Patient-tailored workflow patterns from clinical practice guidelines recommendations

Lucia Sacchi, Adi Fux, Carlo Napolitano, Silvia Panzarasa, Mor Peleg, Silvana Quaglini, Erez Shalom, Pnina Soffer, Paolo Tormene

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

MobiGuide is a project devoted to the development of a patient-centric decision support system based on computerized clinical guidelines for chronic illnesses including Atrial Fibrillation (AF). In this paper we describe the process of (1) identifying guideline recommendations that will require patients to take actions (e.g., take measurement, take drug), thus impacting patients' daily-life behavior, (2) eliciting from the medical experts the corresponding set of personalized operationalized advices that are not explicitly written in the guideline (patient-tailored workflow patterns) and (3) delivering this advice to patients. The analysis of the AF guideline has resulted in four types of patient-tailored workflow patterns: therapy-related advisors, measurements advisors, suggestions for dealing with interventions that may require modulating patient therapy, and personalized packages for close monitoring of patients. We will show how these patterns can be generated using information stored in a patient health record that embeds clinical data and data about the patient's personal context and preferences.

Original languageEnglish
Title of host publicationMEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
PublisherIOS Press
Pages392-396
Number of pages5
Edition1-2
ISBN (Print)9781614992882
DOIs
StatePublished - 2013
Event14th World Congress on Medical and Health Informatics, MEDINFO 2013 - Copenhagen, Denmark
Duration: 20 Aug 201323 Aug 2013

Publication series

NameStudies in Health Technology and Informatics
Number1-2
Volume192
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference14th World Congress on Medical and Health Informatics, MEDINFO 2013
Country/TerritoryDenmark
CityCopenhagen
Period20/08/1323/08/13

Keywords

  • Clinical practice guidelines
  • decision support system
  • patient-centric care

ASJC Scopus subject areas

  • Health Information Management
  • Health Informatics
  • Biomedical Engineering

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