Limits...
Coupling computer-interpretable guidelines with a drug-database through a web-based system--The PRESGUID project.

Dufour JC, Fieschi D, Fieschi M - BMC Med Inform Decis Mak (2004)

Bottom Line: Two authoritative CPGs, originally diffused as static textual documents, have been implemented to validate the computerization process and to illustrate the usefulness of the resulting automated CPGs and their coupling with a drug database.We discuss the advantages of this approach for practitioners and the implications for both guideline developers and drug database providers.Other CPGs will be implemented and evaluated in real conditions by clinicians working in different health institutions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Laboratoire d'Enseignement et de Recherche en Traitement de l'Information Médicale, Faculté de Médecine, Université de la Méditerranée, Marseille, France. jean-charles.dufour@medecine.univ-mrs.fr

ABSTRACT

Background: Clinical Practice Guidelines (CPGs) available today are not extensively used due to lack of proper integration into clinical settings, knowledge-related information resources, and lack of decision support at the point of care in a particular clinical context.

Objective: The PRESGUID project (PREScription and GUIDelines) aims to improve the assistance provided by guidelines. The project proposes an online service enabling physicians to consult computerized CPGs linked to drug databases for easier integration into the healthcare process.

Methods: Computable CPGs are structured as decision trees and coded in XML format. Recommendations related to drug classes are tagged with ATC codes. We use a mapping module to enhance computerized guidelines coupling with a drug database, which contains detailed information about each usable specific medication. In this way, therapeutic recommendations are backed up with current and up-to-date information from the database.

Results: Two authoritative CPGs, originally diffused as static textual documents, have been implemented to validate the computerization process and to illustrate the usefulness of the resulting automated CPGs and their coupling with a drug database. We discuss the advantages of this approach for practitioners and the implications for both guideline developers and drug database providers. Other CPGs will be implemented and evaluated in real conditions by clinicians working in different health institutions.

Show MeSH
Architecture of the PRESGUID project.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC375539&req=5

Figure 1: Architecture of the PRESGUID project.

Mentions: The platform includes various tools required for the development and distribution of computerized CPGs. This platform was further described in a previous paper [16]. Figure 1 presents the architecture of the platform and its main features are presented below.


Coupling computer-interpretable guidelines with a drug-database through a web-based system--The PRESGUID project.

Dufour JC, Fieschi D, Fieschi M - BMC Med Inform Decis Mak (2004)

Architecture of the PRESGUID project.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC375539&req=5

Figure 1: Architecture of the PRESGUID project.
Mentions: The platform includes various tools required for the development and distribution of computerized CPGs. This platform was further described in a previous paper [16]. Figure 1 presents the architecture of the platform and its main features are presented below.

Bottom Line: Two authoritative CPGs, originally diffused as static textual documents, have been implemented to validate the computerization process and to illustrate the usefulness of the resulting automated CPGs and their coupling with a drug database.We discuss the advantages of this approach for practitioners and the implications for both guideline developers and drug database providers.Other CPGs will be implemented and evaluated in real conditions by clinicians working in different health institutions.

View Article: PubMed Central - HTML - PubMed

Affiliation: Laboratoire d'Enseignement et de Recherche en Traitement de l'Information Médicale, Faculté de Médecine, Université de la Méditerranée, Marseille, France. jean-charles.dufour@medecine.univ-mrs.fr

ABSTRACT

Background: Clinical Practice Guidelines (CPGs) available today are not extensively used due to lack of proper integration into clinical settings, knowledge-related information resources, and lack of decision support at the point of care in a particular clinical context.

Objective: The PRESGUID project (PREScription and GUIDelines) aims to improve the assistance provided by guidelines. The project proposes an online service enabling physicians to consult computerized CPGs linked to drug databases for easier integration into the healthcare process.

Methods: Computable CPGs are structured as decision trees and coded in XML format. Recommendations related to drug classes are tagged with ATC codes. We use a mapping module to enhance computerized guidelines coupling with a drug database, which contains detailed information about each usable specific medication. In this way, therapeutic recommendations are backed up with current and up-to-date information from the database.

Results: Two authoritative CPGs, originally diffused as static textual documents, have been implemented to validate the computerization process and to illustrate the usefulness of the resulting automated CPGs and their coupling with a drug database. We discuss the advantages of this approach for practitioners and the implications for both guideline developers and drug database providers. Other CPGs will be implemented and evaluated in real conditions by clinicians working in different health institutions.

Show MeSH