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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/model-ambiguity-and
January 01, 2022 - A model of ambiguity and vagueness in clinical practice guideline recommendations. … A model of ambiguity and vagueness in clinical practice guideline recommendations. … Project Name
Improving Guideline Development and Implementation
Technology
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/comprehensive
January 01, 2022 - Comprehensive categorization of guideline recommendations: creating an action palette for implementers … Comprehensive categorization of guideline recommendations: creating an action palette for implementers … Project Name
Improving Guideline Development and Implementation
Technology
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/toward-improved
January 01, 2022 - Toward improved guideline quality: using the COGS statement with GEM. … Toward improved guideline quality: using the COGS statement with GEM. … Project Name
Improving Guideline Development and Implementation
Technology
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/gem-10-decades
January 01, 2022 - GEM at 10: a decade's experience with the Guideline Elements Model. … GEM at 10: a decade's experience with the Guideline Elements Model. … Project Name
Improving Guideline Development and Implementation
Technology
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/how-should-we-write
January 01, 2022 - How "should" we write guideline recommendations? … How "should" we write guideline recommendations? … Project Name
Improving Guideline Development and Implementation
Technology
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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/citation/clinical-practice
January 01, 2022 - Clinical practice guideline development manual: a quality-driven approach for translating evidence into … Clinical practice guideline development manual: a quality-driven approach for translating evidence into … Project Name
Improving Guideline Development and Implementation
Technology
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digital.ahrq.gov/sites/default/files/docs/page/structuring-knowledge-for-clinical-decision-support.pdf
June 03, 2010 - knowledge
translation
Completed 2 years of contracted activities
Applied Guideline Elements Model … Guideline
Semi-structured
Semi-formal
Formal
Narrative Guideline
Semi-structured
Semi-formal
Formal … Identify Clinical
Objectives
Guideline Search (NGC)
COGS/AGREE, GLIA
Narrative Guideline
Selected … Recommendations
Narrative to Semi-Structured
Narrative Guideline
Selected Textual Recommendations … knowledge
Markup guideline document into (ANSI standard) GEM
Manipulate and display components with
-
digital.ahrq.gov/sites/default/files/docs/page/AHRQ_CDS_TEP_Teleconference_3-7-12_with_notes.pdf
March 07, 2012 - -06)
• Parses guideline text into
chunks compatible with the
Guideline Elements Model
schema
• … -06)
• Parses guideline text into
chunks compatible with the
Guideline Elements Model
schema
• … -06)
• Parses guideline text into
chunks compatible with the
Guideline Elements Model
schema
• … Guideline Developers Informaticians Guideline
Implementers
End-Users
Who Are The
Customers? … Guideline Developers Informaticians Guideline
Implementers
End-Users
How To
Communicate?
-
digital.ahrq.gov/organization/yale-university
January 01, 2022 - Yale University
Improving Guideline … Development and Implementation
Description
This study was designed to reduce guideline … Improving Guideline Development and Implementation - 2010
Principal Investigator … Project Name
Improving Guideline Development and Implementation … Project Name
Improving Guideline Development and Implementation
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-based-guideline
January 01, 1999 - Computer-based guideline implementation systems: a systematic review of functionality and effectiveness … Assoc Publication Date: 1999 Volume: 6 Issue: 2 Pages: 104-14 HIT Description: Computer-based guideline … Summary: Intervention: Use of the computer to implement specific guideline recommendations. … Clinical Outcomes: Guideline adherence improved in 14 of the 18 systems in which it was measured.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/use-computerized-guideline
August 16, 2021 - Use of a computerized guideline for glucose regulation in the intensive care unit improved both guideline … Quality of Care and Patient Safety Outcome: Before guideline implementation, patient glucose levels … After guideline implementation, this increase to 44% during the first study period and 54.2% with the
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digital.ahrq.gov/principal-investigator/shiffman-richard-n
January 01, 2022 - Improving Guideline Development and Implementation
Description
This study was designed … to reduce guideline ambiguities, improve efficiency, and create and evaluate tools to facilitate the … Improving Guideline Development and Implementation - 2010
Principal Investigator … Project Name
Improving Guideline Development and Implementation … Project Name
Improving Guideline Development and Implementation
-
digital.ahrq.gov/sites/default/files/docs/page/GLIDES_TEP_Sep2010_V3.pdf
November 01, 2010 - The Agency for Healthcare Research and Quality
Contents
• Project Status
• New Implementations
• Guideline … and guidance to improve guideline development and reporting
processes
• Update the Guideline Elements … • The AAP has been a leader in Clinical Practice Guideline
development for over 15 years. … • Guideline recommendations must be clearly
identified rather than ‘hidden’ in narrative. … Clinical Practice Guideline Development
AAP
Guidelines
Guideline Development Process
Systematic
-
digital.ahrq.gov/sites/default/files/docs/page/GLIDES_TEP_Feb_2010.pdf
January 01, 2010 - Implement evidence-based guideline recommendations
that address prevention of pediatric obesity and … Implement evidence-based guideline recommendations
that address prevention of pediatric obesity and … Challenge of Representing
Guideline Knowledge Electronically
Tension between work that can be … Models for guideline representation, Neurol Sci, (2006) 27:S240-S244. … Work with guideline developers to provide tools and
guidance to improve guideline development
3.
-
digital.ahrq.gov/sites/default/files/docs/page/GLIDES%20Update%20and%20Moving%20from%20Demonstration%20to%20Standard%20Practice%20-%20December%202011.pdf
December 06, 2011 - Development
• AAO
– Engaged public successfully in commenting on
BridgeWiz-processed guideline … guideline, using
BridgeWiz
– Plan to move on to the uro-trauma guideline next
• ASCO
– Will use … BridgeWiz to develop action statements for
the upcoming Adjuvant Hormone Therapy Guideline
6 GLIDES … development improve guideline quality? … Standardization followed by relevant text
extracted from the guideline.
-
digital.ahrq.gov/sites/default/files/docs/page/3-GLIDES-Status_Updates.pdf
June 01, 2011 - Using systematic and replicable processes
– Continue to design, develop, implement, and demonstrate guideline … recommendations for effective
implementation, work closely with guideline developers to provide
tools … and guidance to improve guideline development and reporting
processes
• Update the Guideline Elements … development processes
• BRIDGE-Wiz and National Guideline Panels:
– Obstructive Sleep Apnea (AAP) … • Status
– Met with team’s expert advisors to review the guideline
recommendations and the clinical
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/electronically-distributed
January 01, 1996 - distributed, computer-generated, individualized feedback enhances the use of a computerized practice guideline … feedback regarding adherence to care guidelines would significantly improve clinician compliance with guideline … electronic mail message consisting of a computer-generated report summarizing his/her response to care guideline … RecordÓ, and it ran a ÒComputer-Assisted Management Protocol (CAMP)Ó, which was based on a chronic care guideline
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-decision-support
January 01, 1997 - Computerized decision support based on a clinical practice guideline improves compliance with care standards … Purpose of Study: Evaluate a computerized decision support system based on a practice guideline that … Intervention: A special encounter form with the computer-generated guideline recommendations for diabetes … Description: The computer-generated guideline and the electronic medical record were developed by the
-
digital.ahrq.gov/sites/default/files/docs/page/TEP%208-13-08%20Slides%20Glides.pdf
August 13, 2008 - Support Consortium: Technical Expert Panel Meeting
TEP UPDATE
August 13, 2008
Status Summary
• Guideline … commencing some Phase 2 planning work
(2-3 months ahead of schedule)
Challenge of Representing
Guideline … Knowledge Electronically
Black Box
Published Guideline
Computer-Based
Guideline Implementation … Black Box
Narrative Guideline
Semi-structured
Semi-formal
Formal
Narrative Guideline
Semi-structured … Semi-formal
Formal
Narrative Guideline
Semi-structured
Semi-formal
Formal
Statement logic
Coded
-
digital.ahrq.gov/sites/default/files/docs/page/GLIDESUP_0.pdf
November 01, 2009 - 2008 – June 2009 June-November
2009
Evaluation
Asthma
Obesity
Pre-Implementation
3
Narrative Guideline … Semi-
structured
Semi-
formal Formal
Input Documentation
Published Guideline - NHLBI
EPR3
Clinical … GLIDES Design Documentation
Semi-
structured
Semi-
formal Formal
Input Documentation
Published Guideline … GLIDES Design Documentation
Semi-
structured
Semi-
formal Formal
Input Documentation
Published Guideline … - NHLBI
EPR3
Clinical Objectives (to focus
guideline selection)
Documentation Produced
COGS, GLIA