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Implementation Science
Published in: Implementation Science 1/2018

Open Access 01-12-2018 | Research

The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support

Authors: Stijn Van de Velde, Ilkka Kunnamo, Pavel Roshanov, Tiina Kortteisto, Bert Aertgeerts, Per Olav Vandvik, Signe Flottorp, GUIDES expert panel

Published in: Implementation Science | Issue 1/2018

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Abstract

Background

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.
Appendix
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Metadata
Title
The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support
Authors
Stijn Van de Velde
Ilkka Kunnamo
Pavel Roshanov
Tiina Kortteisto
Bert Aertgeerts
Per Olav Vandvik
Signe Flottorp
GUIDES expert panel
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2018
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-018-0772-3

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