TY - GEN
T1 - A methodological specification of a guideline for diagnosis and management of preeclampsia
AU - Hatsek, Avner
AU - Shahar, Yuval
AU - Taieb-Maimon, Meirav
AU - Shalom, Erez
AU - Dubi-Sobol, Adit
AU - Bar, Guy
AU - Koyfman, Arie
AU - Lunenfeld, Eitan
PY - 2009
Y1 - 2009
N2 - There is a broad agreement regarding the necessity of building usable and functional tools for specification of machine-interpretable clinical guidelines, to provide guideline-based medical care. There is much less of a consensus of how to go about it and whether the whole process is feasible in a real clinical domain. In this study, we have applied a new architecture, the Gesher graphical tool, to the specification of an important Obstetric guideline (diagnosis and management of PreEclampsia / Eclampsia toxemia). We have assessed the feasibility (functionality and usability) of (1) representing a clinical consensus customized for a particular medical center and (2) structuring the full content of the guideline. In addition, we have assessed in a preliminary fashion, the potential of using a less experienced clinician as a markup editor, by asking both a senior Obstetrics and Gynecology clinician, and a general intern, to represent the same guideline using the Gesher system. The results demonstrated the functionality and usability of the Gesher system, at least for these two editors; the intern's performance was at least as good as that of the senior physician with respect to the specific task of structuring the guideline according to the Hybrid Asbru ontology, using our tools.
AB - There is a broad agreement regarding the necessity of building usable and functional tools for specification of machine-interpretable clinical guidelines, to provide guideline-based medical care. There is much less of a consensus of how to go about it and whether the whole process is feasible in a real clinical domain. In this study, we have applied a new architecture, the Gesher graphical tool, to the specification of an important Obstetric guideline (diagnosis and management of PreEclampsia / Eclampsia toxemia). We have assessed the feasibility (functionality and usability) of (1) representing a clinical consensus customized for a particular medical center and (2) structuring the full content of the guideline. In addition, we have assessed in a preliminary fashion, the potential of using a less experienced clinician as a markup editor, by asking both a senior Obstetrics and Gynecology clinician, and a general intern, to represent the same guideline using the Gesher system. The results demonstrated the functionality and usability of the Gesher system, at least for these two editors; the intern's performance was at least as good as that of the senior physician with respect to the specific task of structuring the guideline according to the Hybrid Asbru ontology, using our tools.
KW - Care Plans
KW - Clinical Guidelines
KW - Clinical Protocols
KW - Evaluation
KW - Knowledge Representation
KW - Knowledge-Based Systems
KW - Medical Decision Support Systems
KW - Medical Informatics
KW - Obstetrics and Gynecology
UR - http://www.scopus.com/inward/record.url?scp=70350364884&partnerID=8YFLogxK
U2 - 10.1007/978-3-642-03262-2_10
DO - 10.1007/978-3-642-03262-2_10
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AN - SCOPUS:70350364884
SN - 3642032613
SN - 9783642032615
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 123
EP - 133
BT - Knowledge Management for Health Care Procedures - ECAI 2008 Workshop, K4HelP 2008, Revised Selected Papers
T2 - ECAI Workshop on Knowledge Management for Health Care Procedures, K4HelP 2008
Y2 - 21 July 2008 through 21 July 2008
ER -