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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The GUIDES checklist: Development of a tool to improve the successful use of guideline-based computerised clinical decision support
Implementation Science, Volume 13, No. 1, Article 86, Year 2018
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Description
Background: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. Methods: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed. © 2018 The Author(s).
Authors & Co-Authors
van de Velde, Stijn
Norway, Oslo
Folkehelseinstituttet
Kunnamo, Ilkka
Unknown Affiliation
Roshanov, Pavel S.
Canada, Hamilton
Mcmaster University
Aertgeerts, Bert
Belgium, Leuven
Ku Leuven
Vandvik, Per Olav
Norway, Oslo
Universitetet I Oslo
Flottorp, Signe Agnes
Norway, Oslo
Folkehelseinstituttet
Norway, Oslo
Universitetet I Oslo
Delvaux, Nicolas
Unknown Affiliation
Rosenbaum, Sarah Ellen
Unknown Affiliation
Agarwal, Smisha
Unknown Affiliation
Bates, David D.B.
Unknown Affiliation
Brignardello-Petersen, Romina
Unknown Affiliation
Chen, Yaolong
Unknown Affiliation
Conway, Nicholas Thomas
Unknown Affiliation
Fretheim, Atle
Unknown Affiliation
Haynes, Robert Brian
Unknown Affiliation
Kawamoto, Kensaku
Unknown Affiliation
Kredo, Tamara J.
Unknown Affiliation
Lugtenberg, Marjolein
Unknown Affiliation
Marco-Ruiz, Luis
Unknown Affiliation
Michaels, Maria
Unknown Affiliation
Mitchell, Marc
Unknown Affiliation
Moja, Lorenzo P.
Unknown Affiliation
Mugisha, Michael
Unknown Affiliation
Alonso-Coello, Pablo
Unknown Affiliation
Pearson, Sallie Anne
Unknown Affiliation
Semler, Matthew Wall
Unknown Affiliation
Tamrat, Tigest
Unknown Affiliation
Stichele, Robert Vander
Unknown Affiliation
Vermandere, Mieke
Unknown Affiliation
Venkateswaran, Mahima
Unknown Affiliation
Young, Taryn N.
Unknown Affiliation
Statistics
Citations: 69
Authors: 31
Affiliations: 5
Identifiers
Doi:
10.1186/s13012-018-0772-3
ISSN:
17485908
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Study Approach
Systematic review