TY - JOUR
T1 - The GUIDES checklist
T2 - Development of a tool to improve the successful use of guideline-based computerised clinical decision support
AU - GUIDES expert panel
AU - Van de Velde, Stijn
AU - Kunnamo, Ilkka
AU - Roshanov, Pavel
AU - Kortteisto, Tiina
AU - Aertgeerts, Bert
AU - Vandvik, Per Olav
AU - Flottorp, Signe
AU - Delvaux, Nicolas
AU - Cloetens, Hanne
AU - Spitaels, David
AU - Heselmans, Annemie
AU - Codron, Tom
AU - Håvelsrud, Kari
AU - Rosenbaum, Sarah
AU - Salonen, Satu
AU - Agarwal, Smisha
AU - Ahmadian, Leila
AU - Bates, David
AU - Brandt, Linn
AU - Brignardello-Petersen, Romina
AU - Cauwenbergh, Carl
AU - Chen, Yaolong
AU - Conway, Nicholas
AU - Durieux, Pierre
AU - El-Kareh, Robert
AU - Fretheim, Atle
AU - Greenes, Robert
AU - Haynes, Robert Brian
AU - Holt, Tim
AU - Jenders, Robert A.
AU - Kawamoto, Kensaku
AU - Kredo, Tamara
AU - Lomotan, Edwin
AU - Lugtenberg, Marjolein
AU - Marco-Ruiz, Luis
AU - McCowan, Colin
AU - McDermott, Lisa
AU - Medlock, Stephanie
AU - Michaels, Maria
AU - Middleton, Blackford
AU - Mitchell, Marc
AU - Moja, Lorenzo
AU - Mugisha, Michael
AU - Osheroff, Jerome A.
AU - Coello, Pablo Alonso
AU - Pearson, Sallie Anne
AU - Pelayo, Sylvia
AU - Richardson, Joshua
AU - Ross, Peeter
AU - Schreurs, Nard
N1 - Publisher Copyright:
© 2018 The Author(s).
PY - 2018/6/25
Y1 - 2018/6/25
N2 - 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.
AB - 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.
KW - Clinical computerised decision support systems
KW - Evidence-based medicine
KW - Guideline adherence
KW - Implementation
KW - Practice Guidelines
UR - http://www.scopus.com/inward/record.url?scp=85049106947&partnerID=8YFLogxK
U2 - 10.1186/s13012-018-0772-3
DO - 10.1186/s13012-018-0772-3
M3 - Article
C2 - 29941007
AN - SCOPUS:85049106947
SN - 1748-5908
VL - 13
JO - Implementation Science
JF - Implementation Science
IS - 86
ER -