Interpretation on guideline implementation with decision support checklist (GUIDES)_Chinese Journal of Evidence-Based Medicine

Authors：

HE Mengxue ^1,2 , GU Ying ³ , SHEN Nanping ² , XING Weijie ¹ , SUN Jiwen ² , WENG Zihan ² , DU Xinwei ² ,  HU Yan ¹

1. School of Nursing, Fudan University, Shanghai 200030, P. R. China;
2. Shanghai Children’s Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200027, P. R. China;
3. Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;

Corresponding author：

HU Yan, Email: huyan@fudan.edu.cn

Keywords：

Evidence-based clinical decision support system; Guideline implementation; Assessment; Improvement; Review

DOI：

10.7507/1672-2531.202110125

Video：

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Guideline implementation with decision support checklist (GUIDES) aims to assist the self-reflection of evidence-based clinical decision support system (CDSS) related professionals to enhance the process monitor and continuous improvement of evidence-based CDSS. This paper interpreted the development process, target user, and assessment method of GUIDES, analyzed the practical value of GUIDES through a typical example, and then reflected on the GUIDES and current studies on evidence-based CDSS in China. It is expected to provide references for future studies.

Citation： HE Mengxue, GU Ying, SHEN Nanping, XING Weijie, SUN Jiwen, WENG Zihan, DU Xinwei, HU Yan. Interpretation on guideline implementation with decision support checklist (GUIDES). Chinese Journal of Evidence-Based Medicine, 2022, 22(2): 243-248. doi: 10.7507/1672-2531.202110125 Copy

1.	罗述谦. 生物医学信息学(第三版). 北京: 科学出版社, 2011: 341.
2.	胡雁. 循证护理学. 北京: 人民卫生出版社, 2018: 36.
3.	Trivedi MH, Kern JK, Marcee A, et al. Development and implementation of computerized clinical guidelines: barriers and solutions. Methods Inf Med, 2002, 41(5): 435-442.
4.	Moxey A, Robertson J, Newby D, et al. Computerized clinical decision support for prescribing: provision does not guarantee uptake. J Am Med Inform Assoc, 2010, 17(1): 25-33.
5.	Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. BMJ, 2002, 325(7370): 941.
6.	Kawamoto K, Houlihan CA, Balas EA, et al. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ, 2005, 330(7494): 765.
7.	Roshanov PS, Fernandes N, Wilczynski JM, et al. Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials. BMJ, 2013, 346: f657.
8.	Liu S, Reese TJ, Kawamoto K, et al. A theory-based meta-regression of factors influencing clinical decision support adoption and implementation. J Am Med Inform Assoc, 2021, 28(11): 2514-2522.
9.	Kilsdonk E, Peute LW, Jaspers MW. Factors influencing implementation success of guideline-based clinical decision support systems: a systematic review and gaps analysis. Int J Med Inform, 2017, 98: 56-64.
10.	Van de Velde S, Kunnamo I, Roshanov P, et al. The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support. Implement Sci, 2018, 13(1): 86.
11.	Damoiseaux-Volman BA, van der Velde N, Ruige SG, et al. Effect of interventions with a clinical decision support system for hospitalized older patients: systematic review mapping implementation and design factors. JMIR Med Inform, 2021, 9(7): e28023.
12.	Lam Shin Cheung J, Paolucci N, Price C, et al. A system uptake analysis and GUIDES checklist evaluation of the electronic asthma management system: a point-of-care computerized clinical decision support system. J Am Med Inform Assoc, 2020, 27(5): 726-737.
13.	Kawamoto K, McDonald CJ. Designing, conducting, and reporting clinical decision support studies: recommendations and call to action. Ann Intern Med, 2020, 172(11 Suppl): S101-S109.
14.	Van de Velde S, Roshanov P, Kortteisto T, et al. Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools. Implement Sci, 2016, 11: 29.
15.	Van de Velde S, Heselmans A, Delvaux N, et al. A systematic review of trials evaluating success factors of interventions with computerised clinical decision support. Implement Sci, 2018, 13(1): 114.
16.	Van de Velde S, Kortteisto T, Spitaels D, et al. Development of a tailored intervention with computerized clinical decision support to improve quality of care for patients with knee osteoarthritis: multi-method study. JMIR Res Protoc, 2018, 7(6): e154.
17.	Egan M, Bambra C, Petticrew M, et al. Reviewing evidence on complex social interventions: appraising implementation in systematic reviews of the health effects of organisational-level workplace interventions. J Epidemiol Community Health, 2009, 63(1): 4-11.
18.	Sim I, Gorman P, Greenes RA, et al. Clinical decision support systems for the practice of evidence-based medicine. J Am Med Inform Assoc, 2001, 8(6): 527-534.
19.	任宇飞, 陈洞天, 庹兵兵, 等. 基于临床决策支持系统的静脉血栓栓塞症风险评估和防控体系构建. 中华医院管理杂志, 2019, 35(7): 536-539.
20.	赵春伟. 产科决策支持系统的研究. 上海:上海大学, 2005: 1-55.
21.	甘霖, 张杰, 罗鹏程, 等. 基于循证医学证据的抗菌药物临床决策支持系统. 中国数字医学, 2017, 12(11): 27-28,31.
22.	赵永信, 顾莺, 张晓波, 等. 住院患儿疼痛管理决策支持系统的构建与应用研究. 中华护理杂志, 2020, 55(8): 1147-1153.
23.	Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative research. Int J Med Inform, 2015, 84(12): 1009-1018.
24.	孙玉娇, 史婷奇, 张宁, 等. 低血糖护理决策支持系统的设计及应用. 中华护理杂志, 2020, 55(7): 1028-1032.
25.	张馨文, 唐永, 汪雯. 临床决策支持系统在基层抗菌药物合理使用中的作用. 中华临床医师杂志(电子版), 2019, 13(7): 532-536.
26.	Talmon J, Ammenwerth E, Brender J, et al. STARE-HI-Statement on reporting of evaluation studies in Health Informatics. Int J Med Inform, 2009, 78(1): 1-9.

1. 罗述谦. 生物医学信息学(第三版). 北京: 科学出版社, 2011: 341.
2. 胡雁. 循证护理学. 北京: 人民卫生出版社, 2018: 36.
3. Trivedi MH, Kern JK, Marcee A, et al. Development and implementation of computerized clinical guidelines: barriers and solutions. Methods Inf Med, 2002, 41(5): 435-442.
4. Moxey A, Robertson J, Newby D, et al. Computerized clinical decision support for prescribing: provision does not guarantee uptake. J Am Med Inform Assoc, 2010, 17(1): 25-33.
5. Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. BMJ, 2002, 325(7370): 941.
6. Kawamoto K, Houlihan CA, Balas EA, et al. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ, 2005, 330(7494): 765.
7. Roshanov PS, Fernandes N, Wilczynski JM, et al. Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials. BMJ, 2013, 346: f657.
8. Liu S, Reese TJ, Kawamoto K, et al. A theory-based meta-regression of factors influencing clinical decision support adoption and implementation. J Am Med Inform Assoc, 2021, 28(11): 2514-2522.
9. Kilsdonk E, Peute LW, Jaspers MW. Factors influencing implementation success of guideline-based clinical decision support systems: a systematic review and gaps analysis. Int J Med Inform, 2017, 98: 56-64.
10. Van de Velde S, Kunnamo I, Roshanov P, et al. The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support. Implement Sci, 2018, 13(1): 86.
11. Damoiseaux-Volman BA, van der Velde N, Ruige SG, et al. Effect of interventions with a clinical decision support system for hospitalized older patients: systematic review mapping implementation and design factors. JMIR Med Inform, 2021, 9(7): e28023.
12. Lam Shin Cheung J, Paolucci N, Price C, et al. A system uptake analysis and GUIDES checklist evaluation of the electronic asthma management system: a point-of-care computerized clinical decision support system. J Am Med Inform Assoc, 2020, 27(5): 726-737.
13. Kawamoto K, McDonald CJ. Designing, conducting, and reporting clinical decision support studies: recommendations and call to action. Ann Intern Med, 2020, 172(11 Suppl): S101-S109.
14. Van de Velde S, Roshanov P, Kortteisto T, et al. Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools. Implement Sci, 2016, 11: 29.
15. Van de Velde S, Heselmans A, Delvaux N, et al. A systematic review of trials evaluating success factors of interventions with computerised clinical decision support. Implement Sci, 2018, 13(1): 114.
16. Van de Velde S, Kortteisto T, Spitaels D, et al. Development of a tailored intervention with computerized clinical decision support to improve quality of care for patients with knee osteoarthritis: multi-method study. JMIR Res Protoc, 2018, 7(6): e154.
17. Egan M, Bambra C, Petticrew M, et al. Reviewing evidence on complex social interventions: appraising implementation in systematic reviews of the health effects of organisational-level workplace interventions. J Epidemiol Community Health, 2009, 63(1): 4-11.
18. Sim I, Gorman P, Greenes RA, et al. Clinical decision support systems for the practice of evidence-based medicine. J Am Med Inform Assoc, 2001, 8(6): 527-534.
19. 任宇飞, 陈洞天, 庹兵兵, 等. 基于临床决策支持系统的静脉血栓栓塞症风险评估和防控体系构建. 中华医院管理杂志, 2019, 35(7): 536-539.
20. 赵春伟. 产科决策支持系统的研究. 上海:上海大学, 2005: 1-55.
21. 甘霖, 张杰, 罗鹏程, 等. 基于循证医学证据的抗菌药物临床决策支持系统. 中国数字医学, 2017, 12(11): 27-28,31.
22. 赵永信, 顾莺, 张晓波, 等. 住院患儿疼痛管理决策支持系统的构建与应用研究. 中华护理杂志, 2020, 55(8): 1147-1153.
23. Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative research. Int J Med Inform, 2015, 84(12): 1009-1018.
24. 孙玉娇, 史婷奇, 张宁, 等. 低血糖护理决策支持系统的设计及应用. 中华护理杂志, 2020, 55(7): 1028-1032.
25. 张馨文, 唐永, 汪雯. 临床决策支持系统在基层抗菌药物合理使用中的作用. 中华临床医师杂志(电子版), 2019, 13(7): 532-536.
26. Talmon J, Ammenwerth E, Brender J, et al. STARE-HI-Statement on reporting of evaluation studies in Health Informatics. Int J Med Inform, 2009, 78(1): 1-9.

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