We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A multi-layered framework for disseminating knowledge for computer-based decision support.
- Authors
Boxwala, Aziz A; Rocha, Beatriz H; Maviglia, Saverio; Kashyap, Vipul; Meltzer, Seth; Kim, Jihoon; Tsurikova, Ruslana; Wright, Adam; Paterno, Marilyn D; Fairbanks, Amanda; Middleton, Blackford
- Abstract
<bold>Background: </bold>There are several challenges in encoding guideline knowledge in a form that is portable to different clinical sites, including the heterogeneity of clinical decision support (CDS) tools, of patient data representations, and of workflows.<bold>Methods: </bold>We have developed a multi-layered knowledge representation framework for structuring guideline recommendations for implementation in a variety of CDS contexts. In this framework, guideline recommendations are increasingly structured through four layers, successively transforming a narrative text recommendation into input for a CDS system. We have used this framework to implement rules for a CDS service based on three guidelines. We also conducted a preliminary evaluation, where we asked CDS experts at four institutions to rate the implementability of six recommendations from the three guidelines.<bold>Conclusion: </bold>The experience in using the framework and the preliminary evaluation indicate that this approach has promise in creating structured knowledge, to implement in CDS systems, that is usable across organizations.
- Publication
Journal of the American Medical Informatics Association, 2011, Vol 18, pi132
- ISSN
1067-5027
- Publication type
journal article
- DOI
10.1136/amiajnl-2011-000334