respect to features required by healthcare professionals. 75

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“…The clinical components of a relationship-based medicine include establishing respectful trust, the communication of compassion, the ability to be altruistic and to 'look with the ears' and also to consider World views, existential meaning and purpose. These generic humanistic competencies are basic clinical skills and attitudes, which pervade all components of health care delivery, including relationships between health professionals and the provision of complex technical investigations and Clinical Decision Support technology [13]. It is an approach to health care delivery that is relevant to the dynamics of team working, to establishing the culture of the hospital, and to the day-to-day encounter between health professionals.…”

Section: Basic Clinical Skills For a Relationship-based Modern Medicamentioning

confidence: 99%

Medicine of the Person and Personalized Care: a stitch in time saves nine?

Cox

2010

Evaluation Clinical Practice

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From practice guidelines to clinical decision support: closing the loop

Cited by 41 publications

References 40 publications

SymptomCare@Home

SymptomCare@Home

Towards Adapting Scientific Workflow Systems to Healthcare Planning

Medicine of the Person and Personalized Care: a stitch in time saves nine?

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