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Developing nursing computer interpretable guidelines: a feasibility study of heart failure guidelines in homecare
Maxim Topaz1, Erez Shalom2, Ruth Masterson-Creber1
1University of Pennsylvania School of Nursing, Philadelphia, PA;
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|February 20, 2014
Summary
This study shows that nursing guidelines for homecare heart failure can be converted into a computer-readable format. This advance is crucial for developing evidence-based information systems in home healthcare.
Area of Science:
- Healthcare Informatics
- Nursing Informatics
- Clinical Guideline Development
Background:
- Homecare is a rapidly expanding healthcare sector requiring robust information systems.
- Nurses deliver most homecare, but computer-interpretable nursing guidelines for this setting are lacking.
Purpose of the Study:
- To assess the feasibility of encoding a homecare nursing heart failure guideline into a computer-interpretable format.
- To explore the application of existing methodologies for generating machine-readable nursing guidelines in homecare.
Main Methods:
- Achieved expert consensus on a homecare heart failure nursing guideline.
- Utilized the graphical tool for gradual knowledge specification (Gesher) for training.
- Employed the Asbru guideline modeling language to create a computer-interpretable guideline.
Main Results:
- Developed a comprehensive, hierarchical, and time-oriented computer-interpretable guideline.
- The guideline incorporated 167 distinct recommendations.
- Expert evaluation validated the adequacy of the knowledge representation.
Conclusions:
- Encoding homecare nursing guidelines into computer-interpretable formats is feasible.
- The developed methodology and tools show promise for homecare nursing informatics.
- Further research is needed to broaden applicability and enhance quality evaluation methods.
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