The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support

Van de Velde, S., Kunnamo, I., Roshanov, P., Kortteisto, T., Aertgeerts, B., Vandvik, P. O., Flottorp, S. and GUIDES expert panel, (2018) The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerised clinical decision support. Implementation Science, 13, 86. (doi: 10.1186/s13012-018-0772-3) (PMID:29941007) (PMCID:PMC6019508)

Abstract

Background: Computerised decision support (CDS) based on trustworthy clinical guidelines is a key component of a learning healthcare system. Research shows that the effectiveness of CDS is mixed. Multifaceted context, system, recommendation and implementation factors may potentially affect the success of CDS interventions. This paper describes the development of a checklist that is intended to support professionals to implement CDS successfully. Methods: We developed the checklist through an iterative process that involved a systematic review of evidence and frameworks, a synthesis of the success factors identified in the review, feedback from an international expert panel that evaluated the checklist in relation to a list of desirable framework attributes, consultations with patients and healthcare consumers and pilot testing of the checklist. Results: We screened 5347 papers and selected 71 papers with relevant information on success factors for guideline-based CDS. From the selected papers, we developed a 16-factor checklist that is divided in four domains, i.e. the CDS context, content, system and implementation domains. The panel of experts evaluated the checklist positively as an instrument that could support people implementing guideline-based CDS across a wide range of settings globally. Patients and healthcare consumers identified guideline-based CDS as an important quality improvement intervention and perceived the GUIDES checklist as a suitable and useful strategy. Conclusions: The GUIDES checklist can support professionals in considering the factors that affect the success of CDS interventions. It may facilitate a deeper and more accurate understanding of the factors shaping CDS effectiveness. Relying on a structured approach may prevent that important factors are missed.

• Item Type: Articles
• Additional Information: This project has received funding from the EU’s Horizon 2020 Research and Innovation Programme under the Marie Sklodowska-Curie grant agreement No 654981. <br>Professor Colin McCowan is a member of the GUIDES Expert Panel.</br>
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Mccowan, Professor Colin
• Authors: Van de Velde, S., Kunnamo, I., Roshanov, P., Kortteisto, T., Aertgeerts, B., Vandvik, P. O., Flottorp, S., and GUIDES expert panel,
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
• Journal Name: Implementation Science
• Publisher: BioMed Central
• ISSN: 1748-5908
• ISSN (Online): 1748-5908
• Copyright Holders: Copyright © 2018 The Authors
• First Published: First published in Implementation Science 13: 86
• Publisher Policy: Reproduced under a Creative Commons License