Interpretation on guideline implementation with decision support checklist (GUIDES)_Chinese Journal of Evidence-Based Medicine

Authors：

HE Mengxue ^1,2 , GU Ying ³ , SHEN Nanping ² , XING Weijie ¹ , SUN Jiwen ² , WENG Zihan ² , DU Xinwei ² ,  HU Yan ¹

1. School of Nursing, Fudan University, Shanghai 200030, P. R. China;
2. Shanghai Children’s Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200027, P. R. China;
3. Children’s Hospital of Fudan University, Shanghai 201102, P. R. China;

Corresponding?author：

HU Yan, Email: huyan@fudan.edu.cn

Keywords：

Evidence-based clinical decision support system; Guideline implementation; Assessment; Improvement; Review

DOI：

10.7507/1672-2531.202110125

Video：

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Guideline implementation with decision support checklist (GUIDES) aims to assist the self-reflection of evidence-based clinical decision support system (CDSS) related professionals to enhance the process monitor and continuous improvement of evidence-based CDSS. This paper interpreted the development process, target user, and assessment method of GUIDES, analyzed the practical value of GUIDES through a typical example, and then reflected on the GUIDES and current studies on evidence-based CDSS in China. It is expected to provide references for future studies.

Citation： HE Mengxue, GU Ying, SHEN Nanping, XING Weijie, SUN Jiwen, WENG Zihan, DU Xinwei, HU Yan. Interpretation on guideline implementation with decision support checklist (GUIDES). Chinese Journal of Evidence-Based Medicine, 2022, 22(2): 243-248. doi: 10.7507/1672-2531.202110125 Copy

1.	羅述謙. 生物醫學信息學(第三版). 北京: 科學出版社, 2011: 341.
2.	胡雁. 循證護理學. 北京: 人民衛生出版社, 2018: 36.
3.	Trivedi MH, Kern JK, Marcee A, et al. Development and implementation of computerized clinical guidelines: barriers and solutions. Methods Inf Med, 2002, 41(5): 435-442.
4.	Moxey A, Robertson J, Newby D, et al. Computerized clinical decision support for prescribing: provision does not guarantee uptake. J Am Med Inform Assoc, 2010, 17(1): 25-33.
5.	Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. BMJ, 2002, 325(7370): 941.
6.	Kawamoto K, Houlihan CA, Balas EA, et al. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ, 2005, 330(7494): 765.
7.	Roshanov PS, Fernandes N, Wilczynski JM, et al. Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials. BMJ, 2013, 346: f657.
8.	Liu S, Reese TJ, Kawamoto K, et al. A theory-based meta-regression of factors influencing clinical decision support adoption and implementation. J Am Med Inform Assoc, 2021, 28(11): 2514-2522.
9.	Kilsdonk E, Peute LW, Jaspers MW. Factors influencing implementation success of guideline-based clinical decision support systems: a systematic review and gaps analysis. Int J Med Inform, 2017, 98: 56-64.
10.	Van de Velde S, Kunnamo I, Roshanov P, et al. The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support. Implement Sci, 2018, 13(1): 86.
11.	Damoiseaux-Volman BA, van der Velde N, Ruige SG, et al. Effect of interventions with a clinical decision support system for hospitalized older patients: systematic review mapping implementation and design factors. JMIR Med Inform, 2021, 9(7): e28023.
12.	Lam Shin Cheung J, Paolucci N, Price C, et al. A system uptake analysis and GUIDES checklist evaluation of the electronic asthma management system: a point-of-care computerized clinical decision support system. J Am Med Inform Assoc, 2020, 27(5): 726-737.
13.	Kawamoto K, McDonald CJ. Designing, conducting, and reporting clinical decision support studies: recommendations and call to action. Ann Intern Med, 2020, 172(11 Suppl): S101-S109.
14.	Van de Velde S, Roshanov P, Kortteisto T, et al. Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools. Implement Sci, 2016, 11: 29.
15.	Van de Velde S, Heselmans A, Delvaux N, et al. A systematic review of trials evaluating success factors of interventions with computerised clinical decision support. Implement Sci, 2018, 13(1): 114.
16.	Van de Velde S, Kortteisto T, Spitaels D, et al. Development of a tailored intervention with computerized clinical decision support to improve quality of care for patients with knee osteoarthritis: multi-method study. JMIR Res Protoc, 2018, 7(6): e154.
17.	Egan M, Bambra C, Petticrew M, et al. Reviewing evidence on complex social interventions: appraising implementation in systematic reviews of the health effects of organisational-level workplace interventions. J Epidemiol Community Health, 2009, 63(1): 4-11.
18.	Sim I, Gorman P, Greenes RA, et al. Clinical decision support systems for the practice of evidence-based medicine. J Am Med Inform Assoc, 2001, 8(6): 527-534.
19.	任宇飛, 陳洞天, 庹兵兵, 等. 基于臨床決策支持系統的靜脈血栓栓塞癥風險評估和防控體系構建. 中華醫院管理雜志, 2019, 35(7): 536-539.
20.	趙春偉. 產科決策支持系統的研究. 上海:上海大學, 2005: 1-55.
21.	甘霖, 張杰, 羅鵬程, 等. 基于循證醫學證據的抗菌藥物臨床決策支持系統. 中國數字醫學, 2017, 12(11): 27-28,31.
22.	趙永信, 顧鶯, 張曉波, 等. 住院患兒疼痛管理決策支持系統的構建與應用研究. 中華護理雜志, 2020, 55(8): 1147-1153.
23.	Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative research. Int J Med Inform, 2015, 84(12): 1009-1018.
24.	孫玉嬌, 史婷奇, 張寧, 等. 低血糖護理決策支持系統的設計及應用. 中華護理雜志, 2020, 55(7): 1028-1032.
25.	張馨文, 唐永, 汪雯. 臨床決策支持系統在基層抗菌藥物合理使用中的作用. 中華臨床醫師雜志(電子版), 2019, 13(7): 532-536.
26.	Talmon J, Ammenwerth E, Brender J, et al. STARE-HI-Statement on reporting of evaluation studies in Health Informatics. Int J Med Inform, 2009, 78(1): 1-9.

1. 羅述謙. 生物醫學信息學(第三版). 北京: 科學出版社, 2011: 341.
2. 胡雁. 循證護理學. 北京: 人民衛生出版社, 2018: 36.
3. Trivedi MH, Kern JK, Marcee A, et al. Development and implementation of computerized clinical guidelines: barriers and solutions. Methods Inf Med, 2002, 41(5): 435-442.
4. Moxey A, Robertson J, Newby D, et al. Computerized clinical decision support for prescribing: provision does not guarantee uptake. J Am Med Inform Assoc, 2010, 17(1): 25-33.
5. Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. BMJ, 2002, 325(7370): 941.
6. Kawamoto K, Houlihan CA, Balas EA, et al. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ, 2005, 330(7494): 765.
7. Roshanov PS, Fernandes N, Wilczynski JM, et al. Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials. BMJ, 2013, 346: f657.
8. Liu S, Reese TJ, Kawamoto K, et al. A theory-based meta-regression of factors influencing clinical decision support adoption and implementation. J Am Med Inform Assoc, 2021, 28(11): 2514-2522.
9. Kilsdonk E, Peute LW, Jaspers MW. Factors influencing implementation success of guideline-based clinical decision support systems: a systematic review and gaps analysis. Int J Med Inform, 2017, 98: 56-64.
10. Van de Velde S, Kunnamo I, Roshanov P, et al. The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support. Implement Sci, 2018, 13(1): 86.
11. Damoiseaux-Volman BA, van der Velde N, Ruige SG, et al. Effect of interventions with a clinical decision support system for hospitalized older patients: systematic review mapping implementation and design factors. JMIR Med Inform, 2021, 9(7): e28023.
12. Lam Shin Cheung J, Paolucci N, Price C, et al. A system uptake analysis and GUIDES checklist evaluation of the electronic asthma management system: a point-of-care computerized clinical decision support system. J Am Med Inform Assoc, 2020, 27(5): 726-737.
13. Kawamoto K, McDonald CJ. Designing, conducting, and reporting clinical decision support studies: recommendations and call to action. Ann Intern Med, 2020, 172(11 Suppl): S101-S109.
14. Van de Velde S, Roshanov P, Kortteisto T, et al. Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools. Implement Sci, 2016, 11: 29.
15. Van de Velde S, Heselmans A, Delvaux N, et al. A systematic review of trials evaluating success factors of interventions with computerised clinical decision support. Implement Sci, 2018, 13(1): 114.
16. Van de Velde S, Kortteisto T, Spitaels D, et al. Development of a tailored intervention with computerized clinical decision support to improve quality of care for patients with knee osteoarthritis: multi-method study. JMIR Res Protoc, 2018, 7(6): e154.
17. Egan M, Bambra C, Petticrew M, et al. Reviewing evidence on complex social interventions: appraising implementation in systematic reviews of the health effects of organisational-level workplace interventions. J Epidemiol Community Health, 2009, 63(1): 4-11.
18. Sim I, Gorman P, Greenes RA, et al. Clinical decision support systems for the practice of evidence-based medicine. J Am Med Inform Assoc, 2001, 8(6): 527-534.
19. 任宇飛, 陳洞天, 庹兵兵, 等. 基于臨床決策支持系統的靜脈血栓栓塞癥風險評估和防控體系構建. 中華醫院管理雜志, 2019, 35(7): 536-539.
20. 趙春偉. 產科決策支持系統的研究. 上海:上海大學, 2005: 1-55.
21. 甘霖, 張杰, 羅鵬程, 等. 基于循證醫學證據的抗菌藥物臨床決策支持系統. 中國數字醫學, 2017, 12(11): 27-28,31.
22. 趙永信, 顧鶯, 張曉波, 等. 住院患兒疼痛管理決策支持系統的構建與應用研究. 中華護理雜志, 2020, 55(8): 1147-1153.
23. Miller A, Moon B, Anders S, et al. Integrating computerized clinical decision support systems into clinical work: A meta-synthesis of qualitative research. Int J Med Inform, 2015, 84(12): 1009-1018.
24. 孫玉嬌, 史婷奇, 張寧, 等. 低血糖護理決策支持系統的設計及應用. 中華護理雜志, 2020, 55(7): 1028-1032.
25. 張馨文, 唐永, 汪雯. 臨床決策支持系統在基層抗菌藥物合理使用中的作用. 中華臨床醫師雜志(電子版), 2019, 13(7): 532-536.
26. Talmon J, Ammenwerth E, Brender J, et al. STARE-HI-Statement on reporting of evaluation studies in Health Informatics. Int J Med Inform, 2009, 78(1): 1-9.

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