TY - JOUR
T1 - A context-adaptable approach to clinical guidelines
AU - Terenziani, Paolo
AU - Montani, Stefania
AU - Bottrighi, Alessio
AU - Torchio, Mauro
AU - Molino, Gianpaolo
AU - Correndo, Gianluca
PY - 2004
Y1 - 2004
N2 - One of the most relevant obstacles to the use and dissemination of clinical guidelines is the gap between the generality of guidelines (as defined, e.g., by physicians' committees) and the peculiarities of the specific context of application. In particular, general guidelines do not take into account the fact that the tools needed for laboratory and instrumental investigations might be unavailable at a given hospital. Moreover, computer-based guideline managers must also be integrated with the Hospital Information System (HIS), and usually different DBMS are adopted by different hospitals. The GLARE (Guideline Acquisition, Representation and Execution) system addresses these issues by providing a facility for automatic resource-based adaptation of guidelines to the specific context of application, and by providing a modular architecture in which only limited and well-localised changes are needed to integrate the system with the HIS at hand.
AB - One of the most relevant obstacles to the use and dissemination of clinical guidelines is the gap between the generality of guidelines (as defined, e.g., by physicians' committees) and the peculiarities of the specific context of application. In particular, general guidelines do not take into account the fact that the tools needed for laboratory and instrumental investigations might be unavailable at a given hospital. Moreover, computer-based guideline managers must also be integrated with the Hospital Information System (HIS), and usually different DBMS are adopted by different hospitals. The GLARE (Guideline Acquisition, Representation and Execution) system addresses these issues by providing a facility for automatic resource-based adaptation of guidelines to the specific context of application, and by providing a modular architecture in which only limited and well-localised changes are needed to integrate the system with the HIS at hand.
KW - Decision support systems
KW - clinical
KW - computer based guidelines
KW - contextualization
KW - three-layered architecture
UR - http://www.scopus.com/inward/record.url?scp=84857732762&partnerID=8YFLogxK
U2 - 10.3233/978-1-60750-949-3-169
DO - 10.3233/978-1-60750-949-3-169
M3 - Article
C2 - 15360797
AN - SCOPUS:84857732762
SN - 0926-9630
VL - 107
SP - 169
EP - 173
JO - Studies in Health Technology and Informatics
JF - Studies in Health Technology and Informatics
ER -