Implementing clinical guidelines in an organizational setup

In Kumar Anand, Smith Barry, Stefanelli Mario, Quaglini Silvana & Piazza Matteo (eds.), Proceedings of the Workshop on Model-Based and Qualitative Reasoning in Biomedicine, AIME . pp. 39-44 (2003)
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Outcomes research in healthcare has been a topic much addressed in recent years. Efforts in this direction have been supplemented by work in the areas of guidelines for clinical practice and computer-interpretable workflow and careflow models.In what follows we present the outlines of a framework for understanding the relations between organizations, guidelines, individual patients and patient-related functions. The derived framework provides a means to extract the knowledge contained in the guideline text at different granularities, in ways that can help us to assign tasks within the healthcare organization and to assess clinical performance in realizing the guideline. It does this in a way that preserves the flexibility of the organization in the adoption of the guidelines.

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Barry Smith
University at Buffalo


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