A computer-based guideline implementation system for cardiac rehabilitation screening

Author

Goud, R. ; Peek, N. ; Strijbis, Am ; De Clercq, Pa ; Hasman, A.

Author_Institution

Acad. Med. Center, Amsterdam

fYear

2005

fDate

25-28 Sept. 2005

Firstpage

323

Lastpage

326

Abstract

The Netherlands heart foundation recently released a new cardiac rehabilitation guideline. Concurrent with its development, a decision support system (DSS) was built to assist professionals in implementing the guideline in practice. The DSS was evaluated during a 6-week pilot study in four cardiac rehabilitation centers. The number of patients enrolled in the DSS during the pilot study was 134. Adherence to the guidelines on a patient level was 83% for rehabilitation goals, and 68% for rehabilitation therapies. After the pilot study several new functionalities were added to the system while other DSS parts of the system were slightly changed based on user advice. Currently, a large-scale cluster randomized trial is conducted in 38 Dutch hospitals to rigorously assess the effect of the DSS on guideline adherence

Keywords

cardiology; decision support systems; medical information systems; patient rehabilitation; patient treatment; Netherlands heart foundation; cardiac rehabilitation center; cardiac rehabilitation screening; computer-based guideline implementation system; decision support system; large-scale cluster randomized trial; rehabilitation therapy; Cardiology; Chromium; Decision support systems; Guidelines; Heart; Hospitals; Large-scale systems; Medical treatment; Myocardium; Psychology;

fLanguage

English

Publisher

ieee

Conference_Titel

Computers in Cardiology, 2005

Conference_Location

Lyon

Print_ISBN

0-7803-9337-6

Type

conf

DOI

10.1109/CIC.2005.1588102

Filename

1588102