TY - JOUR T1 - A Multi-step Maturity Model for the implementation of Electronic and Computable Diagnostic Clinical Prediction Rules (eCPRs) JF - eGEMS Y1 - 2015 A1 - Corrigan, D A1 - McDonnell, R A1 - Zarabzadeh, A A1 - Fahey, T KW - clinical prediction rules KW - Evidence Based Medicine KW - Health Information Technology KW - Learning Health System KW - Research Translation AB - Introduction: The use of Clinical Prediction Rules (CPRs) has been advocated as one way of implementing actionable evidence-based rules in clinical practice. The current highly manual nature of deriving CPRs makes them difficult to use and maintain. Addressing the known limitations of CPRs requires implementing more flexible and dynamic models of CPR development. We describe the application of Information and Communication Technology (ICT) to provide a platform for the derivation and dissemination of CPRs derived through analysis and continual learning from electronic patient data. Model Components: We propose a multistep maturity model for constructing electronic and computable CPRs (eCPRs). The model has six levels – from the lowest level of CPR maturity (literaturebased CPRs) to a fully electronic and computable service-oriented model of CPRs that are sensitive to specific demographic patient populations. We describe examples of implementations of the core model components – focusing on CPR representation, interoperability, electronic dissemination, CPR learning, and user interface requirements. Conclusion: The traditional focus on derivation and narrow validation of CPRs has severely limited their wider acceptance. The evolution and maturity model described here outlines a progression toward eCPRs consistent with the vision of a learning health system (LHS) – using central repositories of CPR knowledge, accessible open standards, and generalizable models to avoid repetition of previous work. This is useful for developing more ambitious strategies to address limitations of the traditional CPR development life cycle. The model described here is a starting point for promoting discussion about what a more dynamic CPR development process should look like. VL - 3 UR - http://repository.academyhealth.org/egems/vol3/iss2/8/ IS - 2 ER - TY - JOUR T1 - Impact analysis studies of clinical prediction rules relevant to primary care: a systematic review JF - BMJ Open Y1 - 2016 A1 - Wallace, E A1 - Uijen, M A1 - Clyne, B A1 - Zarabzadeh, A A1 - Keogh, C A1 - Galvin, R A1 - Smith, SM A1 - Fahey, T VL - 6:e009957 IS - 3 ER - TY - Generic T1 - Unintentional discontinuation of long term medication post hospitalisation. AUDGPI 10th March 2016 Y1 - 2016 A1 - Redmond, P A1 - McDonnell, R A1 - Grimes, T A1 - Boland, F A1 - Zarabzadeh, A A1 - Hughes, CM A1 - Fahey, T ER - TY - Generic T1 - Is hospitalisation associated with the unintentional discontinuation of appropriate long-term medication in the GP record? SAPC 6th -8th of July 2016 Dublin Castle/RCSI. Y1 - 2016 A1 - Redmond, P A1 - McDowell, R A1 - Grimes, T A1 - Boland, F A1 - Zarabzadeh, A A1 - McDonnell, R A1 - Hughes, CM A1 - Fahey, T ER - TY - Generic T1 - Development of an electronic platform for an international register of Clinical Prediction Rules relevant to primary care. Healthcare Informatics Society of Ireland Conference, Dublin Castle 19-20 Nov 2014 Y1 - 2014 A1 - Zarabzadeh, A A1 - McDonnell, R A1 - Corrigan, D A1 - Galvin, R A1 - Smith, SM A1 - Fahey, T ER - TY - Generic T1 - A Proposed Clinical Prediction Rule Register Supporting Primary Care Decision Making 9th International Conference on Knowledge, Information and Creativity Support Systems Cyprus 6-8 Nov 2014 T2 - 9th International Conference on Knowledge, Information and Creativity Support Systems Y1 - 2014 A1 - Zarabzadeh, A A1 - McDonnell, R A1 - Corrigan, D A1 - Galvin, R A1 - Smith, SM A1 - Fahey, T JF - 9th International Conference on Knowledge, Information and Creativity Support Systems ER - TY - CONF T1 - Utility of electronic international register of clinical prediction rules relevant to primary care T2 - The 29th International Symposium on Computer-Based Medical Systems (CBMS 2016) Y1 - 2016 A1 - Zarabzadeh, A A1 - McDonnell, R A1 - Paz Berrios, S A1 - Dempsey, J A1 - Harrington, E A1 - Smith, SM A1 - Fahey, T JF - The 29th International Symposium on Computer-Based Medical Systems (CBMS 2016) CY - Dublin (June 20, 2016) and in Belfast (June 21 – 23, 2016) ER -