A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was c...A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was conducted using 10 difficult cases related to internal medicine. Two experienced and expert diagnosticians were invited to comprise a team. A physician assisted with a web-based diagnosis reminder system also participated. Two groups were allowed to propose three possibilities for each case immediately obtaining information on history, physical exam and simple tests. Total scores and the number of accurate diagnoses were greater in the computer-assisted physicianthan in the expert physician team. In conclusion, A web-based diagnosis reminder system can help physicians to well perform difficult diagnostic reasoningcompared to expert physicians.展开更多
Diagnostic error is prevalent and there is a need for reducing it for improving patient safety. Electronic resources may be candidates as diagnostic decision support systems to assist physicians in clinics or hospital...Diagnostic error is prevalent and there is a need for reducing it for improving patient safety. Electronic resources may be candidates as diagnostic decision support systems to assist physicians in clinics or hospitals. A unique system has been developed by consisting of a disease knowledge database coupled with algorithms designed specifically for clinical reminders during real-time diagnostic processes. This system is currently being used as a diagnostic decision-support tool in a clinic base and its usefulness has been empirically evaluated by applying it to the case reports in the New England Journal of Medicine. Further studies are needed to prove its usefulness for reducing diagnostic errors in real clinical practice.展开更多
文摘A web-based diagnosis reminder system may help physicians to perform difficult diagnostic reasoning but its performance has not been evaluated in comparison to that of expert physicians. Clinical case conference was conducted using 10 difficult cases related to internal medicine. Two experienced and expert diagnosticians were invited to comprise a team. A physician assisted with a web-based diagnosis reminder system also participated. Two groups were allowed to propose three possibilities for each case immediately obtaining information on history, physical exam and simple tests. Total scores and the number of accurate diagnoses were greater in the computer-assisted physicianthan in the expert physician team. In conclusion, A web-based diagnosis reminder system can help physicians to well perform difficult diagnostic reasoningcompared to expert physicians.
文摘Diagnostic error is prevalent and there is a need for reducing it for improving patient safety. Electronic resources may be candidates as diagnostic decision support systems to assist physicians in clinics or hospitals. A unique system has been developed by consisting of a disease knowledge database coupled with algorithms designed specifically for clinical reminders during real-time diagnostic processes. This system is currently being used as a diagnostic decision-support tool in a clinic base and its usefulness has been empirically evaluated by applying it to the case reports in the New England Journal of Medicine. Further studies are needed to prove its usefulness for reducing diagnostic errors in real clinical practice.
