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. 2010 Nov 13:2010:627-31.

Extending the GuideLine Implementability Appraisal (GLIA) instrument to identify problems in control flow

Mor Peleg  1 , Jeffrey R Garber
Affiliations

Extending the GuideLine Implementability Appraisal (GLIA) instrument to identify problems in control flow

Mor Peleg et al. AMIA Annu Symp Proc. .

Abstract

Clinical guidelines are usually written as text documents that are meant for human consumption. Implementing clinical guidelines as decision-support systems that deliver patient-specific advice at the point of care could increase the effectiveness of clinical guidelines. Several researchers studied the transition from narrative guidelines to computer-interpretable guidelines and have identified specific barriers to guideline implementation. GuideLine Implementability Appraisal (GLIA) is a comprehensive instrument for identifying such barriers, such that they could be revised. We used the GLIA instrument to appraise a historic thyroid nodule guideline that is now being reviewed by the American Association of Clinical Endocrinologists. Our analysis uncovered new guideline implementation barriers related to control-flow that we integrated into GLIA.

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Figures

Figure 1.
Figure 1.
Part of the historical thyroid algorithm [6]
Figure 2.
Figure 2.
The GLIF3-encoded guideline, revised from the historical thyroid nodule algorithm.
See this image and copyright information in PMC

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