Proposing a Quality Model for Evaluating and Identifying Opportunities in Clinical Practice Guideline Engines

M. Carrero, Elena Enamorado-Díaz, J. A. García-García, María José Escalona Cuaresma
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Abstract

Over the last decade, clinical practice guidelines (CPGs) have become an important asset for daily life in healthcare organizations. Efficient CPG management and digitization can improve the quality of patient care and healthcare by reducing variability. CPG digitization, however, is a difficult, complex task because such guidelines are usually expressed as text, and this often results in the development of partial software solutions. There are currently many CPG suites (CPGS) for managing the CPG lifecycle, but they do not all provide full support for this lifecycle, making it more difficult to choose the one which will best meet the specific needs and requirements of a healthcare organization. This paper proposes a quality model which makes it possible to compare CPGs by highlighting each phase of the lifecycle. The research was conducted using a methodology that combined a systematic literature review with quality models. The paper also discusses how the proposed model was instantiated to evaluate and compare several current CPG-based execution systems.
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提出一个质量模型,用于评估和识别临床实践指南引擎中的机会
在过去十年中,临床实践指南(cpg)已成为医疗保健组织日常生活的重要资产。有效的CPG管理和数字化可以通过减少可变性来提高患者护理和医疗保健的质量。然而,CPG数字化是一项困难而复杂的任务,因为这些指导方针通常以文本形式表示,这通常导致部分软件解决方案的开发。目前有许多用于管理CPG生命周期的CPG套件(CPGS),但它们并非都提供对该生命周期的全面支持,这使得选择最能满足医疗保健组织的特定需求和要求的CPG套件变得更加困难。本文提出了一个质量模型,通过突出生命周期的每个阶段来比较cpg。本研究采用系统文献综述与质量模型相结合的方法进行。本文还讨论了如何实例化所提出的模型来评估和比较几种当前基于cpg的执行系统。
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