Gathering Real World Evidence Through the Evaluation of Decision History

Stud Health Technol Inform. 2019 Jul 4;262:134-137. doi: 10.3233/SHTI190035.

Abstract

Clinical Practice Guidelines (CPGs) gather latest evidence-based results to guide and support clinicians over the decision-making process to provide best care. Nevertheless, clinical cases may be subject to some biases (understood as non-compliance with CPGs) that can lead to adapt care delivery. In this work an experience-based decision support leaning on the structuration of the Decisional Event concept for tracking and storing each clinical decision is presented. Moreover, a visual analytics tool is provided in order to facilitate the visualization of biases from guideline-based decision support and the identification and inclusion of real-world evidence into the reasoning process by augmenting the knowledge formalized in the implemented guidelines.

Keywords: Clinical practice guidelines; Decision support system; Decisional event; Experience formalization.

MeSH terms

  • Data Visualization
  • Decision Making
  • Decision Support Systems, Clinical*