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Table 1 Advantages of BGE over current approaches for delivery of guideline-based sTBI care

From: Development, implementation, and evaluation of a novel guideline engine for pediatric patients with severe traumatic brain injury: a study protocol

IssueCurrent ApproachBGE
Inefficient access to guideline content delays careRequires accessing paper or electronic depository documents (time-consuming, inconsistent, and difficult)Content is always present and highly visible on dedicated bedside device for immediate review
Indirect or absent link between content and patient data interferes with fidelity to guidelinesLinking content to patient data requires active effort by providers through multi-step processesGuideline content is automatically linked to the patient’s momentary condition
Patient’s condition triggers alerts, but alerts are not linked to recommended careStatic guidelines: providers must identify alerts and link them to recommended careAlerts automatically trigger content-based recommendations, which are displayed at the bedside alongside patient data
Information overload- Care team members individually merge data from bedside monitor, medical record, and guideline content.
- Access to patient physiology trends is often difficult or not available.
- Data from relevant sources is merged and automatically linked to guideline-based content.
- High-resolution trends of patient physiology are available to facilitate data review and decision-making
No efficient method for ongoing evaluation of timeliness of therapy and fidelity to guidelines- Clinical care is recorded in the medical record, which requires retrospective data collection (manual or semi-automated).
- Timeliness of therapy is just an estimate.
- Automated data extraction for efficient audits of care
- Tracks time-stamped team interventions and feedback