Titre :

The guides checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support

Auteur(s) :

Van De Velde, Stijn [Auteur]
Norwegian Institute of Public Health [Oslo] [NIPH]
Kunnamo, Ilkka [Auteur]
Roshanov, Pavel [Auteur]
McMaster University [Hamilton, Ontario]
Kortteisto, Tiina [Auteur]
Tampere University Hospital
Aertgeerts, Bert [Auteur]
FUTURE HEALTH DEPARTMENT [KU Leuven] [KU-IBBT]
Vandvik, Per Olav [Auteur]
University of Oslo [UiO]
Flottorp, Signe [Auteur]
Norwegian Institute of Public Health [Oslo] [NIPH]
University of Oslo [UiO]

Titre de la revue :

Implementation science . IS

Nom court de la revue :

Implement Sci

Numéro :

13

Pagination :

86

Date de publication :

2018-06-25

ISSN :

1748-5908

Mot(s)-clé(s) en anglais :

Clinical computerised decision support systems
Guideline adherence
Evidence-based medicine
Implementation
Practice Guidelines

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, ...
Lire la suite >Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Université de Lille

Collections :

• Autres travaux scientifiques

Date de dépôt :

2019-12-09T18:18:36Z
2020-04-07T09:28:59Z