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A Model-Integrated, Guideline-Driven, Clinical Decision-Support System
July/August 2009 (vol. 26 no. 4)
pp. 54-61
Janos L. Mathe, Vanderbilt University
Jason B. Martin, Vanderbilt Medical Center
Peter Miller, Vanderbilt HealthTech Laboratory
Ákos Lédeczi, Vanderbilt University
Liza M. Weavind, Vanderbilt University
Andras Nadas, Vanderbilt University
Anne Miller, Vanderbilt Medical Center
David J. Maron, Vanderbilt University
Janos Sztipanovits, Vanderbilt University
Using evidence-based guidelines to standardize the care of patients with complex medical problems is a difficult challenge. In acute care settings, such as intensive care units, the inherent problems of stabilizing and improving vital patient parameters is complicated by the division of responsibilities among different healthcare team members. Computerized support for implementing such guidelines has tremendous potential. The use of model-integrated techniques for specifying and implementing guidelines as coordinated asynchronous processes is a promising new methodology for providing advanced clinical decision support. Combined with visual dashboards, which show the status of the implemented guidelines, a new approach to computer-supported care is possible. The Vanderbilt Medical Center is applying these techniques to the management of sepsis.

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Index Terms:
Design languages, domain-specific modeling languages, medical information systems, modeling.
Citation:
Janos L. Mathe, Jason B. Martin, Peter Miller, Ákos Lédeczi, Liza M. Weavind, Andras Nadas, Anne Miller, David J. Maron, Janos Sztipanovits, "A Model-Integrated, Guideline-Driven, Clinical Decision-Support System," IEEE Software, vol. 26, no. 4, pp. 54-61, July-Aug. 2009, doi:10.1109/MS.2009.84
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