
Algorithms
Algorithms are schematic models of the clinical decision pathway described in a guideline. The decision points are represented with yes/no nodes, and the clinical characteristics, test characteristics, or treatment options are also simplified into their basic components. Because of this abbreviated format, algorithms can be very useful clinical tools but are not exhaustive. An algorithm, like the guideline itself, cannot take into account all patient-related variables such as disease state, clinical setting, or economic and insurance issues. Thus, they are to be used only as a guide and should never override the clinician's and patient's best judgment.
Algorithm Development Models
Hadorn, David C. Use of algorithms in clinical guideline development
in Clinical Practice Guideline Development: Methodology Perspectives, pp 93-104. AHCPR Pub. No. 95-0009. Agency for Health Care Policy and Research: Rockville, MD, Jan. 1995.
Society for Medical Decision Making, Committee on Standardization of Clinical Algorithms. Proposal for Clinical Algorithm Standards
in Med Decis Making 12:149-54; 1992.
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