Mapping patient treatment profiles and electronic medical records to a clinical guideline for use in patient care

Clinical guidelines reflect expert determined protocols for use in patient diagnosis and treatment. But these guidelines remain largely under used due to multiple reasons, including a lack of patient specific information, and for lack of integration with the clinician's workflow. Here we implement a novel approach to show the use of a guideline as a reference map to present a visual overview of the patient's treatment profile. We also demonstrate the use of the reference map approach to present electronic medical record data in the context of a comparative patient population. Further, we show the utility of this approach for integration within the clinician's workflow to facilitate their decision making process at the point of care.

[1]  R. Centor,et al.  Reassessment of clinical practice guidelines: go gently into that good night. , 2009, JAMA.

[2]  Yuval Shahar,et al.  DEGEL: A Hybrid, Multiple-Ontology Framework for Specification and Retrieval of Clinical Guidelines , 2003, AIME.

[3]  S. Timmermans,et al.  The promises and pitfalls of evidence-based medicine. , 2005, Health affairs.

[4]  Silvia Miksch,et al.  Metaphors of movement: a visualization and user interface for time-oriented, skeletal plans , 2001, Artif. Intell. Medicine.

[5]  David W. Bates,et al.  Reducing the frequency of errors in medicine using information technology. , 2001, Journal of the American Medical Informatics Association : JAMIA.

[6]  D. Shye,et al.  Primary care physicians' use of lumbar spine imaging tests: effects of guidelines and practice pattern feedback. , 1997, Journal of general internal medicine.

[7]  L. Jackson,et al.  Family physicians managing tuberculosis. Qualitative study of overcoming barriers. , 1997, Canadian family physician Medecin de famille canadien.

[8]  Michael Krauthammer,et al.  Writing clinical practice guidelines in controlled natural language , 2009 .

[9]  T. R. Taylor,et al.  Physician policies on the use of preventive hormone therapy. , 1997, American journal of preventive medicine.

[10]  Marilyn J. Field,et al.  Institute of Medicine Committee on Clinical Practice Guidelines , 1992 .

[11]  L. Hayden,et al.  Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality , 2011 .

[12]  Alessio Bottrighi,et al.  GLARE: a Domain-Independent System for Acquiring, Representing and Executing Clinical Guidelines , 2006, AMIA.

[13]  Silvia Miksch,et al.  CareVis: Integrated visualization of computerized protocols and temporal patient data , 2006, Artif. Intell. Medicine.

[14]  David W. Bates,et al.  Synthesis of Research Paper: Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality , 2003, J. Am. Medical Informatics Assoc..