Simple yet Effective in Realising Evidence- Based Practice? The - - PowerPoint PPT Presentation

Simple yet Effective in Realising Evidence- Based Practice? The Revival of Flowcharts in Swedish Guidelines for Prescribing Physical Activity

by Nadim Anani¹

1 Health Informatics Centre, Karolinska Institutet, Stockholm, Sweden

MIE 2014 - Istanbul, 2014-09-01

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.

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Computerising Practice Guidelines

Issues for medical informaticians often related to understanding:

• Chronology: What is before what?
• Temporality: ’Recent’?
• Medical interpretation: ’Major’?

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Initiative in Sweden

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User-friendliness group established to improve 2015 release.

Ongoing Work: Flowcharts

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• Every disease gets a

flowchart to show the recommendations.

• Only aspects

necessary for implementation are included, e.g. not the supporting evidence.

Advantages

• medically validated computerisable format
• simple
• technology-independent
• any EHR vendor or HIS developer can relate to

flowcharts

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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?

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Thank you for your attention!

nadim.anani@ki.se +46-8-524-83607