ASTI: a guideline-based drug-ordering system for primary care
Séroussi, B.; Bouaud, J.; Dréau, H.; Falcoff, H.; Riou, C.; Joubert, M.; Simon, C.; Simon, G.; Venot, A.
Studies in Health Technology and Informatics 84(Part 1): 528-532
2001
ISSN/ISBN: 0926-9630 PMID: 11604796 Document Number: 527883
Existing computer-based ordering systems for physicians provide effective drug-centered checks but offer little assistance for optimizing the overall patient-centered treatment strategy. Evidence-based clinical practice guidelines have been developed to disseminate state-of-the-art information concerning treatment strategy but these guidelines are poorly used in routine practice. The ASTI project aims to design a guideline-based ordering system to enable general practitioners to avoid prescription errors and to improve compliance with best therapeutic practices. The " critic mode " operates as a background process and corrects the physician's prescription on the basis of automatically triggered elementary rules that account for isolated guideline recommendations. The " guided mode " directs the physician to the best treatment by browsing a comprehensive guideline knowledge base represented as a decision tree. A first prototype, applied to hypertension, is currently under development.