Evidence-based decision support for neurological diagnosis reduces errors and unnecessary workup.
Using vignettes of real cases and the SimulConsult diagnostic decision support software, neurologists listed a differential diagnosis and workup before and after using the decision support. Using the software, there was a significant reduction in error, up to 75% for diagnosis and 56% for workup. This error reduction occurred despite the baseline being one in which testers were allowed to use narrative resources and Web searching. A key factor that improved performance was taking enough time (>2 minutes) to enter clinical findings into the software accurately. Under these conditions and for instances in which the diagnoses changed based on using the software, diagnostic accuracy improved in 96% of instances. There was a 6% decrease in the number of workup items accompanied by a 34% increase in relevance. The authors conclude that decision support for a neurological diagnosis can reduce errors and save on unnecessary testing.
Duke Scholars
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- Software
- Neurology & Neurosurgery
- Nervous System Diseases
- Male
- Internet
- Humans
- Female
- Evidence-Based Medicine
- Diagnostic Errors
- Diagnosis, Differential
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Software
- Neurology & Neurosurgery
- Nervous System Diseases
- Male
- Internet
- Humans
- Female
- Evidence-Based Medicine
- Diagnostic Errors
- Diagnosis, Differential