3 research outputs found
The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support
Get PDFBackground: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component
of a learning healthcare system. Research shows that the effectiveness of CDS is mixed.
Multifaceted context, system, recommendation and implementation factors may potentially affect the success of
CDS interventions. This paper describes the development of a checklist that is intended to support professionals to
implement CDS successfully.
Methods: We developed the checklist through an iterative process that involved a systematic review of evidence
and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert
panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients
and healthcare consumers and pilot testing of the checklist.
Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for
guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains,
i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist
positively as an instrument that could support people implementing guideline-based CDS across a wide range of
settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality
improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy.
Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of
CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS
effectiveness. Relying on a structured approach may prevent that important factors are missed
The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support
No full textBACKGROUND: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. METHODS: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. RESULTS: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. CONCLUSIONS: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.status: publishe
