Experiences with the Development, Implementation and Evaluation of Automated Decision Support Systems

A framework for the implementation of guidelines--GASTON--was developed. Its functions range from the definition of guidelines (using a GLIF like approach) to the implementation of a DSS that can be coupled to existing information systems. This paper discusses experiences with the development of three systems in different domains. It is concluded that the toolbox corresponding to the framework could be successfully used to develop these systems.

[1]  F. G. Zitman,et al.  Towards a more rational use of psychoactive substances in clinical practice , 1999, European Neuropsychopharmacology.

[2]  F. G. Zitman,et al.  Towards a more rational use of psychoactive substances in clinical practice. , 2001 .

[3]  Arie Hasman,et al.  A consumer health record for supporting the patient-centered management of chronic diseases , 2003, Medical informatics and the Internet in medicine.

[4]  C. Lindberg The Unified Medical Language System (UMLS) of the National Library of Medicine. , 1990, Journal.

[5]  Arie Hasman,et al.  A Strategy for Developing Practice Guidelines for the ICU Using Automated Knowledge Acquisition Techniques , 2004, Journal of Clinical Monitoring and Computing.

[6]  Aziz A. Boxwala,et al.  Representation primitives, process models and patient data in computer-interpretable clinical practice guidelines: : A literature review of guideline representation models , 2002, Int. J. Medical Informatics.

[7]  Edward H. Shortliffe,et al.  A generic execution model for sharing of computer-interpretable clinical practice guidelines , 2003 .

[8]  Arie Hasman,et al.  Design and implementation of a framework to support the development of clinical guidelines , 2001, Int. J. Medical Informatics.

[9]  B. Bentsen International classification of primary care. , 1986, Scandinavian journal of primary health care.

[10]  Arie Hasman,et al.  A test ordering system with automated reminders for primary care based on practice guidelines , 2000, Int. J. Medical Informatics.

[11]  Arie Hasman,et al.  The application of ontologies and problem-solving methods for the development of shareable guidelines , 2001, Artif. Intell. Medicine.

[12]  James R. Lewis,et al.  IBM computer usability satisfaction questionnaires: Psychometric evaluation and instructions for use , 1995, Int. J. Hum. Comput. Interact..

[13]  R. Ewert,et al.  [International classification of primary care]. , 1992, Zeitschrift fur arztliche Fortbildung.

[14]  Arie Hasman,et al.  Validation of a knowledge based reminder system for diagnostic test ordering in general practice , 2001, Int. J. Medical Informatics.

[15]  E. Shortliffe Clinical decision-support systems , 1990 .

[16]  Arie Hasman,et al.  Approaches for creating computer-interpretable guidelines that facilitate decision support , 2004, Artif. Intell. Medicine.

[17]  D. M. H. Van Hyfte,et al.  Modelling the psychoactive drug selection application domain at the knowledge level , 1999 .

[18]  Kent A. Spackman,et al.  SNOMED RT: a reference terminology for health care , 1997, AMIA.

[19]  Gail E. Kaiser,et al.  GESDOR - A Generic Execution Model for Sharing of Computer-Interpretable Clinical Practice Guidelines , 2003, AMIA.