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Simple yet Effective in Realising Evidence- Based Practice? The Revival of Flowcharts in Swedish Guidelines for Prescribing Physical Activity by Nadim Anani 1 Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden MIE 2014 -

  1. Simple yet Effective in Realising Evidence- Based Practice? The Revival of Flowcharts in Swedish Guidelines for Prescribing Physical Activity by Nadim Anani ¹ 1 Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden MIE 2014 - Istanbul, 2014-09-01

  2. Practice Guidelines • Clinical practice guidelines promising in improving outcomes and decreasing variability in patient care. • Typically published as narrative text, hard to get into practice. • Effective computerisation may be able to help. Nadim Anani, MIE 2014 2

  3. Computerising Practice Guidelines Issues for medical informaticians often related to understanding: - Chronology: What is before what? - Temporality: ’Recent’? - Medical interpretation: ’Major’? Nadim Anani, MIE 2014 3

  4. Initiative in Sweden User-friendliness group established to improve 2015 release. Nadim Anani, MIE 2014 4

  5. Ongoing Work: Flowcharts - Every disease gets a flowchart to show the recommendations. - Only aspects necessary for implementation are included, e.g. not the supporting evidence. Nadim Anani, MIE 2014 5

  6. Advantages • medically validated computerisable format • simple • technology-independent • any EHR vendor or HIS developer can relate to flowcharts Nadim Anani, MIE 2014 6

  7. Discussion • Can flowcharts decisively reduce barriers to guideline deployment? • Or are languages like PROforma, Asbru, SAGE etc. necessary? • More studies needed to evaluate this approach? Nadim Anani, MIE 2014 7

  8. Thank you for your attention! nadim.anani@ki.se +46-8-524-83607 Nadim Anani, MIE 2014 8

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