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Formalising Medical Quality Indicators to Improve Guidelines

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Artificial Intelligence in Medicine (AIME 2005)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 3581))

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Abstract

Medical guidelines can significantly improve quality of medical care and reduce costs. But how do we get sound and well-structured guidelines? This paper investigates the use of quality indicators that are formulated by medical institutions to evaluate medical care. The main research questions are (i) whether it is possible to formalise those indicators in a specific knowledge representation language for medical guidelines, and (ii) whether it is possible to verify whether such guidelines do indeed satisfy these indicators. In a case study on two real-life guidelines (Diabetes and Jaundice) we have studied 35 indicators, that were developped independently from these guidelines. Of these 25 (71%!) suggested anomalies in one of the guidelines in our case study.

This work has been partially supported by the European Commission’s IST program, under contract number IST-FP6-508794 Protocure-II.

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References

  1. American Academy of Pediatrics, Provisional Committee for Quality Improvement and Subcommittee on Hyperbilirubinemia. Practice parameter: management of hyperbilirubinemia in the healthy term newborn. Pediatrics 94, 558–565 (1994)

    Google Scholar 

  2. Balser, M., Coltell, O., van Croonenborg, J., Duelli, C., van Harmelen, F., Jovell, A., Lucas, P., Marcos, M., Miksch, S., Reif, W., Rosenbrand, K., Seyfang, A., ten Teije, A.: Protocure: Supporting the Development of Medical Protocols through Formal Methods. In: Proceedings of the Symposium on Computerized Guidelines and Protocols (CGP 2004). Studies in health technology and informatics, vol. 101, pp. 103–108. IOS press, Amsterdam (2004)

    Google Scholar 

  3. Casparie, A., et al.: Ontwikkeling van Indicatoren op Basis van Evidence-based richtlijnen. Van Zuiden Communications, Alphen aan den Rijn (2002)

    Google Scholar 

  4. Fleming, B., Greenfield, S., Engelgau, M., Pogach, L., Clauser, S., Parrott, M.: Diabetes care. The Diabetes Quality Improvement Project 24, 1815–1820 (2001)

    Google Scholar 

  5. Fox, J., Alabassi, A., Black, E., Hurt, C., Rose, T.: Modelling Clinical Goals: a Corpus of Examples and a Tentatove Ontology. In: SCGP 2004, Proceedings of the Symposium on Computerized Guidelines and Protocols, pp. 31–45. IOS Press, Amsterdam (2004)

    Google Scholar 

  6. MAJIC. MAJIC Steering Committee Meets. MAJIC Newsletter 1(2) (1998)

    Google Scholar 

  7. Marcos, M., Balser, M., ten Teije, A., van Harmelen, F., Duelli, C.: Experiences in the Formalisation and Verification of Medical Protocols. In: Dojat, M., Keravnou, E.T., Barahona, P. (eds.) AIME 2003. LNCS (LNAI), vol. 2780, pp. 132–141. Springer, Heidelberg (2003)

    Chapter  Google Scholar 

  8. Nyberg, L., Lawrence, M.: Overall Quality Indicators in Health Care and Medical Services (2001)

    Google Scholar 

  9. Protocure I Project. Asbru Protocol for the Management of Hyperbilirubinemia in the Healthy Term Newborn. Technical Report (August 2002), http://www.protocure.org

  10. Protocure I Project. Asbru Protocol for the Management of Diabetes Mellitus Type 2. Technical Report (August 2002), http://www.protocure.org

  11. T. C. of State, t. A. o. S. Territorial Epidemiologists (CST̃E), T. C. D. P. D. (ASTCDPD), the National Center for Chronic Disease Prevention, H. P. C. for Disease Control, and Prevention. Indicators for chronic disease surveillance (2001), http://cdi.hmc.psu.edu/pathways/breastcancer.html

  12. Rockville. AHRQ Quality Indicators - Guide to Prevention Quality Indicators: Hospital Admission for Ambulatory Care Sensitive Conditions. Agency for Healthcare Research and Quality. AHRQ Pub, no. 02-R0203 (2004) (revision 3)

    Google Scholar 

  13. Rutten, G., Verhoeven, S., Heine, R., de Grauw, W., Cromme, P., Reenders, K., van Ballegooie, E., Wiersma, T.: NHG-Standaard Diabetes Mellitus Type 2 (eerste herziening). Huisarts en Wetenschap 42(2), 67–84 (1999) (First revision)

    Google Scholar 

  14. Shahar, Y., Miksch, S., Johnson, P.: The Asgaard Project: a Task-specific Framework for the Application and Critiquing of Time-oriented Clinical Guidelines. AIM 14, 29–51 (1998)

    Google Scholar 

  15. Storms, G., ten Have, P., Dijkstra, R.: Indicatoren voor Verbetering van de Diabeteszorg. Van Zuiden Communications, Alphen aan den Rijn (2002)

    Google Scholar 

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van Gendt, M., ten Teije, A., Serban, R., van Harmelen, F. (2005). Formalising Medical Quality Indicators to Improve Guidelines. In: Miksch, S., Hunter, J., Keravnou, E.T. (eds) Artificial Intelligence in Medicine. AIME 2005. Lecture Notes in Computer Science(), vol 3581. Springer, Berlin, Heidelberg. https://doi.org/10.1007/11527770_29

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  • DOI: https://doi.org/10.1007/11527770_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-27831-3

  • Online ISBN: 978-3-540-31884-2

  • eBook Packages: Computer ScienceComputer Science (R0)

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