Medical Diagnostic Decision Support

2013 ◽  
pp. 141-166
Author(s):  
B. Séroussi ◽  
P. Le Beux ◽  
A. Venot
Keyword(s):  
Decision Support ◽  
Diagnostic Decision ◽  
Medical Diagnostic

MDX—A medical diagnostic decision support system

1996 ◽  
Vol 20 (3) ◽  
pp. 129-140 ◽  
Author(s):  
Ralph R. Grams ◽  
Dake Zhang ◽  
Beidi Yue
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Diagnostic Decision ◽  
Medical Diagnostic

Modeling Paradigms for Medical Diagnostic Decision Support: A Survey and Future Directions

2011 ◽  
Vol 36 (5) ◽  
pp. 3029-3049 ◽  
Author(s):  
Kavishwar B. Wagholikar ◽  
Vijayraghavan Sundararajan ◽  
Ashok W. Deshpande
Keyword(s):  
Decision Support ◽  
Future Directions ◽  
Diagnostic Decision ◽  
Medical Diagnostic

scholarly journals Impact of a Computer-Based Diagnostic Decision Support Tool on the Differential Diagnoses of Medicine Residents

2012 ◽  
Vol 4 (2) ◽  
pp. 227-231 ◽  
Author(s):  
Mitchell J. Feldman ◽  
Edward P. Hoffer ◽  
G. Octo Barnett ◽  
Richard J. Kim ◽  
Kathleen T. Famiglietti ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Decision Support ◽  
Decision Support Tool ◽  
Differential Diagnoses ◽  
First Year ◽  
Support Tool ◽  
Diagnostic Decision ◽  
Management Plans ◽  
Medical Diagnostic ◽  
Computer Based

Abstract Background Computer-based medical diagnostic decision support systems have been used for decades, initially as stand-alone applications. More recent versions have been tested for their effectiveness in enhancing the diagnostic ability of clinicians. Objective To determine if viewing a rank-ordered list of diagnostic possibilities from a medical diagnostic decision support system improves residents' differential diagnoses or management plans. Method Twenty first-year internal medicine residents at Massachusetts General Hospital viewed 3 deidentified case descriptions of real patients. All residents completed a web-based questionnaire, entering the differential diagnosis and management plan before and after seeing the diagnostic decision support system's suggested list of diseases. In all 3 exercises, the actual case diagnosis was first on the system's list. Each resident served as his or her own control (pretest/posttest). Results For all 3 cases, a substantial percentage of residents changed their primary considered diagnosis after reviewing the system's suggested diagnoses, and a number of residents who had not initially listed a “further action” (laboratory test, imaging study, or referral) added or changed their management options after using the system. Many residents (20% to 65% depending on the case) improved their differential diagnosis from before to after viewing the system's suggestions. The average time to complete all 3 cases was 15.4 minutes. Most residents thought that viewing the medical diagnostic decision support system's list of suggestions was helpful. Conclusion Viewing a rank-ordered list of diagnostic possibilities from a diagnostic decision support tool had a significant beneficial effect on the quality of first-year medicine residents' differential diagnoses and management plans.

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