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Health Informatics Unit
The University of Adelaide
SA 5005 Australia
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Effect of Presentation of Evidence on Compliance with a Community Acquired Pneumonia (CAP) Guideline

Scott Clark

Health Informatics, University of Adelaide

One of the major obstacles to guideline success is "physician buy-in" and ownership of the processes [1] We hypothesise that an electronic version of a paper-based guideline including evidence for recommendations will produce increased physician buy-in, by substantiation and education of the evidence for guideline recommendations.

An interface will be constructed to display a current teaching hospital CAP guideline. The evidence base behind guideline recommendations will be graded and made available via mouse click on recommendation. This evidence will be updated daily via filtering software which will download and categorise CAP references automatically from the Pubmed database [2] . These references will be manually graded before addition to the guideline database.

Compliance with decision support will be compared before and after evidence access is implemented. Physician satisfaction with the guideline, evidence-base and its recommendations will be assessed via questionnaire.

1. Halm EA, Atlas SJ, Borowsky LH, Benzer TI, Metlay JP, Chang YC, et al. Understanding physician adherence with a pneumonia practice guideline: effects of patient, system, and physician factors. Arch Intern Med 2000;160(1):98-104.

2. NLM. Pubmed, 2002.