Implementation of a software-based decision support tool for guideline-appropriate preoperative evaluation: a prospective agreement study.

ABSTRACT:

Background

Guideline adherence in the medical field leaves room for improvement. Digitalised decision support helps improve compliance. However, the complex nature of the guidelines makes implementation in clinical practice difficult.

Methods

This single-centre prospective study included 204 adult ASA physical status 3-4 patients undergoing elective noncardiac surgery at a German university hospital. Agreement of clearance for surgery between a guideline expert and a digital guideline support tool was investigated. The decision made by the on-duty anaesthetists (standard approach) was assessed for agreement with the expert in a cross-over design. The main outcome was the level of agreement between digital guideline support and the expert.

Results

The digital guideline

SUBMITTER: Kagerbauer SM 

PROVIDER: S-EPMC11347788 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature