Pergamos - Library and Information Center of National and Kapodistrian University of Athens

Unit:

Κατεύθυνση Έρευνα στην Γυναικεία Αναπαραγωγή
Library of the School of Health Sciences

Deposit date:

2018-12-06

Year:

2018

Author:

Korvesi Vasiliki

Supervisors info:

Δημήτριος Γ. Γουλής, Αναπληρωτής Καθηγητής, Ιατρική, ΑΠΘ
Ιωάννα Χουβαρδά, Επίκουρη Καθηγήτρια, Ιατρική, ΑΠΘ
Γεώργιος Μαστοράκος, Καθηγητής, Ιατρική, ΕΚΠΑ

Original Title:

Ενσωμάτωση κατευθυντήριων οδηγιών σε σύστημα ηλεκτρονικού φακέλου ασθενούς: Εφαρμογή στη Διαβητολογία

Languages:

Greek

Translated title:

Clinical guidelines' implementation to computerised systems. An example in Diabetology

Summary:

Aim: The development of a clinical algorithm based on endocrinological clinical practice guidelines and its integration to a computable system. The aim is to create tools, which will facilitate and increase the use of clinical practice guidelines.
Methods: We collected the clinical practice guidelines referring to gestational diabetes mellitus (GDM), published between 2013 and 2017 by European and American associations and chose the one that met specific criteria. The following steps included references’ deconstruction and reconstruction in a flow chart, designed in a Power Point presentation, and then, its integration to “Openlabyrinth” electronic system. The last step was the guidelines’ s evaluation, using the Guideline Implementability Appraisal tool (GLIA).
Results: Endocrine Society’s 2013 clinical practice guidelines were chosen to develop a clinical algorithm in two forms:
A flowchart, designed in Power Point presentation, composed of the following units: Preconception period in women with diabetes mellitus (DM), Screening and diagnosing glucose intolerance in pregnancy, Overt DM and GDM management, and Postpartum management of women diagnosed as overt diabetes or GDM.
A computable and interactive form, by integrating the flowchart to the Openlabyrinth electronic system.
Conclusion: Endocrine Society’s 2013 clinical practice guidelines’ content and structure were sufficient and helpful to design a clinical algorithm. Though, lack of specific perinatal instructions were noticed, the algorithm was successfully constructed. The guidelines’ completeness and structure determine the difficulty of this process.

Main subject category:

Health Sciences

Keywords:

Clinical algorithm, Computable decision support systems, Clinical practice guidelines, Gestational diabetes mellitus

Index:

Number of index pages:

Contains images:

Yes

Number of references:

Number of pages:

File:

https://pergamos.lib.uoa.gr/uoa/dl/object/2837160/file.pdf