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The PropeR way to support medical doctors in daily practice. Developing the protocol based DSS
E M van Oosterhout1, J L Talmon, P A De Clercq
1Department of Medical Informatics, University Maastricht, The Netherlands. e.vanoosterhout@mi.unimaas.nl
Studies in Health Technology and Informatics
|December 11, 2003
Summary
This study developed a proactive Protocol-based Decision Support System (PDSS) integrated with Electronic Patient Records (EPR) for Acute Myelogenous Leukaemia (AML) treatment. The system aims to improve daily care by prompting physicians when protocol-driven interventions are necessary.
Area of Science:
- Medical Informatics
- Clinical Decision Support Systems
- Health Information Technology
Background:
- Electronic Patient Record (EPR) systems are integral to modern healthcare.
- Protocol-based Decision Support Systems (PDSS) offer potential to standardize and improve patient care.
- Integrating PDSS with EPRs can enhance proactive clinical interventions.
Purpose of the Study:
- To describe the development of a proactive PDSS linked to an EPR system.
- To investigate the impact of this integrated system on daily hospital care processes.
- To computerize and formally represent an Acute Myelogenous Leukaemia (AML) treatment protocol.
Main Methods:
- Development of a Protocol-based Decision Support System (PDSS) integrated with an Electronic Patient Record (EPR) system.
- Formal representation of an Acute Myelogenous Leukaemia (AML) treatment protocol using the KA-tool Gaston.
- Hierarchical organization of 28 subprotocols into three levels.
- Creation of a two-layered representation: a sharable protocol layer and a domain-specific support layer.
Main Results:
- A formal, hierarchical representation of the AML protocol was created.
- A two-layered representation was developed to separate protocol content from domain-specific application and support aspects.
- The system is designed to proactively prompt physicians based on patient data within the EPR.
Conclusions:
- Integrating PDSS with EPR systems can facilitate proactive clinical decision-making.
- A two-layered representation approach addresses challenges in sharing and applying clinical protocols in diverse settings.
- Further discussion is ongoing regarding the two-layered representation for optimal implementation.