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Free and open source enabling technologies for patient-centric, guideline-based clinical decision support: a survey
T Y Leong1, K Kaiser, S Miksch
1Medical Computing Laboratory, School of Computing, National University of Singapore, Singapore. leongty@comp.nus.edu.sg
Yearbook of Medical Informatics
|December 6, 2007
Summary
Free and open source (FOS) technologies are advancing patient-centric, guideline-based clinical decision support. These tools integrate clinical guidelines into electronic health records, improving care quality and reducing costs, despite implementation challenges.
Area of Science:
- Biomedical Informatics
- Health Information Technology
- Evidence-Based Medicine
Background:
- Guideline-based clinical decision support aims to reduce errors, lower costs, and improve healthcare quality.
- Free and Open Source (FOS) approaches offer cost-effective information technology (IT) solutions in healthcare.
Purpose of the Study:
- Survey current FOS enabling technologies for patient-centric, guideline-based care.
- Discuss trends and future directions of FOS in clinical decision support.
Main Methods:
- Conducted a literature search on PubMed, biomedical informatics websites, and the general web for FOS healthcare IT systems.
- Focused on guideline modeling tools and examined supporting technologies for terminology, data exchange, and electronic health record (EHR) standards.
Main Results:
- Integration of computerized guidelines with clinical information systems or EHRs is crucial for patient-centric care.
- Accessible, interoperable, and scalable technologies are needed for effective integration.
- Numerous FOS tools exist for knowledge management and quality assurance, but implementation challenges persist.
Conclusions:
- There is a growing trend in deploying FOS technologies to integrate clinical guidelines into care processes.
- Continued development of FOS technologies will significantly contribute to patient-centric, guideline-based clinical decision support.
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