ST-Audit: guideline-based automatic auditing of electronic patient records

Billa, Cleo; Wainer, Jacques; Barsottini, Claudia
February 2011
Journal of Intelligent Information Systems;Feb2011, Vol. 36 Issue 1, p49
Academic Journal
This work presents the ST-Audit system that audits a patient record for conformance to a particular clinical guideline. The system uses ST-Guide which models a guideline as a set of states and transitions. The audit system tries to find a path in the state/transition diagram that corresponds to the actions taken by the physician, taking into consideration issues such as the unavailability of all the data needed to evaluate the transitions. The system was used to audit an outpatient clinic regarding their procedure for hypertension treatment (using the VI JNC guideline for hypertension), and the results of the number of non-compliant actions were presented and discussed. A follow up auditing showed a small but statistically significant reduction on the number of non-compliant actions for patients treated after the first audit.


Related Articles

  • Hypertension: The nurse's role. Feury, Dianne; Nash, David T.; Hurley, Mary Lou // RN;Nov90, Vol. 53 Issue 11, p54 

    Provides information on a guideline for nurses in the clinical management of hypertension given by the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure (JNC). Etiology of hypertension; Risk of blacks and elderly; Classification of blood pressure in adults...

  • NICE hypertension advice 'fails younger patients' Finch, Rob; Kelly, Brian // Pulse;10/4/2004, Vol. 64 Issue 39, p7 

    Reports on NICE guidance on hypertension in Great Britain. Failure to address the needs of younger patients; Treatment of patients under 56 years old.

  • Response to ciclosporin treatment in Ethiopian and Nepali patients with severe leprosy Type 1 reactions. Marlowe, S.N.S.; Leekassa, R.; Bizuneh, E.; Knuutilla, J.; Ale, P.; Bhattarai, B.; Sigdel, H.; Anderson, A.; Nicholls, P.G.; Johnston, A.; Holt, D.; Lockwood, D.N.J. // Transactions of the Royal Society of Tropical Medicine & Hygiene;Oct2007, Vol. 101 Issue 10, p1004 

    Summary: Leprosy type 1 reactions (T1R) are immune-mediated events with inflammation of peripheral nerves and skin. We report the clinical outcomes of a closely monitored open prospective trial in which eight Nepali and 33 Ethiopian patients with T1Rs were treated with an Indian generic...

  • The silent threat: 1-in-4 at risk. Roller, Kim // Drug Store News;6/7/99, Vol. 21 Issue 9, p134 

    Presents information on hypertensive patients in the United States. Prevalence of the disease in the country; Estimated prevalence trends for high blood pressure by race and gender; Treatment of the disease; Details on the compliance issues on the treatment of the disease.

  • Marily Rhudy to receive Jacob W. Miller Award.  // Pharmacy Today;Mar2006, Vol. 12 Issue 3, p24 

    The article reports that a study of community pharmacy-based hypertension interventions manifests that pharmacists can do much to help patients control their blood pressure. The large number of patients attended in the Hypertension Outcomes through blood pressure Monitoring and Evaluation by...

  • WARNING! Normal Blood Pressure May Be High Blood Pressure! Davis, William // Life Extension;May2005, Vol. 11 Issue 5, p68 

    Cites the possibilities that normal blood pressure could be high blood pressure. Symptoms of high blood pressure; Causes of hypertension; Preventive measures of hypertension.

  • Improving the detection of preclinical organ damage in newly diagnosed hypertension: nocturnal hypertension versus non-dipping pattern. Androulakis, E; Papageorgiou, N; Chatzistamatiou, E; Kallikazaros, I; Stefanadis, C; Tousoulis, D // Journal of Human Hypertension;Nov2015, Vol. 29 Issue 11, p689 

    The clinical relevance of nocturnal hypertension (NH) in comparison with non-dipping status has not been clarified yet, as regards subclinical target organ damage. We aimed to elucidate whether NH or dipping status reflects better organ damage. The study population included 319 newly diagnosed...

  • PDGF signaling in pulmonary arterial hypertension. Barst, Robyn J. // Journal of Clinical Investigation;Oct2005, Vol. 115 Issue 10, p2691 

    The pathobiology of pulmonary arterial hypertension (PAH) includes endothelial cell dysfunction and proliferation and migration of VSMCs. As PDGF has been implicated in these processes, Schermuly et al. hypothesized that altered PDGF signaling may be involved in the vascular remodeling observed...

  • PREHYPERTENSION AND THE EMPEROR'S NEW INVISIBLE SUIT.  // Health & Stress;2003, Issue 7, p1 

    Focuses on the disease category called prehypertension. Sodium restriction; White coat hypertension; Angiotension converting enzyme inhibitor; Suggestions on how to prevent prehypertension.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics