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Friday, April 24, 2020
Ann Wales

Decision Support for COVID 19: Converting Guidance to Action

The COVID 19 crisis has presented a host of new opportunities and challenges for decision support to demonstrate its impact on frontline practice. Using dedicated funding from Scottish Government Digital Health and Care, we are delivering four types of solution for frontline care. All these solutions build on expansion of the Right Decision Service (RDS) infrastructure with support from Tactuum Ltd,  and optimising processes for quality assurance and CE marking.

1) Decision Support for SIGN Guidelines

In an important new partnership with Healthcare Improvement Scotland, we are converting SIGN Guidelines 139 (Care of Deteriorating Patients) and 157 (Management of Delirium) into mobile and web-based decision support solutions. These solutions will provide ntelligent calculators, screening and assessment tools and evidence bundles for healthcare professionals to apply best evidence at point of care. We will also work with SIGN to deliver its forthcoming rapid guideline for COVID Hubs as a decision support  app.

2) Decision Support for Territorial Boards

NHS Greater Glasgow and Clyde, NHS Lothian and NHS Lanarkshire are using the RDS toolkit for building mobile apps to deliver quick and easy access to local guidelines and pathways for COVID 19, emergency care, respiratory and intensive care. Discussions are underway with other NHS Boards.  NHS GGC knowledge management team is collaborating with the DHI decision support team to train and mentor other Boards in use of RDS tools.

3) COVID 19 Evidence Search

The Right Decision Service search engine  has been expanded to work across COVID 19 guidance and evidence summaries. Over the coming months we will be exploring use of an AI chatbot to carry out intelligent searches across COVID 19 research sources.

4) Support for Care Homes

As part of DHI’s Care in Place project, the Right Decision Service platform is supporting risk assessment and triage within care homes. Decision support is part of the upcoming test of change of an SBAR app that will support appropriate escalation to seek clinical advice in care home settings.

We are also beginning to explore the potential for a suite of decision support tools to underpin remote consultation by GPs and other professionals – for example, through NHS Near Me.