TY - GEN
T1 - CARDSS
T2 - 13th Conference on Artificial Intelligence in Medicine, AIME 2011
AU - Peek, Niels
AU - Goud, Rick
AU - De Keizer, Nicolette
AU - Van Engen-Verheul, Mariëtte
AU - Kemps, Hareld
AU - Hasman, Arie
PY - 2011
Y1 - 2011
N2 - Cardiac rehabilitation is a multidisciplinary therapy aimed at recovery and secondary prevention after hospitalization for cardiac incidents (such as myocardial infarctions) and cardiac interventions (such as heart surgery). To stimulate implementation of the national guidelines, an electronic patient record system with computerised decision support functionalities called CARDSS (cardiac rehabilitation decision support system) was developed, and made available to Dutch rehabilitation clinics. The system was quantitatively evaluated in a cluster randomised trial at 31 clinics, and qualitatively by interviewing 29 users of the system. Computerised decision support was found to improve guideline concordance by increasing professional knowledge of preferred practice, by reducing inertia to previous practice, and by reducing guideline complexity. It was not effective when organizational or procedural changes were required that users considered to be beyond their responsibilities.
AB - Cardiac rehabilitation is a multidisciplinary therapy aimed at recovery and secondary prevention after hospitalization for cardiac incidents (such as myocardial infarctions) and cardiac interventions (such as heart surgery). To stimulate implementation of the national guidelines, an electronic patient record system with computerised decision support functionalities called CARDSS (cardiac rehabilitation decision support system) was developed, and made available to Dutch rehabilitation clinics. The system was quantitatively evaluated in a cluster randomised trial at 31 clinics, and qualitatively by interviewing 29 users of the system. Computerised decision support was found to improve guideline concordance by increasing professional knowledge of preferred practice, by reducing inertia to previous practice, and by reducing guideline complexity. It was not effective when organizational or procedural changes were required that users considered to be beyond their responsibilities.
KW - cardiac rehabilitation
KW - clinical decision support systems
KW - guideline implementation
UR - http://www.scopus.com/inward/record.url?scp=80053036675&partnerID=8YFLogxK
U2 - 10.1007/978-3-642-22218-4_15
DO - 10.1007/978-3-642-22218-4_15
M3 - Conference contribution
AN - SCOPUS:80053036675
SN - 9783642222177
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 109
EP - 118
BT - Artificial Intelligence in Medicine - 13th Conference on Artificial Intelligence in Medicine, AIME 2011, Proceedings
Y2 - 2 July 2011 through 6 July 2011
ER -