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Representation of Clinical Nursing Protocols Using GEM II & GEM Cutter
Karen A Koch1, Michael W Woodcock, Marcelline R Harris
1Mayo Clinic, Rochester, MN.
This study evaluated the Guideline Elements Model II (GEM II) for representing nursing clinical protocols. While GEM II captures high-level protocol elements, it struggles with detailed sequencing and role permissions, indicating a need for tool enhancement.
Area of Science:
- Health Informatics
- Clinical Informatics
- Nursing Informatics
Background:
- Machineable representation of clinical guidelines is established.
- Limited research exists on applying these methods to clinical protocols, especially nursing protocols.
Purpose of the Study:
- To test the feasibility of using the Guideline Elements Model II (GEM II) and GEM Cutter for representing nursing clinical protocols.
- To analyze the completeness of elemental protocol data representation.
Main Methods:
- Downloaded GEM Cutter 2.5 software.
- Decomposed a set of clinical protocols, focusing on a complex extravasation protocol.
- Analyzed the representation of elemental protocol data within GEM II.
Main Results:
- GEM II adequately represents high-level core elements of clinical protocols.
- Inadequate representation of sequence and role-based permissions at branching and procedural levels using conditional criteria.
- Identified limitations in terminology management and multi-authoring support.
Conclusions:
- GEM II is partially effective for high-level clinical protocol representation.
- Significant limitations exist for detailed protocol sequencing and role management.
- Enhancements in terminology and collaboration features are needed for comprehensive protocol representation.
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