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Dissemination of the latest clinical evidence to community-based healthcare providers is a critical step to translate biomedical knowledge into clinical practice. We performed a study to analyze the correlations between the promotional activities and the usage of a guideline-driven interactive case simulation tool (ICST) for insomnia screening and treatment in a statewide HIV-HCV-STD clinical education program. For this purpose, we tracked users' interactions with the ICST and the sending of promotional email newsletters during a study period of 44 weeks. Results showed that promotional activities were strongly correlated with the number of audience as well as the intensity of use of the target resource. The strength of correlation varied in specific use contexts. Strong correlations were found between the sending of email newsletters and the intensity of resource use by promotion recipients, by new users, and through the most convenient access channel associated with the promotion. Selection of approaches for resource dissemination should consider the potentials and limitations of use contexts to make them more effective. [ABSTRACT FROM AUTHOR]

This paper presents EXEMED, a knowledge base created for the definition of executable rules that can be applied over Electronic Health Records (EHR) in order to measure the EHR compliance with respect to a specific clinical guideline. EXEMED is based on description logic and provides the concepts and roles necessary to express the sets of patients relevant for the definition of rules based on a clinical guideline. Its principle is to provide a mechanism to define the characteristics of patients that are pertinent for a specific clinical guideline through nine concepts, in such a way that they can be obtained from the whole universe of patients. The usefulness of EXEMED was validated applying it to a study case with three different clinical guidelines: Gastrointestinal Bleeding, Chronic Kidney Disease and Hipokalemia. [ABSTRACT FROM AUTHOR]

The lack of a unique, standardized format for representing data and knowledge is one of the existing difficulties to integrating decision support into Electronic Health Records (EHRs). Objective: Propose an archetype-based model to allow the integration of Clinical Practice Guidelines (CPG) and EHRs; design and implement this proposed model. Results: A generic model was designed for the integration of CPG into EHRs, and an archetype-based EHR for Chronic Kidney Disease Prevention based on rules from CPGs, was made as a proof of concept of this novel integration. [ABSTRACT FROM AUTHOR]