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CREDO applicationsCREDO applications: As a part of CREDO project we are developing a repository of computer-interpretable medical knowledge for decision support applications to deliver point-of-care services in breast cancer. We follow the publishing life cycle that we have developed for the creation, dissemination, open review and revision of these decision support applications. Number of applications have been developed and are in the various stages of this life cycle. 1. MATE: The Multi-disciplinary meeting Assistant and Treatment sElector is a computerised system designed to assist breast clinicians in making management decisions for their patients in breast Multi Disciplinary Meetings. MATE evaluates patient’s clinical facts and suggests optimal management options according to high quality evidence based clinical guidelines. However these suggestions are not binding and the final decision is taken by the clinicians who can override system suggestions. The researchers are investigating whether MATE can improve the clinician's compliance with guidelines. Additionally, the system will ensure that clinicians are reminded if the patient is eligible to take part in any national clinical trials. We have already done a pilot study and is currently being evaluated in RCT at Royal Free Hospital. Following are the screen shots explaining some of its functionalities.
2. NICE Familial Breast Cancer Risk Assessment Tool is a computer interpretable guideline for assessment and management of familial breast cancer risk based on evidence based NICE guideline. This is a demo example of how a computerised decision support tool can add value to the conventional CPG. This application helps collect family history using RAGs family tree builder and then calculate risk and suggest referral as well as surveillance and management options. We are about to start a prospective study of this tool at Royal Free family history clinic. 3. Breast Cancer Referral Guidelines ICSI Ed8, 2005 BNF, 2008 Local Protocol, 2008 |
