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A unique framework for the Persian clinical guidelines: addressing an evidence-based CDSS development need.
Hesam Karim1, Mohammad Hosseini Ravandi1, Zahra Zandesh1
1Health information management department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
BMJ Evidence-Based Medicine
|May 27, 2019
Summary
A new framework standardizes Persian Clinical Practice Guidelines (CPGs), reducing 249 headings to 14 main ones. This structure enables automated CPGs and integration into decision support systems.
Area of Science:
- Medical Informatics
- Health Services Research
Background:
- Clinical Practice Guidelines (CPGs) are essential for Computerised Decision Support Systems (CDSS).
- Current CPGs lack a unique structure, hindering automation and integration.
- Automating CPGs requires a standardized format for complex medical decision-making.
Purpose of the Study:
- To propose a unique framework for structuring Persian Clinical Practice Guidelines (CPGs).
- To establish a standardized format for CPGs to facilitate automation.
- To improve the development of CPGs for better integration into healthcare systems.
Main Methods:
- 20 Persian CPGs were divided into creation (n=10) and validation (n=10) sets.
- Headings from the creation set were analyzed and merged into a universal framework.
- The developed framework was validated using the second set of guidelines.
Main Results:
- The study identified significant heterogeneity in the structure of existing Persian CPGs.
- A unique framework with 14 main headings and 16 subheadings was developed.
- The proposed framework successfully covers 100% of the analyzed guidelines.
Conclusions:
- A standardized framework for Persian CPGs was successfully developed and validated.
- This framework promotes homogeneous structure in CPG development.
- Implementation will facilitate the integration of CPGs into electronic medical records and CDSS.
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