Semantically enabling clinical decision support recommendations.

Journal: Journal of biomedical semantics
Published Date:

Abstract

BACKGROUND: Clinical decision support systems have been widely deployed to guide healthcare decisions on patient diagnosis, treatment choices, and patient management through evidence-based recommendations. These recommendations are typically derived from clinical practice guidelines created by clinical specialties or healthcare organizations. Although there have been many different technical approaches to encoding guideline recommendations into decision support systems, much of the previous work has not focused on enabling system generated recommendations through the formalization of changes in a guideline, the provenance of a recommendation, and applicability of the evidence. Prior work indicates that healthcare providers may not find that guideline-derived recommendations always meet their needs for reasons such as lack of relevance, transparency, time pressure, and applicability to their clinical practice.

Authors

  • Oshani Seneviratne
    Rensselaer Polytechnic Institute, Troy, NY.
  • Amar K Das
    IBM Research Cambridge, Massachusetts, USA.
  • Shruthi Chari
    Rensselaer Polytechnic Institute, Troy, NY.
  • Nkechinyere N Agu
    Rensselaer Polytechnic Institute, 110 8th St, 12180, Troy, NY, USA.
  • Sabbir M Rashid
    Rensselaer Polytechnic Institute, 110 8th St, 12180, Troy, NY, USA.
  • Jamie McCusker
    Rensselaer Polytechnic Institute, 110 8th St, 12180, Troy, NY, USA.
  • Jade S Franklin
    Rensselaer Polytechnic Institute, 110 8th St, 12180, Troy, NY, USA.
  • Miao Qi
    College of Computer Science and Information Technology, Northeast Normal University, Changchun, China.
  • Kristin P Bennett
    1 Rensselaer Institute for Data Exploration and Application, Rensselaer Polytechnic Institute , Troy, New York.
  • Ching-Hua Chen
    Center for Computational Health, IBM T.J. Watson Research Center, Yorktown Heights, NY.
  • James A Hendler
    Rensselaer Polytechnic Institute, 110 8th St, 12180, Troy, NY, USA.
  • Deborah L McGuinness
    Rensselaer Polytechnic Institute, Troy, NY.