Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Trade-offs in Producing Patient-specific Recommendations from a Computer-based Clinical Guideline: A Case Study

Trade-offs in Producing Patient-specific Recommendations from a Computer-based Clinical... Abstract This case study explored 1) how much online clinical data is required to obtain patient-specific recommendations from a computer-based clinical practice guideline, 2) whether the availability of increasing amounts of online clinical data might allow a higher specificity of those recommendations, and 3) whether that increased specificity is necessarily desirable. The “quick reference guide” version of the guideline for acute postoperative pain management in adults, developed by the Agency for Health Care Policy and Research, was analyzed. Patient-specific data items that might be used to tailor the computer's output for a particular case were grouped into rough categories depending on how likely they were to be available online and how readily they might be determined from online clinical data. The patient-specific recommendations were analyzed to determine to what degree the amount of text produced depended on the online availability of different categories of data. An examination of example recommendations, however, illustrated that high specificity may not always be desirable. The study provides a concrete illustration of how the richness of online clinical data can affect patient-specific recommendations, and describes a number of related design trade-offs in converting a clinical guideline into an interactive, computer-based form. This content is only available as a PDF. Author notes Supported in part by NIH Contract N01 LM13537 from the National Library of Medicine. American Medical Informatics Association http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Medical Informatics Association Oxford University Press

Trade-offs in Producing Patient-specific Recommendations from a Computer-based Clinical Guideline: A Case Study

Download PDF
5 pages

Loading next page...
 
/lp/oxford-university-press/trade-offs-in-producing-patient-specific-recommendations-from-a-qXHPeFLz7k

References (1)

Publisher
Oxford University Press
Copyright
American Medical Informatics Association
ISSN
1067-5027
eISSN
1527-974X
DOI
10.1136/jamia.1995.96010392
Publisher site
See Article on Publisher Site

Abstract

Abstract This case study explored 1) how much online clinical data is required to obtain patient-specific recommendations from a computer-based clinical practice guideline, 2) whether the availability of increasing amounts of online clinical data might allow a higher specificity of those recommendations, and 3) whether that increased specificity is necessarily desirable. The “quick reference guide” version of the guideline for acute postoperative pain management in adults, developed by the Agency for Health Care Policy and Research, was analyzed. Patient-specific data items that might be used to tailor the computer's output for a particular case were grouped into rough categories depending on how likely they were to be available online and how readily they might be determined from online clinical data. The patient-specific recommendations were analyzed to determine to what degree the amount of text produced depended on the online availability of different categories of data. An examination of example recommendations, however, illustrated that high specificity may not always be desirable. The study provides a concrete illustration of how the richness of online clinical data can affect patient-specific recommendations, and describes a number of related design trade-offs in converting a clinical guideline into an interactive, computer-based form. This content is only available as a PDF. Author notes Supported in part by NIH Contract N01 LM13537 from the National Library of Medicine. American Medical Informatics Association

Journal

Journal of the American Medical Informatics Association – Oxford University Press

Published: Jul 1, 1995

There are no references for this article.