Guideline Development & Implementation - XML-Based Tools

指南制定

• 批准号: 6620082
• 负责人: RICHARD N SHIFFMAN
• 金额: $ 33.84万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-03-01 至 2005-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6620082
• 关键词: adult human (21+); clinical research; computer assisted instruction; computer assisted medical decision making; computer program /software; computer system design /evaluation; human subject; informatics; interactive multimedia; literature survey; otitis media; pediatrics; programmed instruction; videotape /videodisc

A longstanding informatics challenge has been to develop effective and efficient mechanisms whereby valid medical knowledge can be applied in computer systems to support decision making by clinicians. The Guideline Elements Model (GEM) is a generic hierarchical representation of guideline knowledge that makes use of XML, a powerful technology for representing and manipulating electronic documents. The proposed activities are designed broadly to facilitate knowledge acquisition and representation for guideline-based decision support systems. Specific aims include: 1) To create tools that will facilitate transformation of published guidelines into computer-mediated guideline implementation systems. A generic process and software tools will be developed to translate GEM-encoded guidelines into systems that can improve the process of care. 2) To define the factors that influence the implementability of practice guidelines and to create an instrument that evaluates this construct. An international panel of experts on guideline implementation will help to define dimensions of implementability and participate in validation of the instrument. 3) To improve the quality and implementability of an evidence- based guideline produced by national specialty societies. Feedback regarding quality and implementability will be provided during the development of a guideline on management of acute otitis media by the American Academy of Pediatrics and the American Academy of Family Practice. 4) To extend and refine the GEM model to serve as a precise, comprehensive, and consistently applied ontology of guideline- related concepts.

信息学长期面临的挑战是开发有效且高效的机制，将有效的医学知识应用于计算机系统，以支持临床医生的决策。 指南元素模型 (GEM) 是指南知识的通用分层表示，它利用 XML（一种用于表示和操作电子文档的强大技术）。 拟议的活动旨在促进基于指南的决策支持系统的知识获取和表示。具体目标包括： 1) 创建工具，促进已发布的指南转化为计算机介导的指南实施系统。 将开发通用流程和软件工具，将 GEM 编码的指南转化为可以改进护理流程的系统。 2) 定义影响实践指南可实施性的因素，并创建评估该结构的工具。 指南实施方面的国际专家小组将帮助确定可实施性的维度并参与该文书的验证。 3) 提高国家专业协会制定的循证指南的质量和可实施性。美国儿科学会和美国家庭医学会在制定急性中耳炎管理指南期间将提供有关质量和可实施性的反馈。 4) 扩展和完善 GEM 模型，使其成为指南相关概念的精确、全面和一致应用的本体。